CPT code 55876: Prostate markers, radiation guidance devices2026 Medicare rate & RVUs in Tennessee

In Tennessee, Medicare pays $140.31 for 55876 in the office and $85.36 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 55876 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 55876 covers

This service places one or more small interstitial devices, such as fiducial markers or a dosimeter, in the prostate to help localize the gland during radiation treatment. A urologist or other qualified physician typically performs the needle-based procedure, often with imaging guidance, in an office or facility. The needle approach may vary; the purpose is radiation guidance rather than delivery of radioactive seeds or removal of prostate tissue.

Report one service for the marker-placement session; the code includes single or multiple devices. The record should identify the prostate as the target, the devices placed, and their radiation-guidance purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this prostate service. Medicare does not pay an assistant at surgery; co-surgeon or team-surgery payment requires supporting documentation.

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 Tennessee compares for 55876

Across 109 of 109 payment localities, the office rate for 55876 runs from $135.75 in Arkansas to $193.69 in San Benito County, CA. Tennessee pays $140.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55876 rates by state

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

See 55876 in every payment locality

How the 55876 rate is calculated

Each of 55876’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 55876

The CMS indicators that decide how 55876 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 55876

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

How 55876 has changed in Tennessee

Price 55876 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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