No office rate
Use 55873 for prostate tissue treated by freezing. Code 55880 describes ablation using high-intensity focused ultrasound.
On this page
CMS RVU26D · Effective 2026-10-01
55873 in Chicago
Office / nonfacility
$5793.67
Base rate per service
Facility setting
$765.54
Base rate per service
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.
Urology procedure
About 55873: Prostate cryoablation for malignancy
Reports prostate tissue destruction by cryotherapy, typically for localized prostate cancer or recurrent disease, with ultrasound guidance and monitoring included.
A urologist uses probes placed through the perineum to freeze prostate tissue, with ultrasound used to guide and monitor treatment. The procedure is commonly performed in a hospital or ambulatory surgery setting for localized prostate cancer, including selected cases treated after recurrence following radiation. The treatment may target the gland or a defined area, depending on the clinical plan.
Report the service when the documented procedure uses cryotherapy to ablate prostate tissue; the operative note should identify the indication, treatment extent, probe placement, and freezing process. Ultrasound guidance and monitoring are included in the service. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 55873
- 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 RVU13.26 · 8%
- Practice expense (office) RVU155.45 · 91%
- Malpractice RVU1.69 · 1%
1.3K
Medicare services in 2024 · #2802 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.
55873 compared with similar codes
Office rates for Chicago, from the same CMS release.
No office rate
Use 55873 when cryotherapy is performed. Code 55877 is for percutaneous prostate tumor ablation using irreversible electroporation.
No office rate
Code 55866 reports laparoscopic radical removal of the prostate; 55873 reports ablation that leaves the prostate in place.
The same code, a different location
How does Chicago compare?
In East St. Louis, the office rate for 55873 is $5333.38—$460.29 lower than the $5793.67 rate in Chicago. Both use the same code, release and participation basis.
55873 across payment areas
Same release and payment basis · bars start at $0
Chicago · This locality
$5793.67
$5333.38
$460.29 lower than Chicago
$5271.57
$522.10 lower than Chicago
$5878.38
$84.71 higher than Chicago
$847.20 higher than Chicago
$6646.01
$852.34 higher than Chicago
$5990.70
$197.03 higher than Chicago
Other payment areas listed in Illinois appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
Across 109 of 109 CMS payment localities with a supported office rate, 55873 ranges from $4932.04 in Arkansas to $8008.98 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Manhattan
New York · 55873
Office
$6594.07
Facility
$780.44
$800.40 higher than Chicago for the office setting.
Alaska*
Alaska · 55873
Office
$6225.11
Facility
$896.78
$431.44 higher than Chicago for the office setting.
Alabama
Alabama · 55873
Office
$5017.99
Facility
$640.26
$775.68 lower than Chicago for the office setting.
Arkansas
Arkansas · 55873
Office
$4932.04
Facility
$634.36
$861.63 lower than Chicago for the office setting.
Arizona
Arizona · 55873
Office
$5522.43
Facility
$674.40
$271.24 lower than Chicago for the office setting.
Bakersfield
California · 55873
Office
$6176.31
Facility
$692.89
$382.64 higher than Chicago for the office setting.
Chico
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
El Centro
California · 55873
Office
$6171.58
Facility
$688.16
$377.91 higher than Chicago for the office setting.
Fresno
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Hanford-Corcoran
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Madera
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Merced
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Modesto
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Napa
California · 55873
Office
$7342.75
Facility
$748.64
$1549.08 higher than Chicago for the office setting.
Oxnard-Thousand Oaks-Ventura
California · 55873
Office
$6627.61
Facility
$713.92
$833.94 higher than Chicago for the office setting.
Redding
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Rest Of California
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Riverside-San Bernardino-Ontario
California · 55873
Office
$6189.64
Facility
$706.22
$395.97 higher than Chicago for the office setting.
Sacramento-Roseville-Folsom
California · 55873
Office
$6527.59
Facility
$708.96
$733.92 higher than Chicago for the office setting.
Salinas
California · 55873
Office
$6504.61
Facility
$705.99
$710.94 higher than Chicago for the office setting.
San Diego-Chula Vista-Carlsbad
California · 55873
Office
$6696.61
Facility
$712.88
$902.94 higher than Chicago for the office setting.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 55873
Office
$7831.84
Facility
$777.44
$2038.17 higher than Chicago for the office setting.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 55873
Office
$7829.92
Facility
$775.52
$2036.25 higher than Chicago for the office setting.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 55873
Office
$8008.98
Facility
$794.48
$2215.31 higher than Chicago for the office setting.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 55873
Office
$8001.13
Facility
$786.63
$2207.46 higher than Chicago for the office setting.
San Luis Obispo-Paso Robles
California · 55873
Office
$6394.56
Facility
$696.01
$600.89 higher than Chicago for the office setting.
Santa Cruz-Watsonville
California · 55873
Office
$6790.94
Facility
$712.15
$997.27 higher than Chicago for the office setting.
Santa Maria-Santa Barbara
California · 55873
Office
$6539.62
Facility
$705.98
$745.95 higher than Chicago for the office setting.
Santa Rosa-Petaluma
California · 55873
Office
$6862.42
Facility
$718.59
$1068.75 higher than Chicago for the office setting.
Stockton
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Vallejo
California · 55873
Office
$7339.99
Facility
$745.87
$1546.32 higher than Chicago for the office setting.
Visalia
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Yuba City
California · 55873
Office
$6171.30
Facility
$687.88
$377.63 higher than Chicago for the office setting.
Colorado
Colorado · 55873
Office
$6016.76
Facility
$693.44
$223.09 higher than Chicago for the office setting.
Connecticut
Connecticut · 55873
Office
$6112.02
Facility
$723.66
$318.35 higher than Chicago for the office setting.
Delaware
Delaware · 55873
Office
$5625.72
Facility
$682.64
$167.95 lower than Chicago for the office setting.
Fort Lauderdale
Florida · 55873
Office
$5804.62
Facility
$736.46
$10.95 higher than Chicago for the office setting.
Rest Of Florida
Florida · 55873
Office
$5491.45
Facility
$708.47
$302.22 lower than Chicago for the office setting.
Atlanta
Georgia · 55873
Office
$5787.26
Facility
$704.09
$6.41 lower than Chicago for the office setting.
Rest Of Georgia
Georgia · 55873
Office
$5141.60
Facility
$678.81
$652.07 lower than Chicago for the office setting.
Hawaii, Guam
Hawaii · 55873
Office
$6379.08
Facility
$690.53
$585.41 higher than Chicago for the office setting.
Iowa
Iowa · 55873
Office
$5216.14
Facility
$638.29
$577.53 lower than Chicago for the office setting.
Idaho
Idaho · 55873
Office
$5246.39
Facility
$643.52
$547.28 lower than Chicago for the office setting.
Indiana
Indiana · 55873
Office
$5283.47
Facility
$645.58
$510.20 lower than Chicago for the office setting.
Kansas
Kansas · 55873
Office
$5165.07
Facility
$642.25
$628.60 lower than Chicago for the office setting.
Kentucky
Kentucky · 55873
Office
$5110.38
Facility
$662.61
$683.29 lower than Chicago for the office setting.
New Orleans
Louisiana · 55873
Office
$5392.85
Facility
$684.92
$400.82 lower than Chicago for the office setting.
Rest Of Louisiana
Louisiana · 55873
Office
$5092.04
Facility
$664.28
$701.63 lower than Chicago for the office setting.
Metropolitan Boston
Massachusetts · 55873
Office
$6710.74
Facility
$737.02
$917.07 higher than Chicago for the office setting.
Rest Of Massachusetts
Massachusetts · 55873
Office
$5962.33
Facility
$694.04
$168.66 higher than Chicago for the office setting.
Baltimore/Surr. Cntys
Maryland · 55873
Office
$6091.01
Facility
$722.66
$297.34 higher than Chicago for the office setting.
Rest Of Maryland
Maryland · 55873
Office
$5753.62
Facility
$690.46
$40.05 lower than Chicago for the office setting.
Rest Of Maine
Maine · 55873
Office
$5254.80
Facility
$651.93
$538.87 lower than Chicago for the office setting.
Southern Maine
Maine · 55873
Office
$5623.95
Facility
$665.86
$169.72 lower than Chicago for the office setting.
Detroit
Michigan · 55873
Office
$5548.51
Facility
$720.50
$245.16 lower than Chicago for the office setting.
Rest Of Michigan
Michigan · 55873
Office
$5247.08
Facility
$679.23
$546.59 lower than Chicago for the office setting.
Minnesota
Minnesota · 55873
Office
$5802.35
Facility
$654.14
$8.68 higher than Chicago for the office setting.
Metropolitan Kansas City
Missouri · 55873
Office
$5373.49
Facility
$675.56
$420.18 lower than Chicago for the office setting.
Metropolitan St. Louis
Missouri · 55873
Office
$5442.40
Facility
$679.43
$351.27 lower than Chicago for the office setting.
Rest Of Missouri
Missouri · 55873
Office
$4973.53
Facility
$660.84
$820.14 lower than Chicago for the office setting.
Mississippi
Mississippi · 55873
Office
$4955.07
Facility
$647.38
$838.60 lower than Chicago for the office setting.
Montana**
Montana · 55873
Office
$5691.40
Facility
$688.28
$102.27 lower than Chicago for the office setting.
North Carolina
North Carolina · 55873
Office
$5323.26
Facility
$655.35
$470.41 lower than Chicago for the office setting.
North Dakota**
North Dakota · 55873
Office
$5657.98
Facility
$654.86
$135.69 lower than Chicago for the office setting.
Nebraska
Nebraska · 55873
Office
$5256.61
Facility
$638.73
$537.06 lower than Chicago for the office setting.
New Hampshire
New Hampshire · 55873
Office
$5897.34
Facility
$689.09
$103.67 higher than Chicago for the office setting.
Northern Nj
New Jersey · 55873
Office
$6554.00
Facility
$750.38
$760.33 higher than Chicago for the office setting.
Rest Of New Jersey
New Jersey · 55873
Office
$6192.38
Facility
$728.98
$398.71 higher than Chicago for the office setting.
New Mexico
New Mexico · 55873
Office
$5271.91
Facility
$684.05
$521.76 lower than Chicago for the office setting.
Nevada**
Nevada · 55873
Office
$5687.28
Facility
$679.15
$106.39 lower than Chicago for the office setting.
Nyc Suburbs/Long Island
New York · 55873
Office
$6749.55
Facility
$800.84
$955.88 higher than Chicago for the office setting.
Poughkpsie/N Nyc Suburbs
New York · 55873
Office
$6216.55
Facility
$738.14
$422.88 higher than Chicago for the office setting.
Queens
New York · 55873
Office
$6689.78
Facility
$776.09
$896.11 higher than Chicago for the office setting.
Rest Of New York
New York · 55873
Office
$5415.14
Facility
$662.18
$378.53 lower than Chicago for the office setting.
Ohio
Ohio · 55873
Office
$5240.25
Facility
$672.40
$553.42 lower than Chicago for the office setting.
Oklahoma
Oklahoma · 55873
Office
$5123.36
Facility
$655.58
$670.31 lower than Chicago for the office setting.
Portland
Oregon · 55873
Office
$6260.48
Facility
$702.01
$466.81 higher than Chicago for the office setting.
Rest Of Oregon
Oregon · 55873
Office
$5653.98
Facility
$670.87
$139.69 lower than Chicago for the office setting.
Metropolitan Philadelphia
Pennsylvania · 55873
Office
$5923.26
Facility
$715.01
$129.59 higher than Chicago for the office setting.
Rest Of Pennsylvania
Pennsylvania · 55873
Office
$5262.65
Facility
$669.79
$531.02 lower than Chicago for the office setting.
Puerto Rico
Puerto Rico · 55873
Office
$5747.78
Facility
$689.63
$45.89 lower than Chicago for the office setting.
Rhode Island
Rhode Island · 55873
Office
$5865.17
Facility
$696.95
$71.50 higher than Chicago for the office setting.
South Carolina
South Carolina · 55873
Office
$5288.44
Facility
$665.56
$505.23 lower than Chicago for the office setting.
South Dakota**
South Dakota · 55873
Office
$5654.03
Facility
$650.91
$139.64 lower than Chicago for the office setting.
Tennessee
Tennessee · 55873
Office
$5192.89
Facility
$645.05
$600.78 lower than Chicago for the office setting.
Austin
Texas · 55873
Office
$5987.11
Facility
$693.81
$193.44 higher than Chicago for the office setting.
Beaumont
Texas · 55873
Office
$5220.21
Facility
$667.37
$573.46 lower than Chicago for the office setting.
Brazoria
Texas · 55873
Office
$5635.91
Facility
$677.82
$157.76 lower than Chicago for the office setting.
Dallas
Texas · 55873
Office
$5666.72
Facility
$683.61
$126.95 lower than Chicago for the office setting.
Fort Worth
Texas · 55873
Office
$5615.53
Facility
$682.45
$178.14 lower than Chicago for the office setting.
Galveston
Texas · 55873
Office
$5649.00
Facility
$680.90
$144.67 lower than Chicago for the office setting.
Houston
Texas · 55873
Office
$5679.94
Facility
$711.84
$113.73 lower than Chicago for the office setting.
Rest Of Texas
Texas · 55873
Office
$5421.24
Facility
$673.28
$372.43 lower than Chicago for the office setting.
Utah
Utah · 55873
Office
$5374.23
Facility
$671.29
$419.44 lower than Chicago for the office setting.
Virginia
Virginia · 55873
Office
$5586.65
Facility
$668.58
$207.02 lower than Chicago for the office setting.
Virgin Islands
United States Virgin Islands · 55873
Office
$5747.78
Facility
$689.63
$45.89 lower than Chicago for the office setting.
Vermont
Vermont · 55873
Office
$5611.71
Facility
$658.62
$181.96 lower than Chicago for the office setting.
Rest Of Washington
Washington · 55873
Office
$5958.97
Facility
$690.68
$165.30 higher than Chicago for the office setting.
Seattle (King Cnty)
Washington · 55873
Office
$6881.95
Facility
$743.12
$1088.28 higher than Chicago for the office setting.
Wisconsin
Wisconsin · 55873
Office
$5434.38
Facility
$641.39
$359.29 lower than Chicago for the office setting.
West Virginia
West Virginia · 55873
Office
$5035.67
Facility
$687.96
$758.00 lower than Chicago for the office setting.
Wyoming**
Wyoming · 55873
Office
$5676.84
Facility
$673.72
$116.83 lower than Chicago for the office setting.
See how rates vary across the country
55873 · 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.
$4,932.04
$7,090.14
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $6,225.11 | 1 |
| AL | $5,017.99 | 1 |
| AR | $4,932.04 | 1 |
| AZ | $5,522.43 | 1 |
| CA | $6,171.30–$8,008.98 | 29 |
| CO | $6,016.76 | 1 |
| CT | $6,112.02 | 1 |
| DC | $6,646.01 | 1 |
| DE | $5,625.72 | 1 |
| FL | $5,491.45–$5,990.70 | 3 |
| GA | $5,141.60–$5,787.26 | 2 |
| GU | $6,379.08 | 1 |
| HI | $6,379.08 | 1 |
| IA | $5,216.14 | 1 |
| ID | $5,246.39 | 1 |
| IL | $5,271.57–$5,878.38 | 4 |
| IN | $5,283.47 | 1 |
| KS | $5,165.07 | 1 |
| KY | $5,110.38 | 1 |
| LA | $5,092.04–$5,392.85 | 2 |
| MA | $5,962.33–$6,710.74 | 2 |
| MD | $5,753.62–$6,646.01 | 3 |
| ME | $5,254.80–$5,623.95 | 2 |
| MI | $5,247.08–$5,548.51 | 2 |
| MN | $5,802.35 | 1 |
| MO | $4,973.53–$5,442.40 | 3 |
| MS | $4,955.07 | 1 |
| MT | $5,691.40 | 1 |
| NC | $5,323.26 | 1 |
| ND | $5,657.98 | 1 |
| NE | $5,256.61 | 1 |
| NH | $5,897.34 | 1 |
| NJ | $6,192.38–$6,554.00 | 2 |
| NM | $5,271.91 | 1 |
| NV | $5,687.28 | 1 |
| NY | $5,415.14–$6,749.55 | 5 |
| OH | $5,240.25 | 1 |
| OK | $5,123.36 | 1 |
| OR | $5,653.98–$6,260.48 | 2 |
| PA | $5,262.65–$5,923.26 | 2 |
| PR | $5,747.78 | 1 |
| RI | $5,865.17 | 1 |
| SC | $5,288.44 | 1 |
| SD | $5,654.03 | 1 |
| TN | $5,192.89 | 1 |
| TX | $5,220.21–$5,987.11 | 8 |
| UT | $5,374.23 | 1 |
| VA | $5,586.65–$6,646.01 | 2 |
| VI | $5,747.78 | 1 |
| VT | $5,611.71 | 1 |
| WA | $5,958.97–$6,881.95 | 2 |
| WI | $5,434.38 | 1 |
| WV | $5,035.67 | 1 |
| WY | $5,676.84 | 1 |
Where does this rate apply?
Chicago is a Medicare payment area. Our Census mapping connects it to 137 cities and communities in Illinois, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 55873 in Chicago
Multiple payment areas
- 55873 in Alsip
- 55873 in Arlington Heights
- 55873 in Barrington
Multiple payment areas
- 55873 in Barrington Hills
Multiple payment areas
- 55873 in Bartlett
Multiple payment areas
- 55873 in Bedford Park
- 55873 in Bellwood
Why are the office and facility amounts different?
For 55873 in Chicago, the physician’s office rate is $5793.67 and the facility-setting rate is $765.54: a difference of $5028.13.
The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 55873 in Chicago. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$6373.04
$5793.67 × 110% = $6373.04
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 55873 in Chicago.
PPRRVU2026_Oct_nonQPP.csv
6,391
- Code
- 55873
- Physician work
- 13.26
- Practice expense
- 155.45
- Malpractice
- 1.69
GPCI2026.csv
48
- Locality
- Chicago
- Physician work
- 1.007
- Practice expense
- 1.005
- Malpractice
- 2.295
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 13.26 | × 1.007 | 13.3528 |
| Practice expense | 155.45 | × 1.005 | 156.2272 |
| Malpractice | 1.69 | × 2.295 | 3.8785 |
| Total RVUs | 173.4586 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Chicago$5793.67
Open 55873 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.26 | 1.007 |
| Practice expense | 155.45 | 1.005 |
| Malpractice | 1.69 | 2.295 |
(13.26 × 1.007 + 155.45 × 1.005 + 1.69 × 2.295) × $33.4009 = $5793.67
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 13.26 | 1.007 |
| Practice expense | 5.66 | 1.005 |
| Malpractice | 1.69 | 2.295 |
(13.26 × 1.007 + 5.66 × 1.005 + 1.69 × 2.295) × $33.4009 = $765.54
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
55873 · Office / nonfacility
$5793.67
Effective 2026-10-01
The base rate is $353.19 higher than on 2025-10-01, moving from $5440.48 to $5793.67 (6.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$5440.48changed to$5793.67
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 13.60 changed to 13.26
- Practice expense RVU 147.79 changed to 155.45
- Malpractice RVU 1.64 changed to 1.69
- Practice expense GPCI 1.023 changed to 1.005
- Malpractice GPCI 2.018 changed to 2.295
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $5440.48
Held through RVU25B, RVU25C, RVU25D.
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $5793.67 | $765.54 | RVU26D |
| 2026-07-01 | $5793.67 | $765.54 | RVU26C |
| 2026-04-01 | $5793.67 | $765.54 | RVU26B |
| 2026-01-01 | $5793.67 | $765.54 | RVU26A |
| 2025-10-01 | $5440.48 | $807.16 | RVU25D |
| 2025-07-01 | $5440.48 | $807.16 | RVU25C |
| 2025-04-01 | $5440.48 | $807.16 | RVU25B |
| 2025-01-01 | $5440.48 | $807.16 | RVU25A |
55873 billing questions
How does this differ from prostate HIFU ablation?
This code is for cryotherapy, which destroys tissue by freezing. HIFU uses focused ultrasound energy and is reported with the code specific to that technique.
Can ultrasound guidance be billed separately?
Ultrasound guidance and monitoring are included in the cryoablation service. Do not separately report them for guidance or monitoring integral to this procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
Can modifier 50 or an assistant-at-surgery modifier be used?
Modifier 50 is inappropriate for this prostate procedure. Medicare does not pay an assistant at surgery for this service.
What should the operative note support?
Document the prostate condition treated, the extent of tissue targeted, probe placement, and the cryotherapy performed. The record should also support that the treatment used freezing rather than another ablation method.
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.
6,38855868,,Lap srg prst8ct lymph nod bx,A,,22.46,7.79,NA,7.79,,2.91,33.16,33.16,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,38955869,,Lap srg prst8ct bi pl lmphad,A,,27.41,8.82,NA,8.82,,3.55,39.78,39.78,0,090,0.08,0.83,0.09,2,0,2,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39055870,,Electroejaculation,A,,2.52,2.70,,0.97,,0.33,5.55,3.82,0,000,0.00,0.00,0.00,2,0,1,1,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39155873,,Cryoablate prostate,A,,13.26,155.45,,5.66,,1.69,170.40,20.61,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39255874,,Tprnl plmt biodegrdabl matrl,A,,2.95,107.63,,0.99,,0.33,110.91,4.27,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39355875,,Transperi needle place pros,A,,13.12,6.05,NA,6.05,,1.42,20.59,20.59,0,090,0.10,0.80,0.10,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39455876,,Place rt device/marker pros,A,,1.69,2.65,,0.84,,0.19,4.53,2.72,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563