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CMS RVU26D · Effective 2026-10-01

53854 in Delaware

Office / nonfacility

$3355.84

Base rate per service

Facility setting

$350.85

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 53854: Prostate water-vapor thermal ablation

Reports transurethral treatment of benign prostatic obstruction using radiofrequency-generated water vapor to ablate prostate tissue and relieve urinary symptoms.

A urologist uses a transurethral endoscopic approach to deliver radiofrequency-generated water vapor into prostate tissue. The resulting thermal injury treats benign prostatic enlargement that contributes to lower urinary tract symptoms, such as difficulty emptying the bladder or a weak urinary stream. The service is commonly performed in an outpatient setting, including an office or a hospital or ambulatory surgery facility.

Select this code when the documented prostate tissue treatment uses the water-vapor method, rather than microwave or another radiofrequency technique. The operative record should identify the indication, approach, and treatment method. 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 the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 53854

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 RVU5.78 · 6%
  • Practice expense (office) RVU95.13 · 94%
  • Malpractice RVU0.75 · 1%

5.1K

Medicare services in 2024 · #1856 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.

53854 compared with similar codes

Office rates for Delaware, from the same CMS release.

53850

Prostate treatment

Microwave thermotherapy

$1,411.10

Choose 53850 when microwave thermotherapy is used. This code is for radiofrequency-generated water vapor.

53852

Prostate ablation

Radiofrequency thermotherapy

$1,380.79

Choose 53852 for radiofrequency thermotherapy that is not the water-vapor method. The treatment technology documented in the operative report separates the codes.

52601

TURP

Electrosurgical resection

No office rate

Code 52601 represents transurethral resection of prostate tissue. This code represents water-vapor thermal ablation, not resection.

52441

Prostate implant

First implant

$1,231.03

Code 52441 represents placement of a prostatic urethral lift implant. This code is used when prostate tissue is treated with water-vapor thermal energy instead.

The same code, a different location

How does Delaware compare?

53854 across payment areas

Same release and payment basis · bars start at $0

  1. Delaware · This locality

    $3355.84

  2. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $3976.50

    $620.66 higher than Delaware

  3. Dc + Md/Va Suburbs

    $3974.37

    $618.53 higher than Delaware

  4. Miami

    $3564.11

    $208.27 higher than Delaware

  5. Chicago

    $3445.21

    $89.37 higher than Delaware

  6. Manhattan

    $3937.31

    $581.47 higher than Delaware

  7. Alaska*

    $3687.35

    $331.51 higher than Delaware

Other payment areas listed in Delaware 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, 53854 ranges from $2935.37 in Arkansas to $4809.57 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

  • Alabama

    Alabama · 53854

    Office

    $2987.49

    Facility

    $326.18

    $368.35 lower than Delaware for the office setting.

  • Arkansas

    Arkansas · 53854

    Office

    $2935.37

    Facility

    $322.73

    $420.47 lower than Delaware for the office setting.

  • Arizona

    Arizona · 53854

    Office

    $3293.43

    Facility

    $346.23

    $62.41 lower than Delaware for the office setting.

  • Bakersfield

    California · 53854

    Office

    $3694.44

    Facility

    $360.97

    $338.60 higher than Delaware for the office setting.

  • Chico

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • El Centro

    California · 53854

    Office

    $3692.35

    Facility

    $358.88

    $336.51 higher than Delaware for the office setting.

  • Fresno

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Hanford-Corcoran

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Madera

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Merced

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Modesto

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Napa

    California · 53854

    Office

    $4405.80

    Facility

    $397.12

    $1049.96 higher than Delaware for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53854

    Office

    $3969.79

    Facility

    $374.75

    $613.95 higher than Delaware for the office setting.

  • Redding

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Rest Of California

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53854

    Office

    $3700.36

    Facility

    $366.89

    $344.52 higher than Delaware for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53854

    Office

    $3908.78

    Facility

    $371.53

    $552.94 higher than Delaware for the office setting.

  • Salinas

    California · 53854

    Office

    $3895.11

    Facility

    $370.03

    $539.27 higher than Delaware for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53854

    Office

    $4012.63

    Facility

    $375.01

    $656.79 higher than Delaware for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53854

    Office

    $4703.07

    Facility

    $414.57

    $1347.23 higher than Delaware for the office setting.

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

    California · 53854

    Office

    $4702.22

    Facility

    $413.72

    $1346.38 higher than Delaware for the office setting.

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

    California · 53854

    Office

    $4809.57

    Facility

    $423.75

    $1453.73 higher than Delaware for the office setting.

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

    California · 53854

    Office

    $4806.09

    Facility

    $420.27

    $1450.25 higher than Delaware for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53854

    Office

    $3828.86

    Facility

    $364.60

    $473.02 higher than Delaware for the office setting.

  • Santa Cruz-Watsonville

    California · 53854

    Office

    $4071.11

    Facility

    $375.71

    $715.27 higher than Delaware for the office setting.

  • Santa Maria-Santa Barbara

    California · 53854

    Office

    $3916.77

    Facility

    $370.40

    $560.93 higher than Delaware for the office setting.

  • Santa Rosa-Petaluma

    California · 53854

    Office

    $4114.16

    Facility

    $379.21

    $758.32 higher than Delaware for the office setting.

  • Stockton

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Vallejo

    California · 53854

    Office

    $4404.57

    Facility

    $395.89

    $1048.73 higher than Delaware for the office setting.

  • Visalia

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Yuba City

    California · 53854

    Office

    $3692.23

    Facility

    $358.76

    $336.39 higher than Delaware for the office setting.

  • Colorado

    Colorado · 53854

    Office

    $3595.72

    Facility

    $359.58

    $239.88 higher than Delaware for the office setting.

  • Connecticut

    Connecticut · 53854

    Office

    $3649.32

    Facility

    $373.64

    $293.48 higher than Delaware for the office setting.

  • Fort Lauderdale

    Florida · 53854

    Office

    $3457.08

    Facility

    $376.06

    $101.24 higher than Delaware for the office setting.

  • Rest Of Florida

    Florida · 53854

    Office

    $3268.33

    Facility

    $360.67

    $87.51 lower than Delaware for the office setting.

  • Atlanta

    Georgia · 53854

    Office

    $3451.99

    Facility

    $361.84

    $96.15 higher than Delaware for the office setting.

  • Rest Of Georgia

    Georgia · 53854

    Office

    $3057.18

    Facility

    $344.18

    $298.66 lower than Delaware for the office setting.

  • Hawaii, Guam

    Hawaii · 53854

    Office

    $3820.30

    Facility

    $362.13

    $464.46 higher than Delaware for the office setting.

  • Iowa

    Iowa · 53854

    Office

    $3110.35

    Facility

    $327.39

    $245.49 lower than Delaware for the office setting.

  • Idaho

    Idaho · 53854

    Office

    $3128.14

    Facility

    $329.97

    $227.70 lower than Delaware for the office setting.

  • East St. Louis

    Illinois · 53854

    Office

    $3166.74

    Facility

    $368.58

    $189.10 lower than Delaware for the office setting.

  • Rest Of Illinois

    Illinois · 53854

    Office

    $3133.20

    Facility

    $356.33

    $222.64 lower than Delaware for the office setting.

  • Suburban Chicago

    Illinois · 53854

    Office

    $3502.02

    Facility

    $378.41

    $146.18 higher than Delaware for the office setting.

  • Indiana

    Indiana · 53854

    Office

    $3150.71

    Facility

    $331.25

    $205.13 lower than Delaware for the office setting.

  • Kansas

    Kansas · 53854

    Office

    $3078.08

    Facility

    $328.57

    $277.76 lower than Delaware for the office setting.

  • Kentucky

    Kentucky · 53854

    Office

    $3040.71

    Facility

    $336.83

    $315.13 lower than Delaware for the office setting.

  • New Orleans

    Louisiana · 53854

    Office

    $3211.47

    Facility

    $349.44

    $144.37 lower than Delaware for the office setting.

  • Rest Of Louisiana

    Louisiana · 53854

    Office

    $3029.08

    Facility

    $337.36

    $326.76 lower than Delaware for the office setting.

  • Metropolitan Boston

    Massachusetts · 53854

    Office

    $4017.12

    Facility

    $385.58

    $661.28 higher than Delaware for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53854

    Office

    $3561.94

    Facility

    $359.26

    $206.10 higher than Delaware for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53854

    Office

    $3636.51

    Facility

    $373.00

    $280.67 higher than Delaware for the office setting.

  • Rest Of Maryland

    Maryland · 53854

    Office

    $3433.54

    Facility

    $355.56

    $77.70 higher than Delaware for the office setting.

  • Rest Of Maine

    Maine · 53854

    Office

    $3131.87

    Facility

    $333.71

    $223.97 lower than Delaware for the office setting.

  • Southern Maine

    Maine · 53854

    Office

    $3357.69

    Facility

    $343.58

    $1.85 higher than Delaware for the office setting.

  • Detroit

    Michigan · 53854

    Office

    $3301.51

    Facility

    $366.48

    $54.33 lower than Delaware for the office setting.

  • Rest Of Michigan

    Michigan · 53854

    Office

    $3122.33

    Facility

    $345.45

    $233.51 lower than Delaware for the office setting.

  • Minnesota

    Minnesota · 53854

    Office

    $3470.05

    Facility

    $340.36

    $114.21 higher than Delaware for the office setting.

  • Metropolitan Kansas City

    Missouri · 53854

    Office

    $3201.14

    Facility

    $345.18

    $154.70 lower than Delaware for the office setting.

  • Metropolitan St. Louis

    Missouri · 53854

    Office

    $3243.07

    Facility

    $347.57

    $112.77 lower than Delaware for the office setting.

  • Rest Of Missouri

    Missouri · 53854

    Office

    $2956.40

    Facility

    $334.64

    $399.44 lower than Delaware for the office setting.

  • Mississippi

    Mississippi · 53854

    Office

    $2947.33

    Facility

    $328.62

    $408.51 lower than Delaware for the office setting.

  • Montana**

    Montana · 53854

    Office

    $3395.49

    Facility

    $354.00

    $39.65 higher than Delaware for the office setting.

  • North Carolina

    North Carolina · 53854

    Office

    $3173.60

    Facility

    $335.90

    $182.24 lower than Delaware for the office setting.

  • North Dakota**

    North Dakota · 53854

    Office

    $3380.66

    Facility

    $339.17

    $24.82 higher than Delaware for the office setting.

  • Nebraska

    Nebraska · 53854

    Office

    $3135.29

    Facility

    $328.00

    $220.55 lower than Delaware for the office setting.

  • New Hampshire

    New Hampshire · 53854

    Office

    $3522.68

    Facility

    $356.49

    $166.84 higher than Delaware for the office setting.

  • Northern Nj

    New Jersey · 53854

    Office

    $3917.79

    Facility

    $389.67

    $561.95 higher than Delaware for the office setting.

  • Rest Of New Jersey

    New Jersey · 53854

    Office

    $3698.01

    Facility

    $376.71

    $342.17 higher than Delaware for the office setting.

  • New Mexico

    New Mexico · 53854

    Office

    $3136.84

    Facility

    $347.80

    $219.00 lower than Delaware for the office setting.

  • Nevada**

    Nevada · 53854

    Office

    $3394.53

    Facility

    $350.00

    $38.69 higher than Delaware for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53854

    Office

    $4029.89

    Facility

    $413.57

    $674.05 higher than Delaware for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53854

    Office

    $3711.34

    Facility

    $380.91

    $355.50 higher than Delaware for the office setting.

  • Queens

    New York · 53854

    Office

    $3997.26

    Facility

    $402.22

    $641.42 higher than Delaware for the office setting.

  • Rest Of New York

    New York · 53854

    Office

    $3229.22

    Facility

    $339.81

    $126.62 lower than Delaware for the office setting.

  • Ohio

    Ohio · 53854

    Office

    $3119.30

    Facility

    $342.42

    $236.54 lower than Delaware for the office setting.

  • Oklahoma

    Oklahoma · 53854

    Office

    $3049.96

    Facility

    $333.92

    $305.88 lower than Delaware for the office setting.

  • Portland

    Oregon · 53854

    Office

    $3744.91

    Facility

    $365.82

    $389.07 higher than Delaware for the office setting.

  • Rest Of Oregon

    Oregon · 53854

    Office

    $3375.39

    Facility

    $346.07

    $19.55 higher than Delaware for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53854

    Office

    $3534.12

    Facility

    $367.93

    $178.28 higher than Delaware for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53854

    Office

    $3133.61

    Facility

    $341.52

    $222.23 lower than Delaware for the office setting.

  • Puerto Rico

    Puerto Rico · 53854

    Office

    $3430.11

    Facility

    $355.17

    $74.27 higher than Delaware for the office setting.

  • Rhode Island

    Rhode Island · 53854

    Office

    $3501.35

    Facility

    $359.50

    $145.51 higher than Delaware for the office setting.

  • South Carolina

    South Carolina · 53854

    Office

    $3150.29

    Facility

    $339.96

    $205.55 lower than Delaware for the office setting.

  • South Dakota**

    South Dakota · 53854

    Office

    $3378.90

    Facility

    $337.42

    $23.06 higher than Delaware for the office setting.

  • Tennessee

    Tennessee · 53854

    Office

    $3094.79

    Facility

    $330.08

    $261.05 lower than Delaware for the office setting.

  • Austin

    Texas · 53854

    Office

    $3577.36

    Facility

    $359.46

    $221.52 higher than Delaware for the office setting.

  • Beaumont

    Texas · 53854

    Office

    $3107.79

    Facility

    $340.04

    $248.05 lower than Delaware for the office setting.

  • Brazoria

    Texas · 53854

    Office

    $3362.97

    Facility

    $348.86

    $7.13 higher than Delaware for the office setting.

  • Dallas

    Texas · 53854

    Office

    $3381.01

    Facility

    $351.69

    $25.17 higher than Delaware for the office setting.

  • Fort Worth

    Texas · 53854

    Office

    $3349.56

    Facility

    $350.65

    $6.28 lower than Delaware for the office setting.

  • Galveston

    Texas · 53854

    Office

    $3370.53

    Facility

    $350.33

    $14.69 higher than Delaware for the office setting.

  • Houston

    Texas · 53854

    Office

    $3384.26

    Facility

    $364.06

    $28.42 higher than Delaware for the office setting.

  • Rest Of Texas

    Texas · 53854

    Office

    $3231.06

    Facility

    $344.69

    $124.78 lower than Delaware for the office setting.

  • Utah

    Utah · 53854

    Office

    $3202.33

    Facility

    $343.34

    $153.51 lower than Delaware for the office setting.

  • Virginia

    Virginia · 53854

    Office

    $3334.15

    Facility

    $344.37

    $21.69 lower than Delaware for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53854

    Office

    $3430.11

    Facility

    $355.17

    $74.27 higher than Delaware for the office setting.

  • Vermont

    Vermont · 53854

    Office

    $3351.39

    Facility

    $340.32

    $4.45 lower than Delaware for the office setting.

  • Rest Of Washington

    Washington · 53854

    Office

    $3560.46

    Facility

    $357.78

    $204.62 higher than Delaware for the office setting.

  • Seattle (King Cnty)

    Washington · 53854

    Office

    $4121.88

    Facility

    $389.98

    $766.04 higher than Delaware for the office setting.

  • Wisconsin

    Wisconsin · 53854

    Office

    $3244.75

    Facility

    $331.00

    $111.09 lower than Delaware for the office setting.

  • West Virginia

    West Virginia · 53854

    Office

    $2990.09

    Facility

    $347.04

    $365.75 lower than Delaware for the office setting.

  • Wyoming**

    Wyoming · 53854

    Office

    $3389.02

    Facility

    $347.54

    $33.18 higher than Delaware for the office setting.

See how rates vary across the country

53854 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$2,935.37

$4,250.90

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$3,687.351
AL$2,987.491
AR$2,935.371
AZ$3,293.431
CA$3,692.23–$4,809.5729
CO$3,595.721
CT$3,649.321
DC$3,974.371
DE$3,355.841
FL$3,268.33–$3,564.113
GA$3,057.18–$3,451.992
GU$3,820.301
HI$3,820.301
IA$3,110.351
ID$3,128.141
IL$3,133.20–$3,502.024
IN$3,150.711
KS$3,078.081
KY$3,040.711
LA$3,029.08–$3,211.472
MA$3,561.94–$4,017.122
MD$3,433.54–$3,974.373
ME$3,131.87–$3,357.692
MI$3,122.33–$3,301.512
MN$3,470.051
MO$2,956.40–$3,243.073
MS$2,947.331
MT$3,395.491
NC$3,173.601
ND$3,380.661
NE$3,135.291
NH$3,522.681
NJ$3,698.01–$3,917.792
NM$3,136.841
NV$3,394.531
NY$3,229.22–$4,029.895
OH$3,119.301
OK$3,049.961
OR$3,375.39–$3,744.912
PA$3,133.61–$3,534.122
PR$3,430.111
RI$3,501.351
SC$3,150.291
SD$3,378.901
TN$3,094.791
TX$3,107.79–$3,577.368
UT$3,202.331
VA$3,334.15–$3,974.372
VI$3,430.111
VT$3,351.391
WA$3,560.46–$4,121.882
WI$3,244.751
WV$2,990.091
WY$3,389.021

Explore 53854 on the national rate map →

Where does this rate apply?

Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.

Browse all communities in Delaware →

Why are the office and facility amounts different?

For 53854 in Delaware, the physician’s office rate is $3355.84 and the facility-setting rate is $350.85: a difference of $3004.99.

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 53854 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$3691.42

$3355.84 × 110% = $3691.42

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.

Compare your contract offer →

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 53854 in Delaware.

PPRRVU2026_Oct_nonQPP.csv

6,229

Code
53854
Physician work
5.78
Practice expense
95.13
Malpractice
0.75

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office / nonfacility calculation for 53854 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.78× 1.0055.8089
Practice expense95.13× 0.98893.9884
Malpractice0.75× 0.8990.6743
Total RVUs100.4716
Conversion factor× 33.4009

Office / nonfacility rate, Delaware$3355.84

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

Open 53854 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.781.005
Practice expense95.130.988
Malpractice0.750.899

(5.78 × 1.005 + 95.13 × 0.988 + 0.75 × 0.899) × $33.4009 = $3355.84

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.781.005
Practice expense4.070.988
Malpractice0.750.899

(5.78 × 1.005 + 4.07 × 0.988 + 0.75 × 0.899) × $33.4009 = $350.85

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

53854 · Office / nonfacility

$3355.84

Effective 2026-10-01

The base rate is $1814.96 higher than on 2025-10-01, moving from $1540.88 to $3355.84 (117.8%).

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

    $1540.88changed to$3355.84

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.93 changed to 5.78
    • Practice expense RVU 41.31 changed to 95.13
    • Malpractice RVU 0.71 changed to 0.75
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $1540.88

    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$3355.84$350.85RVU26D
2026-07-01$3355.84$350.85RVU26C
2026-04-01$3355.84$350.85RVU26B
2026-01-01$3355.84$350.85RVU26A
2025-10-01$1540.88$373.21RVU25D
2025-07-01$1540.88$373.21RVU25C
2025-04-01$1540.88$373.21RVU25B
2025-01-01$1540.88$373.21RVU25A

53854 billing questions

How is this code distinguished from 53850 or 53852?

Use this code for radiofrequency-generated water-vapor treatment. Code 53850 identifies microwave treatment, while 53852 identifies radiofrequency thermotherapy without the water-vapor method.

Can routine endoscopic access be billed separately?

Do not assume that routine access or guidance during the prostate treatment is a separate service. A separately reported service must be distinct and supported by the operative documentation.

Should modifier 50 be reported for treatment of both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.

What postoperative care is included in the global period?

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

How are other same-session procedures paid?

When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and the other procedures at 50%.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service. 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.

RVUs for 53854PPRRVU2026_Oct_nonQPP.csv, line 6,229 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet