CPT code 55842: Radical prostatectomy, limited bilateral lymphadenectomy2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $1,034.12 for 55842 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 55842 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 55842 covers

An urologist reports 55842 for an open retropubic radical prostatectomy that removes the prostate together with limited bilateral pelvic lymph-node dissection. It is used most often for prostate cancer when the operative plan includes nodal staging. The hospital operating room is the typical setting; this code distinguishes the retropubic approach and limited node dissection from perineal, laparoscopic, or more extensive operations.

Choose the code from the operative report’s approach and extent: open retropubic radical removal plus limited bilateral pelvic node work. Documentation should support the radical prostatectomy and the extent and laterality of the lymphadenectomy. This major surgery has a 90-day global period that includes the day-before preoperative visit and related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and others at 50%. An assistant at surgery may be paid; co-surgeon payment requires supporting documentation, and team surgery is not permitted. Modifier 50 is inappropriate.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Delaware compares for 55842

Across 109 of 109 payment localities, the facility rate for 55842 runs from $963.05 in Arkansas to $1,367.19 in Alaska. Delaware pays $1,034.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55842 rates by state

Office rate range in each state. Select a state to see its payment localities.

See 55842 in every payment locality

How the 55842 rate is calculated

Each of 55842’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

Payment rules and modifiers for 55842

55842 has a 90-day global period: related visits in that window are included in the surgery payment.

What modifiers do to the payment

When to use modifier 51

Codes related to 55842

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 55842 has changed in Delaware

Price 55842 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Open CMS sourceHow we calculate rates