CPT code 55880: Prostate HIFU, transrectal malignant tissue ablation2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $875.35 for 55880 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 55880 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 55880 covers

Code 55880 describes treatment that uses a transrectal ultrasound probe to focus high-intensity acoustic energy on malignant prostate tissue. A urologist typically performs the procedure in a hospital or ambulatory surgical setting for prostate cancer when tissue ablation is selected rather than surgical removal. Ultrasound used to guide the HIFU treatment is part of the service described by this code.

Select the code when the documented treatment uses transrectal HIFU to ablate malignant prostate tissue; distinguish it from transurethral ultrasound ablation, cryoablation, and percutaneous electroporation by the treatment method and access route. The operative report should identify the HIFU approach, the prostate tissue treated, and the procedure performed. CMS assigns a 90-day major-surgery global period, including the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in the same session, the highest-valued procedure is paid in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

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 New Mexico compares for 55880

Across 109 of 109 payment localities, the facility rate for 55880 runs from $811.48 in Arkansas to $1,149.88 in Alaska. New Mexico pays $875.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

55880 rates by state

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

See 55880 in every payment locality

How the 55880 rate is calculated

Each of 55880’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 55880

55880 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 55880

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

How 55880 has changed in New Mexico

Price 55880 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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