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CMS RVU26D · Effective 2026-10-01

53855 in Redding

Office / nonfacility

$708.62

Base rate per service

Facility setting

$70.56

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 53855: Prostatic urethral stent insertion

Reports placement of a prostatic urethral stent to maintain urine flow through an obstructed prostate, commonly for men with benign prostatic enlargement.

A urologist places a stent through the urethra into the prostatic segment to help keep the passage open when prostate enlargement obstructs urine flow. The service is used for men with lower urinary tract obstruction related to benign prostatic enlargement; cystoscopic placement is typical. It differs from procedures that ablate or remove prostate tissue because the treatment is stent placement rather than tissue destruction.

Report the insertion when the stent is placed, and document the indication, the device and its location, and the placement procedure. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in one 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 service. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

CMS billing rules for 53855

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 RVU1.60 · 8%
  • Practice expense (office) RVU17.77 · 91%
  • Malpractice RVU0.21 · 1%

257

Medicare services in 2024 · #4118 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.

53855 compared with similar codes

Office rates for Redding, from the same CMS release.

53850

Prostate treatment

Microwave thermotherapy

$1,537.77

Choose 53855 for prostatic urethral stent placement; 53850 describes microwave treatment of prostate tissue.

53852

Prostate ablation

Radiofrequency thermotherapy

$1,501.27

53852 represents radiofrequency needle treatment of prostate tissue, not stent insertion.

53854

Prostate ablation

Radiofrequency water vapor

$3,692.23

53854 describes water-vapor radiofrequency destruction of prostate tissue; 53855 is for placing a stent in the prostatic urethra.

The same code, a different location

How does Redding compare?

In Bakersfield, the office rate for 53855 is $709.24—$0.62 higher than the $708.62 rate in Redding. Both use the same code, release and participation basis.

53855 across payment areas

Same release and payment basis · bars start at $0

  1. Redding · This locality

    $708.62

  2. Bakersfield

    $709.24

    $0.62 higher than Redding

  3. Chico

    $708.62

    The same base rate than Redding

  4. El Centro

    $708.66

    $0.04 higher than Redding

  5. Fresno

    $708.62

    The same base rate than Redding

  6. Hanford-Corcoran

    $708.62

    The same base rate than Redding

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

    $762.44

    $53.82 higher than Redding

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, 53855 ranges from $566.90 in Arkansas to $918.96 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 · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Merced

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Modesto

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Napa

    California · 53855

    Office

    $842.65

    Facility

    $75.34

    $134.03 higher than Redding for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 53855

    Office

    $760.86

    Facility

    $72.73

    $52.24 higher than Redding for the office setting.

  • Rest Of California

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 53855

    Office

    $710.90

    Facility

    $72.83

    $2.28 higher than Redding for the office setting.

  • Sacramento-Roseville-Folsom

    California · 53855

    Office

    $749.40

    Facility

    $72.33

    $40.78 higher than Redding for the office setting.

  • Salinas

    California · 53855

    Office

    $746.76

    Facility

    $72.02

    $38.14 higher than Redding for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 53855

    Office

    $768.71

    Facility

    $72.43

    $60.09 higher than Redding for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 53855

    Office

    $898.62

    Facility

    $77.75

    $190.00 higher than Redding for the office setting.

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

    California · 53855

    Office

    $898.38

    Facility

    $77.51

    $189.76 higher than Redding for the office setting.

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

    California · 53855

    Office

    $918.96

    Facility

    $79.46

    $210.34 higher than Redding for the office setting.

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

    California · 53855

    Office

    $917.98

    Facility

    $78.48

    $209.36 higher than Redding for the office setting.

  • San Luis Obispo-Paso Robles

    California · 53855

    Office

    $734.14

    Facility

    $71.04

    $25.52 higher than Redding for the office setting.

  • Santa Cruz-Watsonville

    California · 53855

    Office

    $779.47

    Facility

    $72.12

    $70.85 higher than Redding for the office setting.

  • Santa Maria-Santa Barbara

    California · 53855

    Office

    $750.76

    Facility

    $71.94

    $42.14 higher than Redding for the office setting.

  • Santa Rosa-Petaluma

    California · 53855

    Office

    $787.66

    Facility

    $72.75

    $79.04 higher than Redding for the office setting.

  • Stockton

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Vallejo

    California · 53855

    Office

    $842.31

    Facility

    $75.00

    $133.69 higher than Redding for the office setting.

  • Visalia

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Yuba City

    California · 53855

    Office

    $708.62

    Facility

    $70.56

    The same base rate than Redding for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 53855

    Office

    $763.32

    Facility

    $77.51

    $54.70 higher than Redding for the office setting.

  • Miami

    Florida · 53855

    Office

    $689.05

    Facility

    $83.00

    $19.57 lower than Redding for the office setting.

  • Chicago

    Illinois · 53855

    Office

    $666.41

    Facility

    $81.33

    $42.21 lower than Redding for the office setting.

  • Manhattan

    New York · 53855

    Office

    $757.67

    Facility

    $81.18

    $49.05 higher than Redding for the office setting.

  • Alaska*

    Alaska · 53855

    Office

    $716.14

    Facility

    $96.12

    $7.52 higher than Redding for the office setting.

  • Alabama

    Alabama · 53855

    Office

    $576.75

    Facility

    $67.35

    $131.87 lower than Redding for the office setting.

  • Arkansas

    Arkansas · 53855

    Office

    $566.90

    Facility

    $66.81

    $141.72 lower than Redding for the office setting.

  • Arizona

    Arizona · 53855

    Office

    $634.58

    Facility

    $70.45

    $74.04 lower than Redding for the office setting.

  • Colorado

    Colorado · 53855

    Office

    $691.08

    Facility

    $71.64

    $17.54 lower than Redding for the office setting.

  • Connecticut

    Connecticut · 53855

    Office

    $702.23

    Facility

    $75.23

    $6.39 lower than Redding for the office setting.

  • Delaware

    Delaware · 53855

    Office

    $646.43

    Facility

    $71.23

    $62.19 lower than Redding for the office setting.

  • Fort Lauderdale

    Florida · 53855

    Office

    $667.37

    Facility

    $77.63

    $41.25 lower than Redding for the office setting.

  • Rest Of Florida

    Florida · 53855

    Office

    $631.40

    Facility

    $74.84

    $77.22 lower than Redding for the office setting.

  • Atlanta

    Georgia · 53855

    Office

    $665.06

    Facility

    $73.56

    $43.56 lower than Redding for the office setting.

  • Rest Of Georgia

    Georgia · 53855

    Office

    $591.23

    Facility

    $71.93

    $117.39 lower than Redding for the office setting.

  • Hawaii, Guam

    Hawaii · 53855

    Office

    $732.35

    Facility

    $70.41

    $23.73 higher than Redding for the office setting.

  • Iowa

    Iowa · 53855

    Office

    $599.31

    Facility

    $66.62

    $109.31 lower than Redding for the office setting.

  • Idaho

    Idaho · 53855

    Office

    $602.81

    Facility

    $67.21

    $105.81 lower than Redding for the office setting.

  • East St. Louis

    Illinois · 53855

    Office

    $613.62

    Facility

    $78.02

    $95.00 lower than Redding for the office setting.

  • Rest Of Illinois

    Illinois · 53855

    Office

    $606.30

    Facility

    $74.77

    $102.32 lower than Redding for the office setting.

  • Suburban Chicago

    Illinois · 53855

    Office

    $675.80

    Facility

    $77.91

    $32.82 lower than Redding for the office setting.

  • Indiana

    Indiana · 53855

    Office

    $607.06

    Facility

    $67.38

    $101.56 lower than Redding for the office setting.

  • Kansas

    Kansas · 53855

    Office

    $593.53

    Facility

    $67.24

    $115.09 lower than Redding for the office setting.

  • Kentucky

    Kentucky · 53855

    Office

    $587.51

    Facility

    $69.96

    $121.11 lower than Redding for the office setting.

  • New Orleans

    Louisiana · 53855

    Office

    $619.93

    Facility

    $72.10

    $88.69 lower than Redding for the office setting.

  • Rest Of Louisiana

    Louisiana · 53855

    Office

    $585.44

    Facility

    $70.21

    $123.18 lower than Redding for the office setting.

  • Metropolitan Boston

    Massachusetts · 53855

    Office

    $770.55

    Facility

    $75.43

    $61.93 higher than Redding for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 53855

    Office

    $684.88

    Facility

    $71.85

    $23.74 lower than Redding for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 53855

    Office

    $699.84

    Facility

    $75.16

    $8.78 lower than Redding for the office setting.

  • Rest Of Maryland

    Maryland · 53855

    Office

    $661.07

    Facility

    $71.91

    $47.55 lower than Redding for the office setting.

  • Rest Of Maine

    Maine · 53855

    Office

    $603.86

    Facility

    $68.25

    $104.76 lower than Redding for the office setting.

  • Southern Maine

    Maine · 53855

    Office

    $646.06

    Facility

    $69.12

    $62.56 lower than Redding for the office setting.

  • Detroit

    Michigan · 53855

    Office

    $638.03

    Facility

    $76.23

    $70.59 lower than Redding for the office setting.

  • Rest Of Michigan

    Michigan · 53855

    Office

    $603.26

    Facility

    $71.73

    $105.36 lower than Redding for the office setting.

  • Minnesota

    Minnesota · 53855

    Office

    $666.26

    Facility

    $67.20

    $42.36 lower than Redding for the office setting.

  • Metropolitan Kansas City

    Missouri · 53855

    Office

    $617.62

    Facility

    $70.96

    $91.00 lower than Redding for the office setting.

  • Metropolitan St. Louis

    Missouri · 53855

    Office

    $625.51

    Facility

    $71.28

    $83.11 lower than Redding for the office setting.

  • Rest Of Missouri

    Missouri · 53855

    Office

    $571.90

    Facility

    $70.06

    $136.72 lower than Redding for the office setting.

  • Mississippi

    Mississippi · 53855

    Office

    $569.66

    Facility

    $68.40

    $138.96 lower than Redding for the office setting.

  • Montana**

    Montana · 53855

    Office

    $653.98

    Facility

    $71.80

    $54.64 lower than Redding for the office setting.

  • North Carolina

    North Carolina · 53855

    Office

    $611.69

    Facility

    $68.52

    $96.93 lower than Redding for the office setting.

  • North Dakota**

    North Dakota · 53855

    Office

    $649.82

    Facility

    $67.65

    $58.80 lower than Redding for the office setting.

  • Nebraska

    Nebraska · 53855

    Office

    $603.92

    Facility

    $66.57

    $104.70 lower than Redding for the office setting.

  • New Hampshire

    New Hampshire · 53855

    Office

    $677.45

    Facility

    $71.40

    $31.17 lower than Redding for the office setting.

  • Northern Nj

    New Jersey · 53855

    Office

    $752.80

    Facility

    $77.47

    $44.18 higher than Redding for the office setting.

  • Rest Of New Jersey

    New Jersey · 53855

    Office

    $711.41

    Facility

    $75.67

    $2.79 higher than Redding for the office setting.

  • New Mexico

    New Mexico · 53855

    Office

    $606.14

    Facility

    $72.28

    $102.48 lower than Redding for the office setting.

  • Nevada**

    Nevada · 53855

    Office

    $653.41

    Facility

    $70.65

    $55.21 lower than Redding for the office setting.

  • Nyc Suburbs/Long Island

    New York · 53855

    Office

    $775.60

    Facility

    $83.39

    $66.98 higher than Redding for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 53855

    Office

    $714.25

    Facility

    $76.77

    $5.63 higher than Redding for the office setting.

  • Queens

    New York · 53855

    Office

    $768.53

    Facility

    $80.40

    $59.91 higher than Redding for the office setting.

  • Rest Of New York

    New York · 53855

    Office

    $622.23

    Facility

    $69.16

    $86.39 lower than Redding for the office setting.

  • Ohio

    Ohio · 53855

    Office

    $602.41

    Facility

    $70.88

    $106.21 lower than Redding for the office setting.

  • Oklahoma

    Oklahoma · 53855

    Office

    $588.92

    Facility

    $69.03

    $119.70 lower than Redding for the office setting.

  • Portland

    Oregon · 53855

    Office

    $718.93

    Facility

    $72.13

    $10.31 higher than Redding for the office setting.

  • Rest Of Oregon

    Oregon · 53855

    Office

    $649.53

    Facility

    $69.68

    $59.09 lower than Redding for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 53855

    Office

    $680.64

    Facility

    $74.59

    $27.98 lower than Redding for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 53855

    Office

    $604.93

    Facility

    $70.49

    $103.69 lower than Redding for the office setting.

  • Puerto Rico

    Puerto Rico · 53855

    Office

    $660.41

    Facility

    $71.83

    $48.21 lower than Redding for the office setting.

  • Rhode Island

    Rhode Island · 53855

    Office

    $673.83

    Facility

    $72.44

    $34.79 lower than Redding for the office setting.

  • South Carolina

    South Carolina · 53855

    Office

    $607.83

    Facility

    $69.90

    $100.79 lower than Redding for the office setting.

  • South Dakota**

    South Dakota · 53855

    Office

    $649.33

    Facility

    $67.15

    $59.29 lower than Redding for the office setting.

  • Tennessee

    Tennessee · 53855

    Office

    $596.73

    Facility

    $67.53

    $111.89 lower than Redding for the office setting.

  • Austin

    Texas · 53855

    Office

    $687.72

    Facility

    $71.78

    $20.90 lower than Redding for the office setting.

  • Beaumont

    Texas · 53855

    Office

    $600.07

    Facility

    $70.29

    $108.55 lower than Redding for the office setting.

  • Brazoria

    Texas · 53855

    Office

    $647.53

    Facility

    $70.59

    $61.09 lower than Redding for the office setting.

  • Dallas

    Texas · 53855

    Office

    $651.10

    Facility

    $71.25

    $57.52 lower than Redding for the office setting.

  • Fort Worth

    Texas · 53855

    Office

    $645.26

    Facility

    $71.23

    $63.36 lower than Redding for the office setting.

  • Galveston

    Texas · 53855

    Office

    $649.06

    Facility

    $70.95

    $59.56 lower than Redding for the office setting.

  • Houston

    Texas · 53855

    Office

    $652.90

    Facility

    $74.80

    $55.72 lower than Redding for the office setting.

  • Rest Of Texas

    Texas · 53855

    Office

    $623.04

    Facility

    $70.55

    $85.58 lower than Redding for the office setting.

  • Utah

    Utah · 53855

    Office

    $617.66

    Facility

    $70.42

    $90.96 lower than Redding for the office setting.

  • Virginia

    Virginia · 53855

    Office

    $641.84

    Facility

    $69.56

    $66.78 lower than Redding for the office setting.

  • Virgin Islands

    United States Virgin Islands · 53855

    Office

    $660.41

    Facility

    $71.83

    $48.21 lower than Redding for the office setting.

  • Vermont

    Vermont · 53855

    Office

    $644.59

    Facility

    $68.23

    $64.03 lower than Redding for the office setting.

  • Rest Of Washington

    Washington · 53855

    Office

    $684.47

    Facility

    $71.43

    $24.15 lower than Redding for the office setting.

  • Seattle (King Cnty)

    Washington · 53855

    Office

    $790.11

    Facility

    $75.78

    $81.49 higher than Redding for the office setting.

  • Wisconsin

    Wisconsin · 53855

    Office

    $624.21

    Facility

    $66.48

    $84.41 lower than Redding for the office setting.

  • West Virginia

    West Virginia · 53855

    Office

    $579.26

    Facility

    $73.35

    $129.36 lower than Redding for the office setting.

  • Wyoming**

    Wyoming · 53855

    Office

    $652.17

    Facility

    $69.99

    $56.45 lower than Redding for the office setting.

See how rates vary across the country

53855 · 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.

$566.90

$813.79

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$716.141
AL$576.751
AR$566.901
AZ$634.581
CA$708.62–$918.9629
CO$691.081
CT$702.231
DC$763.321
DE$646.431
FL$631.40–$689.053
GA$591.23–$665.062
GU$732.351
HI$732.351
IA$599.311
ID$602.811
IL$606.30–$675.804
IN$607.061
KS$593.531
KY$587.511
LA$585.44–$619.932
MA$684.88–$770.552
MD$661.07–$763.323
ME$603.86–$646.062
MI$603.26–$638.032
MN$666.261
MO$571.90–$625.513
MS$569.661
MT$653.981
NC$611.691
ND$649.821
NE$603.921
NH$677.451
NJ$711.41–$752.802
NM$606.141
NV$653.411
NY$622.23–$775.605
OH$602.411
OK$588.921
OR$649.53–$718.932
PA$604.93–$680.642
PR$660.411
RI$673.831
SC$607.831
SD$649.331
TN$596.731
TX$600.07–$687.728
UT$617.661
VA$641.84–$763.322
VI$660.411
VT$644.591
WA$684.47–$790.112
WI$624.211
WV$579.261
WY$652.171

Explore 53855 on the national rate map →

Where does this rate apply?

Redding is a Medicare payment area. Our Census mapping connects it to 32 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 53855 in Redding, the physician’s office rate is $708.62 and the facility-setting rate is $70.56: a difference of $638.06.

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 53855 in Redding. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$779.48

$708.62 × 110% = $779.48

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 53855 in Redding.

PPRRVU2026_Oct_nonQPP.csv

6,230

Code
53855
Physician work
1.60
Practice expense
17.77
Malpractice
0.21

GPCI2026.csv

19

Locality
Redding
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office / nonfacility calculation for 53855 in Redding
ComponentRVULocality factorAdjusted
Physician work1.60× 1.0171.6272
Practice expense17.77× 1.09619.4759
Malpractice0.21× 0.5360.1126
Total RVUs21.2157
Conversion factor× 33.4009

Office / nonfacility rate, Redding$708.62

Open 53855 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.61.017
Practice expense17.771.096
Malpractice0.210.536

(1.6 × 1.017 + 17.77 × 1.096 + 0.21 × 0.536) × $33.4009 = $708.62

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.61.017
Practice expense0.341.096
Malpractice0.210.536

(1.6 × 1.017 + 0.34 × 1.096 + 0.21 × 0.536) × $33.4009 = $70.56

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

53855 · Office / nonfacility

$708.62

Effective 2026-10-01

The base rate is $58.66 higher than on 2025-10-01, moving from $649.96 to $708.62 (9.0%).

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

    $649.96changed to$708.62

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.64 changed to 1.60
    • Practice expense RVU 16.76 changed to 17.77
    • Malpractice RVU 0.20 changed to 0.21
    • 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: $649.96

    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$708.62$70.56RVU26D
2026-07-01$708.62$70.56RVU26C
2026-04-01$708.62$70.56RVU26B
2026-01-01$708.62$70.56RVU26A
2025-10-01$649.96$78.27RVU25D
2025-07-01$649.96$78.27RVU25C
2025-04-01$649.96$78.27RVU25B
2025-01-01$649.96$78.27RVU25A

53855 billing questions

How does this differ from prostate tissue treatment codes?

This code represents placement of a prostatic urethral stent to maintain an open channel. Codes such as 53850, 53852, and 53854 describe prostate tissue treatment methods instead.

What documentation supports the service?

Document the obstructive indication, the stent placed and its prostatic location, and the procedural details confirming insertion.

Can modifier 50 be reported?

No. CMS identifies bilateral adjustment as inapplicable because this is not a bilateral procedure.

Is same-day care included in the procedure?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

When is an assistant-at-surgery payable?

Only when medical necessity for the assistant is documented. Co-surgeons and team surgery are not permitted 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 53855PPRRVU2026_Oct_nonQPP.csv, line 6,230 (RVU26D)
Geographic factors for ReddingGPCI2026.csv, line 19 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet