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CMS RVU26D · Effective 2026-10-01

55876 in Chico

Office / nonfacility

$157.82

Base rate per service

Facility setting

$91.56

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 55876: Prostate radiation marker placement

Needle placement of prostate fiducial markers or dosimeters to support image localization during planned radiation treatment.

This service places one or more small interstitial devices, such as fiducial markers or a dosimeter, in the prostate to help localize the gland during radiation treatment. A urologist or other qualified physician typically performs the needle-based procedure, often with imaging guidance, in an office or facility. The needle approach may vary; the purpose is radiation guidance rather than delivery of radioactive seeds or removal of prostate tissue.

Report one service for the marker-placement session; the code includes single or multiple devices. The record should identify the prostate as the target, the devices placed, and their radiation-guidance purpose. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate for this prostate service. Medicare does not pay an assistant at surgery; co-surgeon or team-surgery payment requires supporting documentation.

CMS billing rules for 55876

Global period
Minor procedure with a 0-day global period: same-day preoperative and postoperative care is 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 paid only with supporting documentation.
Team surgery
Team surgery paid only with supporting documentation.

Where the value comes from

  • Work RVU1.69 · 37%
  • Practice expense (office) RVU2.65 · 58%
  • Malpractice RVU0.19 · 4%

27.4K

Medicare services in 2024 · #1005 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.

55876 compared with similar codes

Office rates for Chico, from the same CMS release.

55875

Prostate brachytherapy

Needle or catheter placement

No office rate

Choose 55876 for prostate markers or a dosimeter used to guide radiation localization. Choose 55875 for needle or catheter placement for interstitial radioactive-element treatment.

55874

Prostate spacer

Biodegradable material

$4,046.17

This code covers devices placed within the prostate for radiation guidance; 55874 covers biodegradable material placed around the prostate.

55873

Prostate cryoablation

Ultrasound-guided freeze treatment

$6,171.30

55876 places radiation-guidance devices. 55873 describes prostate cryoablation, an ablative treatment rather than marker placement.

The same code, a different location

How does Chico compare?

In Bakersfield, the office rate for 55876 is $158.39—$0.57 higher than the $157.82 rate in Chico. Both use the same code, release and participation basis.

55876 across payment areas

Same release and payment basis · bars start at $0

  1. Chico · This locality

    $157.82

  2. $0.57 higher than Chico

  3. El Centro

    $157.85

    $0.03 higher than Chico

  4. Fresno

    $157.82

    The same base rate than Chico

  5. The same base rate than Chico

  6. $9.87 higher than Chico

  7. Madera

    $157.82

    The same base rate than Chico

Other payment areas listed in California 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, 55876 ranges from $135.75 in Arkansas to $193.69 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
  • Merced

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Modesto

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Napa

    California · 55876

    Office

    $179.89

    Facility

    $100.21

    $22.07 higher than Chico for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 55876

    Office

    $166.60

    Facility

    $95.14

    $8.78 higher than Chico for the office setting.

  • Redding

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Rest Of California

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 55876

    Office

    $159.89

    Facility

    $93.63

    $2.07 higher than Chico for the office setting.

  • Sacramento-Roseville-Folsom

    California · 55876

    Office

    $164.82

    Facility

    $94.51

    $7.00 higher than Chico for the office setting.

  • Salinas

    California · 55876

    Office

    $164.18

    Facility

    $94.12

    $6.36 higher than Chico for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 55876

    Office

    $167.44

    Facility

    $95.14

    $9.62 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 55876

    Office

    $189.53

    Facility

    $104.28

    $31.71 higher than Chico for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 55876

    Office

    $189.31

    Facility

    $104.07

    $31.49 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 55876

    Office

    $193.69

    Facility

    $106.52

    $35.87 higher than Chico for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 55876

    Office

    $192.81

    Facility

    $105.63

    $34.99 higher than Chico for the office setting.

  • San Luis Obispo-Paso Robles

    California · 55876

    Office

    $161.62

    Facility

    $92.77

    $3.80 higher than Chico for the office setting.

  • Santa Cruz-Watsonville

    California · 55876

    Office

    $168.58

    Facility

    $95.12

    $10.76 higher than Chico for the office setting.

  • Santa Maria-Santa Barbara

    California · 55876

    Office

    $164.64

    Facility

    $94.14

    $6.82 higher than Chico for the office setting.

  • Santa Rosa-Petaluma

    California · 55876

    Office

    $170.24

    Facility

    $96.00

    $12.42 higher than Chico for the office setting.

  • Stockton

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Vallejo

    California · 55876

    Office

    $179.58

    Facility

    $99.90

    $21.76 higher than Chico for the office setting.

  • Visalia

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Yuba City

    California · 55876

    Office

    $157.82

    Facility

    $91.56

    The same base rate than Chico for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 55876

    Office

    $170.83

    Facility

    $99.61

    $13.01 higher than Chico for the office setting.

  • Miami

    Florida · 55876

    Office

    $164.64

    Facility

    $101.70

    $6.82 higher than Chico for the office setting.

  • Chicago

    Illinois · 55876

    Office

    $160.36

    Facility

    $99.60

    $2.54 higher than Chico for the office setting.

  • Manhattan

    New York · 55876

    Office

    $172.98

    Facility

    $102.73

    $15.16 higher than Chico for the office setting.

  • Alaska*

    Alaska · 55876

    Office

    $182.43

    Facility

    $118.05

    $24.61 higher than Chico for the office setting.

  • Alabama

    Alabama · 55876

    Office

    $137.49

    Facility

    $84.59

    $20.33 lower than Chico for the office setting.

  • Arkansas

    Arkansas · 55876

    Office

    $135.75

    Facility

    $83.82

    $22.07 lower than Chico for the office setting.

  • Arizona

    Arizona · 55876

    Office

    $147.65

    Facility

    $89.07

    $10.17 lower than Chico for the office setting.

  • Colorado

    Colorado · 55876

    Office

    $156.26

    Facility

    $91.93

    $1.56 lower than Chico for the office setting.

  • Connecticut

    Connecticut · 55876

    Office

    $160.58

    Facility

    $95.47

    $2.76 higher than Chico for the office setting.

  • Delaware

    Delaware · 55876

    Office

    $149.89

    Facility

    $90.16

    $7.93 lower than Chico for the office setting.

  • Fort Lauderdale

    Florida · 55876

    Office

    $157.58

    Facility

    $96.34

    $0.24 lower than Chico for the office setting.

  • Rest Of Florida

    Florida · 55876

    Office

    $150.60

    Facility

    $92.81

    $7.22 lower than Chico for the office setting.

  • Atlanta

    Georgia · 55876

    Office

    $154.17

    Facility

    $92.74

    $3.65 lower than Chico for the office setting.

  • Rest Of Georgia

    Georgia · 55876

    Office

    $142.97

    Facility

    $89.04

    $14.85 lower than Chico for the office setting.

  • Hawaii, Guam

    Hawaii · 55876

    Office

    $160.76

    Facility

    $92.02

    $2.94 higher than Chico for the office setting.

  • Iowa

    Iowa · 55876

    Office

    $139.96

    Facility

    $84.64

    $17.86 lower than Chico for the office setting.

  • Idaho

    Idaho · 55876

    Office

    $140.88

    Facility

    $85.26

    $16.94 lower than Chico for the office setting.

  • East St. Louis

    Illinois · 55876

    Office

    $150.66

    Facility

    $95.04

    $7.16 lower than Chico for the office setting.

  • Rest Of Illinois

    Illinois · 55876

    Office

    $147.18

    Facility

    $91.98

    $10.64 lower than Chico for the office setting.

  • Suburban Chicago

    Illinois · 55876

    Office

    $158.99

    Facility

    $96.90

    $1.17 higher than Chico for the office setting.

  • Indiana

    Indiana · 55876

    Office

    $141.58

    Facility

    $85.54

    $16.24 lower than Chico for the office setting.

  • Kansas

    Kansas · 55876

    Office

    $139.66

    Facility

    $85.01

    $18.16 lower than Chico for the office setting.

  • Kentucky

    Kentucky · 55876

    Office

    $140.94

    Facility

    $87.20

    $16.88 lower than Chico for the office setting.

  • New Orleans

    Louisiana · 55876

    Office

    $146.95

    Facility

    $90.06

    $10.87 lower than Chico for the office setting.

  • Rest Of Louisiana

    Louisiana · 55876

    Office

    $140.86

    Facility

    $87.36

    $16.96 lower than Chico for the office setting.

  • Metropolitan Boston

    Massachusetts · 55876

    Office

    $170.09

    Facility

    $97.91

    $12.27 higher than Chico for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 55876

    Office

    $155.61

    Facility

    $91.95

    $2.21 lower than Chico for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 55876

    Office

    $160.17

    Facility

    $95.31

    $2.35 higher than Chico for the office setting.

  • Rest Of Maryland

    Maryland · 55876

    Office

    $152.41

    Facility

    $91.23

    $5.41 lower than Chico for the office setting.

  • Rest Of Maine

    Maine · 55876

    Office

    $141.83

    Facility

    $86.21

    $15.99 lower than Chico for the office setting.

  • Southern Maine

    Maine · 55876

    Office

    $148.17

    Facility

    $88.26

    $9.65 lower than Chico for the office setting.

  • Detroit

    Michigan · 55876

    Office

    $152.56

    Facility

    $94.22

    $5.26 lower than Chico for the office setting.

  • Rest Of Michigan

    Michigan · 55876

    Office

    $144.42

    Facility

    $89.23

    $13.40 lower than Chico for the office setting.

  • Minnesota

    Minnesota · 55876

    Office

    $149.41

    Facility

    $87.20

    $8.41 lower than Chico for the office setting.

  • Metropolitan Kansas City

    Missouri · 55876

    Office

    $145.76

    Facility

    $88.99

    $12.06 lower than Chico for the office setting.

  • Metropolitan St. Louis

    Missouri · 55876

    Office

    $147.07

    Facility

    $89.52

    $10.75 lower than Chico for the office setting.

  • Rest Of Missouri

    Missouri · 55876

    Office

    $138.93

    Facility

    $86.81

    $18.89 lower than Chico for the office setting.

  • Mississippi

    Mississippi · 55876

    Office

    $137.35

    Facility

    $85.29

    $20.47 lower than Chico for the office setting.

  • Montana**

    Montana · 55876

    Office

    $151.29

    Facility

    $90.84

    $6.53 lower than Chico for the office setting.

  • North Carolina

    North Carolina · 55876

    Office

    $143.08

    Facility

    $86.68

    $14.74 lower than Chico for the office setting.

  • North Dakota**

    North Dakota · 55876

    Office

    $147.54

    Facility

    $87.08

    $10.28 lower than Chico for the office setting.

  • Nebraska

    Nebraska · 55876

    Office

    $140.54

    Facility

    $84.74

    $17.28 lower than Chico for the office setting.

  • New Hampshire

    New Hampshire · 55876

    Office

    $154.14

    Facility

    $91.21

    $3.68 lower than Chico for the office setting.

  • Northern Nj

    New Jersey · 55876

    Office

    $169.46

    Facility

    $99.33

    $11.64 higher than Chico for the office setting.

  • Rest Of New Jersey

    New Jersey · 55876

    Office

    $162.32

    Facility

    $96.31

    $4.50 higher than Chico for the office setting.

  • New Mexico

    New Mexico · 55876

    Office

    $145.24

    Facility

    $89.80

    $12.58 lower than Chico for the office setting.

  • Nevada**

    Nevada · 55876

    Office

    $150.33

    Facility

    $89.82

    $7.49 lower than Chico for the office setting.

  • Nyc Suburbs/Long Island

    New York · 55876

    Office

    $177.09

    Facility

    $105.20

    $19.27 higher than Chico for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 55876

    Office

    $163.59

    Facility

    $97.39

    $5.77 higher than Chico for the office setting.

  • Queens

    New York · 55876

    Office

    $173.83

    Facility

    $102.37

    $16.01 higher than Chico for the office setting.

  • Rest Of New York

    New York · 55876

    Office

    $145.00

    Facility

    $87.56

    $12.82 lower than Chico for the office setting.

  • Ohio

    Ohio · 55876

    Office

    $143.66

    Facility

    $88.46

    $14.16 lower than Chico for the office setting.

  • Oklahoma

    Oklahoma · 55876

    Office

    $140.42

    Facility

    $86.43

    $17.40 lower than Chico for the office setting.

  • Portland

    Oregon · 55876

    Office

    $160.41

    Facility

    $93.24

    $2.59 higher than Chico for the office setting.

  • Rest Of Oregon

    Oregon · 55876

    Office

    $149.07

    Facility

    $88.85

    $8.75 lower than Chico for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 55876

    Office

    $157.18

    Facility

    $94.24

    $0.64 lower than Chico for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 55876

    Office

    $143.70

    Facility

    $88.20

    $14.12 lower than Chico for the office setting.

  • Puerto Rico

    Puerto Rico · 55876

    Office

    $152.18

    Facility

    $91.06

    $5.64 lower than Chico for the office setting.

  • Rhode Island

    Rhode Island · 55876

    Office

    $154.61

    Facility

    $92.16

    $3.21 lower than Chico for the office setting.

  • South Carolina

    South Carolina · 55876

    Office

    $143.63

    Facility

    $87.77

    $14.19 lower than Chico for the office setting.

  • South Dakota**

    South Dakota · 55876

    Office

    $147.09

    Facility

    $86.64

    $10.73 lower than Chico for the office setting.

  • Tennessee

    Tennessee · 55876

    Office

    $140.31

    Facility

    $85.36

    $17.51 lower than Chico for the office setting.

  • Austin

    Texas · 55876

    Office

    $155.83

    Facility

    $91.87

    $1.99 lower than Chico for the office setting.

  • Beaumont

    Texas · 55876

    Office

    $142.89

    Facility

    $87.87

    $14.93 lower than Chico for the office setting.

  • Brazoria

    Texas · 55876

    Office

    $149.56

    Facility

    $89.65

    $8.26 lower than Chico for the office setting.

  • Dallas

    Texas · 55876

    Office

    $150.56

    Facility

    $90.35

    $7.26 lower than Chico for the office setting.

  • Fort Worth

    Texas · 55876

    Office

    $149.76

    Facility

    $90.15

    $8.06 lower than Chico for the office setting.

  • Galveston

    Texas · 55876

    Office

    $150.05

    Facility

    $90.01

    $7.77 lower than Chico for the office setting.

  • Houston

    Texas · 55876

    Office

    $153.52

    Facility

    $93.49

    $4.30 lower than Chico for the office setting.

  • Rest Of Texas

    Texas · 55876

    Office

    $146.18

    Facility

    $88.80

    $11.64 lower than Chico for the office setting.

  • Utah

    Utah · 55876

    Office

    $145.35

    Facility

    $88.52

    $12.47 lower than Chico for the office setting.

  • Virginia

    Virginia · 55876

    Office

    $147.94

    Facility

    $88.51

    $9.88 lower than Chico for the office setting.

  • Virgin Islands

    United States Virgin Islands · 55876

    Office

    $152.18

    Facility

    $91.06

    $5.64 lower than Chico for the office setting.

  • Vermont

    Vermont · 55876

    Office

    $147.29

    Facility

    $87.43

    $10.53 lower than Chico for the office setting.

  • Rest Of Washington

    Washington · 55876

    Office

    $155.21

    Facility

    $91.55

    $2.61 lower than Chico for the office setting.

  • Seattle (King Cnty)

    Washington · 55876

    Office

    $173.06

    Facility

    $98.88

    $15.24 higher than Chico for the office setting.

  • Wisconsin

    Wisconsin · 55876

    Office

    $143.20

    Facility

    $85.28

    $14.62 lower than Chico for the office setting.

  • West Virginia

    West Virginia · 55876

    Office

    $142.45

    Facility

    $89.91

    $15.37 lower than Chico for the office setting.

  • Wyoming**

    Wyoming · 55876

    Office

    $149.66

    Facility

    $89.20

    $8.16 lower than Chico for the office setting.

See how rates vary across the country

55876 · 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.

$135.75

$182.43

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$182.431
AL$137.491
AR$135.751
AZ$147.651
CA$157.82–$193.6929
CO$156.261
CT$160.581
DC$170.831
DE$149.891
FL$150.60–$164.643
GA$142.97–$154.172
GU$160.761
HI$160.761
IA$139.961
ID$140.881
IL$147.18–$160.364
IN$141.581
KS$139.661
KY$140.941
LA$140.86–$146.952
MA$155.61–$170.092
MD$152.41–$170.833
ME$141.83–$148.172
MI$144.42–$152.562
MN$149.411
MO$138.93–$147.073
MS$137.351
MT$151.291
NC$143.081
ND$147.541
NE$140.541
NH$154.141
NJ$162.32–$169.462
NM$145.241
NV$150.331
NY$145.00–$177.095
OH$143.661
OK$140.421
OR$149.07–$160.412
PA$143.70–$157.182
PR$152.181
RI$154.611
SC$143.631
SD$147.091
TN$140.311
TX$142.89–$155.838
UT$145.351
VA$147.94–$170.832
VI$152.181
VT$147.291
WA$155.21–$173.062
WI$143.201
WV$142.451
WY$149.661

Explore 55876 on the national rate map →

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.

Why are the office and facility amounts different?

For 55876 in Chico, the physician’s office rate is $157.82 and the facility-setting rate is $91.56: a difference of $66.26.

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.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 55876 in Chico. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$173.60

$157.82 × 110% = $173.60

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.

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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 55876 in Chico.

PPRRVU2026_Oct_nonQPP.csv

6,394

Code
55876
Physician work
1.69
Practice expense
2.65
Malpractice
0.19

GPCI2026.csv

9

Locality
Chico
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 55876 in Chico
ComponentRVULocality factorAdjusted
Physician work1.69× 1.0171.7187
Practice expense2.65× 1.0962.9044
Malpractice0.19× 0.5360.1018
Total RVUs4.7250
Conversion factor× 33.4009

Office / nonfacility rate, Chico$157.82

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 55876 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.691.017
Practice expense2.651.096
Malpractice0.190.536

(1.69 × 1.017 + 2.65 × 1.096 + 0.19 × 0.536) × $33.4009 = $157.82

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.691.017
Practice expense0.841.096
Malpractice0.190.536

(1.69 × 1.017 + 0.84 × 1.096 + 0.19 × 0.536) × $33.4009 = $91.56

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

55876 · Office / nonfacility

$157.82

Effective 2026-10-01

The base rate is $7.14 higher than on 2025-10-01, moving from $150.68 to $157.82 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $150.68changed to$157.82

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.73 changed to 1.69
    • Practice expense RVU 2.57 changed to 2.65
    • Malpractice RVU 0.17 changed to 0.19
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $150.68

    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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$157.82$91.56RVU26D
2026-07-01$157.82$91.56RVU26C
2026-04-01$157.82$91.56RVU26B
2026-01-01$157.82$91.56RVU26A
2025-10-01$150.68$101.19RVU25D
2025-07-01$150.68$101.19RVU25C
2025-04-01$150.68$101.19RVU25B
2025-01-01$150.68$101.19RVU25A

55876 billing questions

Is this code for fiducial markers or brachytherapy seeds?

Use it for needle placement of prostate markers or a dosimeter to guide radiation localization. Brachytherapy needle or catheter placement is a different service, reported with 55875.

Does one code cover multiple markers?

Yes. The service includes placement of a single device or multiple devices during the session; the number of markers does not create additional units.

Can prostate spacer placement be reported at the same session?

Marker placement and biodegradable material placement around the prostate are distinct services and may occur during the same preparation encounter. Document each service performed.

Should modifier 50 be appended?

No. CMS identifies bilateral adjustment as inappropriate for this prostate service.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's 0-day global period.

How are other procedures in the same session paid?

Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and the other procedures are subject to a 50% reduction. Medicare does not pay an assistant at surgery; co-surgeon or team-surgery payment requires supporting documentation.

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.

RVUs for 55876PPRRVU2026_Oct_nonQPP.csv, line 6,394 (RVU26D)
Geographic factors for ChicoGPCI2026.csv, line 9 (RVU26D)