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CMS RVU26D · Effective 2026-10-01

55710 in Merced

Office / nonfacility

$695.91

Base rate per service

Facility setting

$187.43

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 55710: Transperineal MRI-fusion prostate biopsy

Reports the first prostate lesion sampled through a transperineal approach using ultrasound guidance fused with MRI images to target the biopsy.

A urologist uses a transperineal needle route to sample a prostate target while ultrasound images are fused with MRI images for targeting. The service is typically performed in an office-based procedure setting or an outpatient facility. The MRI fusion helps direct the needle toward a lesion identified on prior imaging, rather than relying only on systematic sampling.

Report this code for the first lesion sampled with this transperineal ultrasound-and-MRI fusion technique. Document the transperineal route, fusion guidance, target and lesion count; the fusion and ultrasound guidance are part of the biopsy service. The procedure has 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% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires medical-necessity documentation; co-surgeons and team surgery are not permitted.

CMS billing rules for 55710

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
Assistant at surgery is paid only with documentation of medical necessity.
Co-surgeons
Co-surgeons not permitted.
Team surgery
Team surgery not permitted.

Where the value comes from

  • Work RVU3.81 · 20%
  • Practice expense (office) RVU15.24 · 78%
  • Malpractice RVU0.48 · 2%

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.

55710 compared with similar codes

Office rates for Merced, from the same CMS release.

55709

Prostate biopsy

Transperineal ultrasound guided

$621.32

Choose 55709 for transperineal ultrasound-guided biopsy without MRI fusion. Choose 55710 when MRI images are fused with ultrasound to target the biopsy.

55708

Prostate biopsy

Transrectal MRI-US fusion

$442.80

Both involve MRI fusion, but 55708 uses a transrectal needle route. 55710 is for the transperineal route.

55711

Prostate biopsy

Transrectal fusion, first lesion

$389.25

55711 describes MRI-ultrasound fusion biopsy through a transrectal route. 55710 is the transperineal route.

The same code, a different location

How does Merced compare?

In Bakersfield, the office rate for 55710 is $697.34—$1.43 higher than the $695.91 rate in Merced. Both use the same code, release and participation basis.

55710 across payment areas

Same release and payment basis · bars start at $0

  1. Merced · This locality

    $695.91

  2. Bakersfield

    $697.34

    $1.43 higher than Merced

  3. Chico

    $695.91

    The same base rate than Merced

  4. El Centro

    $695.99

    $0.08 higher than Merced

  5. Fresno

    $695.91

    The same base rate than Merced

  6. Hanford-Corcoran

    $695.91

    The same base rate than Merced

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

    $745.30

    $49.39 higher than Merced

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, 55710 ranges from $572.77 in Arkansas to $883.87 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

  • Madera

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Modesto

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Napa

    California · 55710

    Office

    $814.32

    Facility

    $202.85

    $118.41 higher than Merced for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 55710

    Office

    $742.48

    Facility

    $194.11

    $46.57 higher than Merced for the office setting.

  • Redding

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Rest Of California

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 55710

    Office

    $701.12

    Facility

    $192.64

    $5.21 higher than Merced for the office setting.

  • Sacramento-Roseville-Folsom

    California · 55710

    Office

    $732.43

    Facility

    $192.87

    $36.52 higher than Merced for the office setting.

  • Salinas

    California · 55710

    Office

    $729.76

    Facility

    $192.06

    $33.85 higher than Merced for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 55710

    Office

    $748.56

    Facility

    $193.69

    $52.65 higher than Merced for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 55710

    Office

    $864.44

    Facility

    $210.28

    $168.53 higher than Merced for the office setting.

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

    California · 55710

    Office

    $863.89

    Facility

    $209.74

    $167.98 higher than Merced for the office setting.

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

    California · 55710

    Office

    $883.87

    Facility

    $214.87

    $187.96 higher than Merced for the office setting.

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

    California · 55710

    Office

    $881.64

    Facility

    $212.64

    $185.73 higher than Merced for the office setting.

  • San Luis Obispo-Paso Robles

    California · 55710

    Office

    $717.80

    Facility

    $189.37

    $21.89 higher than Merced for the office setting.

  • Santa Cruz-Watsonville

    California · 55710

    Office

    $756.99

    Facility

    $193.31

    $61.08 higher than Merced for the office setting.

  • Santa Maria-Santa Barbara

    California · 55710

    Office

    $732.94

    Facility

    $191.99

    $37.03 higher than Merced for the office setting.

  • Santa Rosa-Petaluma

    California · 55710

    Office

    $764.76

    Facility

    $195.04

    $68.85 higher than Merced for the office setting.

  • Stockton

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Vallejo

    California · 55710

    Office

    $813.53

    Facility

    $202.06

    $117.62 higher than Merced for the office setting.

  • Visalia

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Yuba City

    California · 55710

    Office

    $695.91

    Facility

    $187.43

    The same base rate than Merced for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 55710

    Office

    $751.61

    Facility

    $205.09

    $55.70 higher than Merced for the office setting.

  • Miami

    Florida · 55710

    Office

    $697.70

    Facility

    $214.74

    $1.79 higher than Merced for the office setting.

  • Chicago

    Illinois · 55710

    Office

    $676.52

    Facility

    $210.26

    $19.39 lower than Merced for the office setting.

  • Manhattan

    New York · 55710

    Office

    $752.32

    Facility

    $213.23

    $56.41 higher than Merced for the office setting.

  • Alaska*

    Alaska · 55710

    Office

    $741.84

    Facility

    $247.74

    $45.93 higher than Merced for the office setting.

  • Alabama

    Alabama · 55710

    Office

    $581.73

    Facility

    $175.79

    $114.18 lower than Merced for the office setting.

  • Arkansas

    Arkansas · 55710

    Office

    $572.77

    Facility

    $174.25

    $123.14 lower than Merced for the office setting.

  • Arizona

    Arizona · 55710

    Office

    $634.23

    Facility

    $184.67

    $61.68 lower than Merced for the office setting.

  • Colorado

    Colorado · 55710

    Office

    $682.91

    Facility

    $189.28

    $13.00 lower than Merced for the office setting.

  • Connecticut

    Connecticut · 55710

    Office

    $697.43

    Facility

    $197.77

    $1.52 higher than Merced for the office setting.

  • Delaware

    Delaware · 55710

    Office

    $645.23

    Facility

    $186.86

    $50.68 lower than Merced for the office setting.

  • Fort Lauderdale

    Florida · 55710

    Office

    $671.89

    Facility

    $201.92

    $24.02 lower than Merced for the office setting.

  • Rest Of Florida

    Florida · 55710

    Office

    $637.99

    Facility

    $194.46

    $57.92 lower than Merced for the office setting.

  • Atlanta

    Georgia · 55710

    Office

    $664.07

    Facility

    $192.71

    $31.84 lower than Merced for the office setting.

  • Rest Of Georgia

    Georgia · 55710

    Office

    $600.42

    Facility

    $186.59

    $95.49 lower than Merced for the office setting.

  • Hawaii, Guam

    Hawaii · 55710

    Office

    $715.31

    Facility

    $187.81

    $19.40 higher than Merced for the office setting.

  • Iowa

    Iowa · 55710

    Office

    $599.38

    Facility

    $174.88

    $96.53 lower than Merced for the office setting.

  • Idaho

    Idaho · 55710

    Office

    $603.15

    Facility

    $176.32

    $92.76 lower than Merced for the office setting.

  • East St. Louis

    Illinois · 55710

    Office

    $627.85

    Facility

    $201.03

    $68.06 lower than Merced for the office setting.

  • Rest Of Illinois

    Illinois · 55710

    Office

    $617.06

    Facility

    $193.48

    $78.85 lower than Merced for the office setting.

  • Suburban Chicago

    Illinois · 55710

    Office

    $679.33

    Facility

    $202.87

    $16.58 lower than Merced for the office setting.

  • Indiana

    Indiana · 55710

    Office

    $606.92

    Facility

    $176.85

    $88.99 lower than Merced for the office setting.

  • Kansas

    Kansas · 55710

    Office

    $595.50

    Facility

    $176.10

    $100.41 lower than Merced for the office setting.

  • Kentucky

    Kentucky · 55710

    Office

    $594.45

    Facility

    $182.01

    $101.46 lower than Merced for the office setting.

  • New Orleans

    Louisiana · 55710

    Office

    $624.47

    Facility

    $187.90

    $71.44 lower than Merced for the office setting.

  • Rest Of Louisiana

    Louisiana · 55710

    Office

    $593.11

    Facility

    $182.52

    $102.80 lower than Merced for the office setting.

  • Metropolitan Boston

    Massachusetts · 55710

    Office

    $754.53

    Facility

    $200.58

    $58.62 higher than Merced for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 55710

    Office

    $678.08

    Facility

    $189.55

    $17.83 lower than Merced for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 55710

    Office

    $695.31

    Facility

    $197.51

    $0.60 lower than Merced for the office setting.

  • Rest Of Maryland

    Maryland · 55710

    Office

    $658.39

    Facility

    $188.88

    $37.52 lower than Merced for the office setting.

  • Rest Of Maine

    Maine · 55710

    Office

    $605.54

    Facility

    $178.71

    $90.37 lower than Merced for the office setting.

  • Southern Maine

    Maine · 55710

    Office

    $641.82

    Facility

    $182.06

    $54.09 lower than Merced for the office setting.

  • Detroit

    Michigan · 55710

    Office

    $645.50

    Facility

    $197.80

    $50.41 lower than Merced for the office setting.

  • Rest Of Michigan

    Michigan · 55710

    Office

    $610.10

    Facility

    $186.53

    $85.81 lower than Merced for the office setting.

  • Minnesota

    Minnesota · 55710

    Office

    $655.79

    Facility

    $178.40

    $40.12 lower than Merced for the office setting.

  • Metropolitan Kansas City

    Missouri · 55710

    Office

    $620.90

    Facility

    $185.26

    $75.01 lower than Merced for the office setting.

  • Metropolitan St. Louis

    Missouri · 55710

    Office

    $627.92

    Facility

    $186.25

    $67.99 lower than Merced for the office setting.

  • Rest Of Missouri

    Missouri · 55710

    Office

    $581.66

    Facility

    $181.74

    $114.25 lower than Merced for the office setting.

  • Mississippi

    Mississippi · 55710

    Office

    $577.38

    Facility

    $177.93

    $118.53 lower than Merced for the office setting.

  • Montana**

    Montana · 55710

    Office

    $652.29

    Facility

    $188.35

    $43.62 lower than Merced for the office setting.

  • North Carolina

    North Carolina · 55710

    Office

    $612.43

    Facility

    $179.57

    $83.48 lower than Merced for the office setting.

  • North Dakota**

    North Dakota · 55710

    Office

    $642.80

    Facility

    $178.86

    $53.11 lower than Merced for the office setting.

  • Nebraska

    Nebraska · 55710

    Office

    $603.15

    Facility

    $174.94

    $92.76 lower than Merced for the office setting.

  • New Hampshire

    New Hampshire · 55710

    Office

    $671.19

    Facility

    $188.23

    $24.72 lower than Merced for the office setting.

  • Northern Nj

    New Jersey · 55710

    Office

    $742.87

    Facility

    $204.70

    $46.96 higher than Merced for the office setting.

  • Rest Of New Jersey

    New Jersey · 55710

    Office

    $705.80

    Facility

    $199.17

    $9.89 higher than Merced for the office setting.

  • New Mexico

    New Mexico · 55710

    Office

    $613.29

    Facility

    $187.86

    $82.62 lower than Merced for the office setting.

  • Nevada**

    Nevada · 55710

    Office

    $650.15

    Facility

    $185.75

    $45.76 lower than Merced for the office setting.

  • Nyc Suburbs/Long Island

    New York · 55710

    Office

    $770.41

    Facility

    $218.79

    $74.50 higher than Merced for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 55710

    Office

    $709.77

    Facility

    $201.76

    $13.86 higher than Merced for the office setting.

  • Queens

    New York · 55710

    Office

    $760.19

    Facility

    $211.82

    $64.28 higher than Merced for the office setting.

  • Rest Of New York

    New York · 55710

    Office

    $622.11

    Facility

    $181.36

    $73.80 lower than Merced for the office setting.

  • Ohio

    Ohio · 55710

    Office

    $608.16

    Facility

    $184.59

    $87.75 lower than Merced for the office setting.

  • Oklahoma

    Oklahoma · 55710

    Office

    $594.28

    Facility

    $179.98

    $101.63 lower than Merced for the office setting.

  • Portland

    Oregon · 55710

    Office

    $706.75

    Facility

    $191.32

    $10.84 higher than Merced for the office setting.

  • Rest Of Oregon

    Oregon · 55710

    Office

    $645.52

    Facility

    $183.44

    $50.39 lower than Merced for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 55710

    Office

    $678.57

    Facility

    $195.61

    $17.34 lower than Merced for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 55710

    Office

    $609.70

    Facility

    $183.80

    $86.21 lower than Merced for the office setting.

  • Puerto Rico

    Puerto Rico · 55710

    Office

    $657.68

    Facility

    $188.64

    $38.23 lower than Merced for the office setting.

  • Rhode Island

    Rhode Island · 55710

    Office

    $669.80

    Facility

    $190.56

    $26.11 lower than Merced for the office setting.

  • South Carolina

    South Carolina · 55710

    Office

    $611.23

    Facility

    $182.55

    $84.68 lower than Merced for the office setting.

  • South Dakota**

    South Dakota · 55710

    Office

    $641.67

    Facility

    $177.74

    $54.24 lower than Merced for the office setting.

  • Tennessee

    Tennessee · 55710

    Office

    $598.57

    Facility

    $176.85

    $97.34 lower than Merced for the office setting.

  • Austin

    Texas · 55710

    Office

    $680.27

    Facility

    $189.42

    $15.64 lower than Merced for the office setting.

  • Beaumont

    Texas · 55710

    Office

    $605.37

    Facility

    $183.18

    $90.54 lower than Merced for the office setting.

  • Brazoria

    Texas · 55710

    Office

    $645.23

    Facility

    $185.47

    $50.68 lower than Merced for the office setting.

  • Dallas

    Texas · 55710

    Office

    $649.15

    Facility

    $187.07

    $46.76 lower than Merced for the office setting.

  • Fort Worth

    Texas · 55710

    Office

    $644.27

    Facility

    $186.83

    $51.64 lower than Merced for the office setting.

  • Galveston

    Texas · 55710

    Office

    $647.02

    Facility

    $186.33

    $48.89 lower than Merced for the office setting.

  • Houston

    Texas · 55710

    Office

    $655.80

    Facility

    $195.11

    $40.11 lower than Merced for the office setting.

  • Rest Of Texas

    Texas · 55710

    Office

    $624.80

    Facility

    $184.53

    $71.11 lower than Merced for the office setting.

  • Utah

    Utah · 55710

    Office

    $620.14

    Facility

    $184.04

    $75.77 lower than Merced for the office setting.

  • Virginia

    Virginia · 55710

    Office

    $638.95

    Facility

    $182.90

    $56.96 lower than Merced for the office setting.

  • Virgin Islands

    United States Virgin Islands · 55710

    Office

    $657.68

    Facility

    $188.64

    $38.23 lower than Merced for the office setting.

  • Vermont

    Vermont · 55710

    Office

    $639.31

    Facility

    $180.01

    $56.60 lower than Merced for the office setting.

  • Rest Of Washington

    Washington · 55710

    Office

    $677.12

    Facility

    $188.59

    $18.79 lower than Merced for the office setting.

  • Seattle (King Cnty)

    Washington · 55710

    Office

    $771.30

    Facility

    $202.05

    $75.39 higher than Merced for the office setting.

  • Wisconsin

    Wisconsin · 55710

    Office

    $619.85

    Facility

    $175.39

    $76.06 lower than Merced for the office setting.

  • West Virginia

    West Virginia · 55710

    Office

    $592.55

    Facility

    $189.38

    $103.36 lower than Merced for the office setting.

  • Wyoming**

    Wyoming · 55710

    Office

    $648.15

    Facility

    $184.21

    $47.76 lower than Merced for the office setting.

See how rates vary across the country

55710 · 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.

$572.77

$789.89

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$741.841
AL$581.731
AR$572.771
AZ$634.231
CA$695.91–$883.8729
CO$682.911
CT$697.431
DC$751.611
DE$645.231
FL$637.99–$697.703
GA$600.42–$664.072
GU$715.311
HI$715.311
IA$599.381
ID$603.151
IL$617.06–$679.334
IN$606.921
KS$595.501
KY$594.451
LA$593.11–$624.472
MA$678.08–$754.532
MD$658.39–$751.613
ME$605.54–$641.822
MI$610.10–$645.502
MN$655.791
MO$581.66–$627.923
MS$577.381
MT$652.291
NC$612.431
ND$642.801
NE$603.151
NH$671.191
NJ$705.80–$742.872
NM$613.291
NV$650.151
NY$622.11–$770.415
OH$608.161
OK$594.281
OR$645.52–$706.752
PA$609.70–$678.572
PR$657.681
RI$669.801
SC$611.231
SD$641.671
TN$598.571
TX$605.37–$680.278
UT$620.141
VA$638.95–$751.612
VI$657.681
VT$639.311
WA$677.12–$771.302
WI$619.851
WV$592.551
WY$648.151

Explore 55710 on the national rate map →

Where does this rate apply?

Merced is a Medicare payment area. Our Census mapping connects it to 24 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 55710 in Merced, the physician’s office rate is $695.91 and the facility-setting rate is $187.43: a difference of $508.48.

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 55710 in Merced. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$765.50

$695.91 × 110% = $765.50

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 55710 in Merced.

PPRRVU2026_Oct_nonQPP.csv

6,366

Code
55710
Physician work
3.81
Practice expense
15.24
Malpractice
0.48

GPCI2026.csv

15

Locality
Merced
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 55710 in Merced
ComponentRVULocality factorAdjusted
Physician work3.81× 1.0173.8748
Practice expense15.24× 1.09616.7030
Malpractice0.48× 0.5360.2573
Total RVUs20.8351
Conversion factor× 33.4009

Office / nonfacility rate, Merced$695.91

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

Open 55710 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.811.017
Practice expense15.241.096
Malpractice0.480.536

(3.81 × 1.017 + 15.24 × 1.096 + 0.48 × 0.536) × $33.4009 = $695.91

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.811.017
Practice expense1.351.096
Malpractice0.480.536

(3.81 × 1.017 + 1.35 × 1.096 + 0.48 × 0.536) × $33.4009 = $187.43

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

55710 · Office / nonfacility

$695.91

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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

    No ratechanged to$695.91

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: No rate

    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$695.91$187.43RVU26D
2026-07-01$695.91$187.43RVU26C
2026-04-01$695.91$187.43RVU26B
2026-01-01$695.91$187.43RVU26A
2025-10-01Not in this releaseNot in this releaseRVU25D
2025-07-01Not in this releaseNot in this releaseRVU25C
2025-04-01Not in this releaseNot in this releaseRVU25B
2025-01-01Not in this releaseNot in this releaseRVU25A

55710 billing questions

How does this differ from 55709?

55710 includes MRI-ultrasound fusion for targeting the sampled lesion. Use 55709 for transperineal ultrasound-guided biopsy without the MRI-fusion service.

How does this differ from 55708?

Both describe MRI-fusion-guided prostate biopsy, but 55710 uses a transperineal route; 55708 uses a transrectal route.

Can I report 55715 with this code?

55715 is the add-on code for each additional lesion in the MRI-fusion biopsy family. Use it when additional lesions are sampled, not simply for additional cores from the first lesion.

Should modifier 50 be appended for bilateral sampling?

No. CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

What documentation supports reporting 55710?

Document the transperineal approach, use of ultrasound with MRI fusion, the lesion targeted, and whether it was the first or an additional lesion sampled.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment requires documentation of medical necessity. Co-surgeons and team surgery are not permitted under the CMS rules for this code.

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 55710PPRRVU2026_Oct_nonQPP.csv, line 6,366 (RVU26D)
Geographic factors for MercedGPCI2026.csv, line 15 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet