No office rate
Choose 52601 when the surgeon resects obstructive prostate tissue as a complete prostate procedure. Choose 52500 when the resection is at the bladder neck.
On this page
CMS RVU26D · Effective 2026-10-01
52500 Bladder neck resection Medicare reimbursement rates
Reports endoscopic removal of obstructing bladder-neck tissue, such as tissue narrowing the outlet and impeding urine flow. Compare 52500 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 52500?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
No supported rate
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 52500 pays more and less
Urology surgery
About 52500: Transurethral bladder neck resection
Reports endoscopic removal of obstructing bladder-neck tissue, such as tissue narrowing the outlet and impeding urine flow.
A urologist performs this endoscopic operation through the urethra, using a resectoscope to remove obstructing tissue at the bladder neck. It is used for bladder-neck narrowing that blocks urine flow, including a bladder-neck contracture. The procedure is typically performed in an operating room under anesthesia.
Report 52500 when the operative work removes obstructing tissue at the bladder neck, rather than resecting obstructive prostate tissue. The operative report should identify the bladder-neck site and describe the resection and its purpose. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 52500
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.85 · 55%
- Practice expense (office) RVU3.94 · 37%
- Malpractice RVU0.76 · 7%
2.2K
Medicare services in 2024 · #2379 by national volume
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.
52500 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
No office rate
52450 is an incision procedure directed at the prostate. 52500 involves resection of obstructing tissue at the bladder neck.
No office rate
52630 addresses residual or regrown obstructive prostate tissue after prior treatment. 52500 targets obstructing tissue at the bladder neck.
See how rates vary across the country
52500 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Compare 52500 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office Unavailable | Facility $324.91 |
| Alaska* | Office Unavailable | Facility $447.23 |
| Arizona | Office Unavailable | Facility $344.64 |
| Arkansas | Office Unavailable | Facility $321.51 |
| Atlanta | Office Unavailable | Facility $360.17 |
| Austin | Office Unavailable | Facility $357.51 |
| Bakersfield | Office Unavailable | Facility $358.80 |
| Baltimore/Surr. Cntys | Office Unavailable | Facility $371.13 |
| Beaumont | Office Unavailable | Facility $338.73 |
| Brazoria | Office Unavailable | Facility $347.17 |
| Chicago | Office Unavailable | Facility $387.28 |
| Chico | Office Unavailable | Facility $356.56 |
| Colorado | Office Unavailable | Facility $357.59 |
| Connecticut | Office Unavailable | Facility $371.75 |
| Dallas | Office Unavailable | Facility $350.01 |
| Dc + Md/Va Suburbs | Office Unavailable | Facility $389.22 |
| Delaware | Office Unavailable | Facility $349.21 |
| Detroit | Office Unavailable | Facility $365.19 |
| East St. Louis | Office Unavailable | Facility $367.59 |
| El Centro | Office Unavailable | Facility $356.68 |
| Fort Lauderdale | Office Unavailable | Facility $374.60 |
| Fort Worth | Office Unavailable | Facility $349.02 |
| Fresno | Office Unavailable | Facility $356.56 |
| Galveston | Office Unavailable | Facility $348.66 |
| Hanford-Corcoran | Office Unavailable | Facility $356.56 |
| Hawaii, Guam | Office Unavailable | Facility $359.72 |
| Houston | Office Unavailable | Facility $362.57 |
| Idaho | Office Unavailable | Facility $328.47 |
| Indiana | Office Unavailable | Facility $329.73 |
| Iowa | Office Unavailable | Facility $325.89 |
| Kansas | Office Unavailable | Facility $327.16 |
| Kentucky | Office Unavailable | Facility $335.61 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office Unavailable | Facility $375.94 |
| Madera | Office Unavailable | Facility $356.56 |
| Manhattan | Office Unavailable | Facility $401.08 |
| Merced | Office Unavailable | Facility $356.56 |
| Metropolitan Boston | Office Unavailable | Facility $383.13 |
| Metropolitan Kansas City | Office Unavailable | Facility $343.77 |
| Metropolitan Philadelphia | Office Unavailable | Facility $366.19 |
| Metropolitan St. Louis | Office Unavailable | Facility $346.11 |
| Miami | Office Unavailable | Facility $396.59 |
| Minnesota | Office Unavailable | Facility $338.33 |
| Mississippi | Office Unavailable | Facility $327.46 |
| Modesto | Office Unavailable | Facility $356.56 |
| Montana** | Office Unavailable | Facility $352.33 |
| Napa | Office Unavailable | Facility $394.05 |
| Nebraska | Office Unavailable | Facility $326.46 |
| Nevada** | Office Unavailable | Facility $348.27 |
| New Hampshire | Office Unavailable | Facility $354.60 |
| New Mexico | Office Unavailable | Facility $346.56 |
| New Orleans | Office Unavailable | Facility $348.07 |
| North Carolina | Office Unavailable | Facility $334.40 |
| North Dakota** | Office Unavailable | Facility $337.30 |
| Northern Nj | Office Unavailable | Facility $387.47 |
| Nyc Suburbs/Long Island | Office Unavailable | Facility $411.51 |
| Ohio | Office Unavailable | Facility $341.13 |
| Oklahoma | Office Unavailable | Facility $332.64 |
| Oxnard-Thousand Oaks-Ventura | Office Unavailable | Facility $372.23 |
| Portland | Office Unavailable | Facility $363.61 |
| Poughkpsie/N Nyc Suburbs | Office Unavailable | Facility $379.01 |
| Puerto Rico | Office Unavailable | Facility $353.45 |
| Queens | Office Unavailable | Facility $400.06 |
| Redding | Office Unavailable | Facility $356.56 |
| Rest Of California | Office Unavailable | Facility $356.56 |
| Rest Of Florida | Office Unavailable | Facility $359.36 |
| Rest Of Georgia | Office Unavailable | Facility $343.04 |
| Rest Of Illinois | Office Unavailable | Facility $355.22 |
| Rest Of Louisiana | Office Unavailable | Facility $336.18 |
| Rest Of Maine | Office Unavailable | Facility $332.26 |
| Rest Of Maryland | Office Unavailable | Facility $353.83 |
| Rest Of Massachusetts | Office Unavailable | Facility $357.33 |
| Rest Of Michigan | Office Unavailable | Facility $344.20 |
| Rest Of Missouri | Office Unavailable | Facility $333.56 |
| Rest Of New Jersey | Office Unavailable | Facility $374.76 |
| Rest Of New York | Office Unavailable | Facility $338.26 |
| Rest Of Oregon | Office Unavailable | Facility $344.31 |
| Rest Of Pennsylvania | Office Unavailable | Facility $340.19 |
| Rest Of Texas | Office Unavailable | Facility $343.21 |
| Rest Of Washington | Office Unavailable | Facility $355.83 |
| Rhode Island | Office Unavailable | Facility $357.69 |
| Riverside-San Bernardino-Ontario | Office Unavailable | Facility $364.80 |
| Sacramento-Roseville-Folsom | Office Unavailable | Facility $369.09 |
| Salinas | Office Unavailable | Facility $367.58 |
| San Diego-Chula Vista-Carlsbad | Office Unavailable | Facility $372.41 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office Unavailable | Facility $411.16 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office Unavailable | Facility $410.30 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office Unavailable | Facility $420.26 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office Unavailable | Facility $416.73 |
| San Luis Obispo-Paso Robles | Office Unavailable | Facility $362.22 |
| Santa Cruz-Watsonville | Office Unavailable | Facility $373.00 |
| Santa Maria-Santa Barbara | Office Unavailable | Facility $367.92 |
| Santa Rosa-Petaluma | Office Unavailable | Facility $376.47 |
| Seattle (King Cnty) | Office Unavailable | Facility $387.38 |
| South Carolina | Office Unavailable | Facility $338.57 |
| South Dakota** | Office Unavailable | Facility $335.52 |
| Southern Maine | Office Unavailable | Facility $341.83 |
| Stockton | Office Unavailable | Facility $356.56 |
| Suburban Chicago | Office Unavailable | Facility $376.90 |
| Tennessee | Office Unavailable | Facility $328.65 |
| Utah | Office Unavailable | Facility $341.89 |
| Vallejo | Office Unavailable | Facility $392.80 |
| Vermont | Office Unavailable | Facility $338.52 |
| Virgin Islands | Office Unavailable | Facility $353.45 |
| Virginia | Office Unavailable | Facility $342.68 |
| Visalia | Office Unavailable | Facility $356.56 |
| West Virginia | Office Unavailable | Facility $346.08 |
| Wisconsin | Office Unavailable | Facility $329.29 |
| Wyoming** | Office Unavailable | Facility $345.78 |
| Yuba City | Office Unavailable | Facility $356.56 |
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52500 billing questions
How does 52500 differ from a prostate resection?
Use 52500 for resection of obstructing tissue at the bladder neck. A prostate resection code applies when the operative target is obstructive prostate tissue.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Does Medicare pay an assistant surgeon?
No. A statutory restriction bars assistant-at-surgery payment for 52500. Co-surgeons and team surgery are also not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the other procedures.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,15952442,,Cysto ins trnsprstc implt ea,A,,0.98,24.77,,0.21,,0.13,25.88,1.32,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16052443,,Cysto 1st trurl prst8 comis,A,,3.62,172.69,,1.08,,0.46,176.77,5.16,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,16152450,,Transurethral inc prostate,A,,7.59,4.53,NA,4.53,,0.99,13.11,13.11,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16252500,,Trurl resection bladder neck,A,,5.85,3.94,NA,3.94,,0.76,10.55,10.55,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,1635250F,,Asthma discharge plan presnt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16452597,,Trurl rbtc wtrjt rescj prst8,A,,10.25,4.85,NA,4.85,,1.32,16.42,16.42,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16552601,,Prostatectomy (turp),A,,9.75,4.74,NA,4.74,,1.26,15.75,15.75,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00