No office rate
Choose 52630 for residual or regrown obstructive tissue after an earlier prostate procedure. Choose 52601 for an initial transurethral prostate resection.
On this page
CMS RVU26D · Effective 2026-10-01
52630 in Chico
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$379.81
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 surgery
About 52630: Repeat transurethral prostate resection
Reports endoscopic removal of residual or recurrent obstructive prostate tissue, typically when urinary obstruction returns after an earlier prostate resection.
A urologist uses a transurethral resectoscope to remove prostate tissue that remains after an earlier resection or has regrown and is again obstructing urine flow. The typical setting is a hospital or ambulatory surgery center, with the patient under anesthesia. The service addresses recurrent or persistent obstruction from prostate tissue, rather than obstruction caused by a bladder-neck contracture. Control of bleeding associated with the operative service is included in this code.
Report 52630 when the operative findings and procedure document removal of residual or recurrent obstructive prostate tissue, not an initial resection of the prostate. The operative note should establish the prior prostate procedure, the obstructive tissue encountered, and the transurethral resection performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple-procedure reduction. The prostate is not a paired organ for this service, so modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 52630
- 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 RVU6.39 · 57%
- Practice expense (office) RVU4.04 · 36%
- Malpractice RVU0.83 · 7%
5.3K
Medicare services in 2024 · #1840 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.
52630 compared with similar codes
Office rates for Chico, from the same CMS release.
No office rate
52640 addresses narrowing at the bladder neck. 52630 addresses obstructive prostate tissue that remains or regrows.
No office rate
52648 describes laser vaporization of prostate tissue. 52630 is for transurethral resection of residual or recurrent obstructive tissue.
No office rate
52649 describes laser enucleation of prostate tissue. 52630 is for transurethral resection of residual or recurrent obstructive tissue.
The same code, a different location
How does Chico compare?
52630 across payment areas
Same release and payment basis · bars start at $0
Chico · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
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
Merced
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Modesto
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Napa
California · 52630
Office
Unavailable
Facility
$418.81
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52630
Office
Unavailable
Facility
$396.18
No comparable office rate is available.
Redding
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Rest Of California
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52630
Office
Unavailable
Facility
$388.81
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52630
Office
Unavailable
Facility
$392.91
No comparable office rate is available.
Salinas
California · 52630
Office
Unavailable
Facility
$391.30
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52630
Office
Unavailable
Facility
$396.25
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52630
Office
Unavailable
Facility
$436.70
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52630
Office
Unavailable
Facility
$435.75
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52630
Office
Unavailable
Facility
$446.35
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52630
Office
Unavailable
Facility
$442.50
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52630
Office
Unavailable
Facility
$385.62
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52630
Office
Unavailable
Facility
$396.72
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52630
Office
Unavailable
Facility
$391.61
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52630
Office
Unavailable
Facility
$400.40
No comparable office rate is available.
Stockton
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Vallejo
California · 52630
Office
Unavailable
Facility
$417.45
No comparable office rate is available.
Visalia
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Yuba City
California · 52630
Office
Unavailable
Facility
$379.81
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 52630
Office
Unavailable
Facility
$414.77
No comparable office rate is available.
Miami
Florida · 52630
Office
Unavailable
Facility
$424.01
No comparable office rate is available.
Chicago
Illinois · 52630
Office
Unavailable
Facility
$414.16
No comparable office rate is available.
Manhattan
New York · 52630
Office
Unavailable
Facility
$427.86
No comparable office rate is available.
Alaska*
Alaska · 52630
Office
Unavailable
Facility
$479.13
No comparable office rate is available.
Alabama
Alabama · 52630
Office
Unavailable
Facility
$347.20
No comparable office rate is available.
Arkansas
Arkansas · 52630
Office
Unavailable
Facility
$343.62
No comparable office rate is available.
Arizona
Arizona · 52630
Office
Unavailable
Facility
$367.92
No comparable office rate is available.
Colorado
Colorado · 52630
Office
Unavailable
Facility
$381.22
No comparable office rate is available.
Connecticut
Connecticut · 52630
Office
Unavailable
Facility
$396.57
No comparable office rate is available.
Delaware
Delaware · 52630
Office
Unavailable
Facility
$372.74
No comparable office rate is available.
Fort Lauderdale
Florida · 52630
Office
Unavailable
Facility
$400.25
No comparable office rate is available.
Rest Of Florida
Florida · 52630
Office
Unavailable
Facility
$384.10
No comparable office rate is available.
Atlanta
Georgia · 52630
Office
Unavailable
Facility
$384.47
No comparable office rate is available.
Rest Of Georgia
Georgia · 52630
Office
Unavailable
Facility
$366.84
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52630
Office
Unavailable
Facility
$382.91
No comparable office rate is available.
Iowa
Iowa · 52630
Office
Unavailable
Facility
$347.91
No comparable office rate is available.
Idaho
Idaho · 52630
Office
Unavailable
Facility
$350.69
No comparable office rate is available.
East St. Louis
Illinois · 52630
Office
Unavailable
Facility
$393.41
No comparable office rate is available.
Rest Of Illinois
Illinois · 52630
Office
Unavailable
Facility
$379.96
No comparable office rate is available.
Suburban Chicago
Illinois · 52630
Office
Unavailable
Facility
$402.63
No comparable office rate is available.
Indiana
Indiana · 52630
Office
Unavailable
Facility
$351.99
No comparable office rate is available.
Kansas
Kansas · 52630
Office
Unavailable
Facility
$349.39
No comparable office rate is available.
Kentucky
Kentucky · 52630
Office
Unavailable
Facility
$358.76
No comparable office rate is available.
New Orleans
Louisiana · 52630
Office
Unavailable
Facility
$371.90
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52630
Office
Unavailable
Facility
$359.41
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52630
Office
Unavailable
Facility
$407.97
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52630
Office
Unavailable
Facility
$381.03
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52630
Office
Unavailable
Facility
$395.93
No comparable office rate is available.
Rest Of Maryland
Maryland · 52630
Office
Unavailable
Facility
$377.57
No comparable office rate is available.
Rest Of Maine
Maine · 52630
Office
Unavailable
Facility
$354.82
No comparable office rate is available.
Southern Maine
Maine · 52630
Office
Unavailable
Facility
$364.65
No comparable office rate is available.
Detroit
Michigan · 52630
Office
Unavailable
Facility
$390.39
No comparable office rate is available.
Rest Of Michigan
Michigan · 52630
Office
Unavailable
Facility
$367.93
No comparable office rate is available.
Minnesota
Minnesota · 52630
Office
Unavailable
Facility
$360.49
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52630
Office
Unavailable
Facility
$367.23
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52630
Office
Unavailable
Facility
$369.67
No comparable office rate is available.
Rest Of Missouri
Missouri · 52630
Office
Unavailable
Facility
$356.75
No comparable office rate is available.
Mississippi
Mississippi · 52630
Office
Unavailable
Facility
$350.10
No comparable office rate is available.
Montana**
Montana · 52630
Office
Unavailable
Facility
$376.04
No comparable office rate is available.
North Carolina
North Carolina · 52630
Office
Unavailable
Facility
$357.05
No comparable office rate is available.
North Dakota**
North Dakota · 52630
Office
Unavailable
Facility
$359.63
No comparable office rate is available.
Nebraska
Nebraska · 52630
Office
Unavailable
Facility
$348.46
No comparable office rate is available.
New Hampshire
New Hampshire · 52630
Office
Unavailable
Facility
$378.16
No comparable office rate is available.
Northern Nj
New Jersey · 52630
Office
Unavailable
Facility
$413.02
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52630
Office
Unavailable
Facility
$399.73
No comparable office rate is available.
New Mexico
New Mexico · 52630
Office
Unavailable
Facility
$370.47
No comparable office rate is available.
Nevada**
Nevada · 52630
Office
Unavailable
Facility
$371.60
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52630
Office
Unavailable
Facility
$439.02
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52630
Office
Unavailable
Facility
$404.34
No comparable office rate is available.
Queens
New York · 52630
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Rest Of New York
New York · 52630
Office
Unavailable
Facility
$361.11
No comparable office rate is available.
Ohio
Ohio · 52630
Office
Unavailable
Facility
$364.58
No comparable office rate is available.
Oklahoma
Oklahoma · 52630
Office
Unavailable
Facility
$355.47
No comparable office rate is available.
Portland
Oregon · 52630
Office
Unavailable
Facility
$387.39
No comparable office rate is available.
Rest Of Oregon
Oregon · 52630
Office
Unavailable
Facility
$367.32
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52630
Office
Unavailable
Facility
$390.82
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52630
Office
Unavailable
Facility
$363.50
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52630
Office
Unavailable
Facility
$377.16
No comparable office rate is available.
Rhode Island
Rhode Island · 52630
Office
Unavailable
Facility
$381.61
No comparable office rate is available.
South Carolina
South Carolina · 52630
Office
Unavailable
Facility
$361.68
No comparable office rate is available.
South Dakota**
South Dakota · 52630
Office
Unavailable
Facility
$357.69
No comparable office rate is available.
Tennessee
Tennessee · 52630
Office
Unavailable
Facility
$350.98
No comparable office rate is available.
Austin
Texas · 52630
Office
Unavailable
Facility
$381.19
No comparable office rate is available.
Beaumont
Texas · 52630
Office
Unavailable
Facility
$361.98
No comparable office rate is available.
Brazoria
Texas · 52630
Office
Unavailable
Facility
$370.49
No comparable office rate is available.
Dallas
Texas · 52630
Office
Unavailable
Facility
$373.54
No comparable office rate is available.
Fort Worth
Texas · 52630
Office
Unavailable
Facility
$372.55
No comparable office rate is available.
Galveston
Texas · 52630
Office
Unavailable
Facility
$372.09
No comparable office rate is available.
Houston
Texas · 52630
Office
Unavailable
Facility
$387.28
No comparable office rate is available.
Rest Of Texas
Texas · 52630
Office
Unavailable
Facility
$366.52
No comparable office rate is available.
Utah
Utah · 52630
Office
Unavailable
Facility
$365.17
No comparable office rate is available.
Virginia
Virginia · 52630
Office
Unavailable
Facility
$365.65
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52630
Office
Unavailable
Facility
$377.16
No comparable office rate is available.
Vermont
Vermont · 52630
Office
Unavailable
Facility
$361.05
No comparable office rate is available.
Rest Of Washington
Washington · 52630
Office
Unavailable
Facility
$379.39
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52630
Office
Unavailable
Facility
$412.32
No comparable office rate is available.
Wisconsin
Wisconsin · 52630
Office
Unavailable
Facility
$351.24
No comparable office rate is available.
West Virginia
West Virginia · 52630
Office
Unavailable
Facility
$370.37
No comparable office rate is available.
Wyoming**
Wyoming · 52630
Office
Unavailable
Facility
$368.89
No comparable office rate is available.
See how rates vary across the country
52630 · 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 |
Where does this rate apply?
Chico is a Medicare payment area. Our Census mapping connects it to 30 cities and communities in California, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 52630 in Chico. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$417.79
$379.81 × 110% = $417.79
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 52630 in Chico.
PPRRVU2026_Oct_nonQPP.csv
6,166
- Code
- 52630
- Physician work
- 6.39
- Practice expense
- 4.04
- Malpractice
- 0.83
GPCI2026.csv
9
- Locality
- Chico
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.39 | × 1.017 | 6.4986 |
| Practice expense | 4.04 | × 1.096 | 4.4278 |
| Malpractice | 0.83 | × 0.536 | 0.4449 |
| Total RVUs | 11.3713 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chico$379.81
Open 52630 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.39 | 1.017 |
| Practice expense | 4.04 | 1.096 |
| Malpractice | 0.83 | 0.536 |
(6.39 × 1.017 + 4.04 × 1.096 + 0.83 × 0.536) × $33.4009 = $379.81
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
52630 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
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 | Not available in this setting | $379.81 | RVU26D |
| 2026-07-01 | Not available in this setting | $379.81 | RVU26C |
| 2026-04-01 | Not available in this setting | $379.81 | RVU26B |
| 2026-01-01 | Not available in this setting | $379.81 | RVU26A |
| 2025-10-01 | Not available in this setting | $404.69 | RVU25D |
| 2025-07-01 | Not available in this setting | $404.69 | RVU25C |
| 2025-04-01 | Not available in this setting | $404.69 | RVU25B |
| 2025-01-01 | Not available in this setting | $404.69 | RVU25A |
52630 billing questions
How is 52630 different from 52601?
52630 is for resection of obstructive prostate tissue that remains or regrows after an earlier prostate procedure. Use 52601 for an initial transurethral prostate resection.
Can bleeding control be billed separately?
Control of bleeding associated with the 52630 operative service is included. The code’s descriptor includes this work.
Should modifier 50 be reported?
No. The prostate is not a paired organ for this procedure, so modifier 50 is inappropriate.
What does the 90-day global period include?
It includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
Can an assistant or co-surgeon be billed for 52630?
Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.
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.
6,1635250F,,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
6,16652630,,Remove prostate regrowth,A,,6.39,4.04,NA,4.04,,0.83,11.26,11.26,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16752640,,Relieve bladder contracture,A,,4.67,3.79,NA,3.79,,0.59,9.05,9.05,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16852648,,Laser surgery of prostate,A,,9.80,4.75,NA,4.75,,1.27,15.82,15.82,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16952649,,Prostate laser enucleation,A,,12.68,5.36,NA,5.36,,1.63,19.67,19.67,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515
801112,CA,54,BAKERSFIELD,1.019,1.096,0.609
901112,CA,55,CHICO,1.017,1.096,0.536
1001182,CA,71,EL CENTRO,1.017,1.096,0.541
1101112,CA,56,FRESNO,1.017,1.096,0.536
1201112,CA,57,HANFORD-CORCORAN,1.017,1.096,0.536