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Billing code 52700: Prostate drainageMedicare rate & RVUs

A urologist drains a prostate abscess through the urethra, reporting this service when the operation is directed at evacuating the infected collection.

CMS RVU26DEffective Oct 1, 2026109 payment localities185 Medicare services in 2024

Medicare pays $405.49 for 52700 nationally in a facility.

Medicare rate · 52700

Prostate drainage

Swap in your local Medicare rate.

Work RVUs
7.3
Total RVUs
12.14
Global days
090

National rate · 2026

$405.49

Facility setting, before claim adjustments.

See every locality for 52700 → · Billed by an NP, PA or therapist? →

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

On this page 10 sections
  1. Medicare rate
  2. What 52700 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 52700 covers

A urologist typically performs this operation in a surgical facility, using endoscopic access through the urethra to open or unroof the prostatic abscess and evacuate its contents. The clinical setting is a confirmed or strongly suspected infected collection in the prostate that requires operative drainage, rather than a prostate biopsy or routine treatment of benign enlargement.

Report the service when the operative record supports transurethral drainage of the abscess, including the approach and the drainage performed. This major surgery has a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not used for the single prostate. An assistant at surgery is paid only when medical necessity is documented; 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.

Where 52700 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

52700 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$375.68
Alaska*Unavailable$521.94
ArizonaUnavailable$396.97
ArkansasUnavailable$372.01
AtlantaUnavailable$414.55
AustinUnavailable$410.01
BakersfieldUnavailable$410.51
Baltimore/Surr. CntysUnavailable$426.28
BeaumontUnavailable$391.53
BrazoriaUnavailable$399.43

52700 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
52700 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

How the 52700 rate is calculated

Each of 52700’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.

How the rate is built · 52700

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 7.30Practice expense 3.91Malpractice 0.93

12.1400 adjusted RVUs×$33.4009 conversion factor=$405.49

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 52700

52700 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 52700

Prostate drainage

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 52700

Prostate drainage

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24 Unrelated E/M visit by the same physician
  • 79 Unrelated procedure (starts its own global period)
  • 58 Staged, more extensive, or therapy procedure that was planned
  • 78 Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52700 without 51 · national facility

$405.49

Prostate drainage

52700-51 · Second procedure: 50%

$202.75

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

52700 compared with similar codes

Compare codes

52700 vs 10160 vs 52601 vs 10060: national Medicare rates

Swap in your local Medicare rate.

  • 52700
    Prostate drainage · 7.3 wRVU
    —
  • 10160
    Lesion aspiration · 1.22 wRVU
    $131.60
  • 52601
    TURP · 9.75 wRVU
    —
  • 10060
    Abscess drainage · 1.19 wRVU
    $128.59

How to choose

10160Lesion aspiration
10160 describes needle aspiration of an abscess or other collection. Choose 52700 for transurethral operative drainage of a prostate abscess.
52601TURP
52601 describes transurethral prostate resection for its specific indications. Use 52700 when the operative target is drainage of a prostate abscess, not routine tissue resection.
10060Abscess drainage
10060 describes incision and drainage of a simple or single abscess in its applicable site; 52700 is specific to transurethral drainage of a prostate abscess.

Codes related to 52700

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

Codes related to 52700
CodeHow it relatesNational office range
Used instead
10160Lesion aspirationNeedle aspiration may be used instead of transurethral operative drainage when that is the documented method.$116.95–$171.40
55899Unlisted px male genital sysUnlisted male genital procedure code for a procedure not described by a specific listed service.No office rate

52700 billing questions

When should this code be chosen instead of prostate biopsy?

Use 52700 when the operative service drains a prostatic abscess. A biopsy code describes tissue sampling, not evacuation of an infected collection.

Can needle aspiration of a prostate abscess be reported with this code?

No. For a procedure performed by needle aspiration rather than transurethral operative drainage, consider the aspiration code that matches the documented method, such as 10160.

Is modifier 50 appropriate for drainage involving both sides of the prostate?

No. The prostate is a single organ, and modifier 50 is not used for this service.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

What documentation is needed for an assistant at surgery?

Document why an assistant was medically necessary for the operation. CMS payment for an assistant at surgery requires that support.

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

Show the CMS file lines behind this rate
RVUs for 52700PPRRVU2026_Oct_nonQPP.csv, line 6,170 (RVU26D)

Open CMS sourceHow we calculate rates

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