No office rate
Use 52597 for robotic waterjet resection. Use 52601 when the prostate tissue is resected transurethrally with an electrosurgical technique.
On this page
CMS RVU26D · Effective 2026-10-01
52597 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$536.98
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urology surgery
About 52597: Robotic waterjet prostate resection
Reports robotic waterjet resection of prostate tissue, including imaging guidance when performed, for patients undergoing surgical treatment of prostate obstruction.
A urologist uses ultrasound imaging to plan treatment and a robotically controlled waterjet to remove prostate tissue, typically to relieve obstruction from benign prostatic enlargement. The procedure is performed in an operating room; the surgeon directs the treatment rather than manually resecting tissue with an electrosurgical loop or laser.
Report 52597 for the robotic waterjet technique, not for electrosurgical resection, laser treatment, or incision alone. The operative record should support the indication, the waterjet method, and the procedure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. When other procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52597
- 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 RVU10.25 · 62%
- Practice expense (office) RVU4.85 · 30%
- Malpractice RVU1.32 · 8%
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.
52597 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
No office rate
52648 describes laser vaporization of prostate tissue; it is not the robotic waterjet method reported with 52597.
No office rate
52649 is for laser enucleation of prostate tissue. Choose 52597 when the documented procedure uses robotic waterjet resection.
No office rate
52500 is for transurethral incision of the prostate, rather than resection of prostate tissue with a robotic waterjet.
The same code, a different location
How does Wyoming** compare?
52597 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Alabama
Alabama · 52597
Office
Unavailable
Facility
$509.06
No comparable office rate is available.
Arkansas
Arkansas · 52597
Office
Unavailable
Facility
$504.22
No comparable office rate is available.
Arizona
Arizona · 52597
Office
Unavailable
Facility
$537.07
No comparable office rate is available.
Bakersfield
California · 52597
Office
Unavailable
Facility
$553.26
No comparable office rate is available.
Chico
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
El Centro
California · 52597
Office
Unavailable
Facility
$549.58
No comparable office rate is available.
Fresno
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Hanford-Corcoran
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Madera
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Merced
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Modesto
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Napa
California · 52597
Office
Unavailable
Facility
$599.83
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52597
Office
Unavailable
Facility
$570.89
No comparable office rate is available.
Redding
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Rest Of California
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52597
Office
Unavailable
Facility
$563.68
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52597
Office
Unavailable
Facility
$566.72
No comparable office rate is available.
Salinas
California · 52597
Office
Unavailable
Facility
$564.36
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52597
Office
Unavailable
Facility
$570.27
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52597
Office
Unavailable
Facility
$623.53
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52597
Office
Unavailable
Facility
$622.03
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52597
Office
Unavailable
Facility
$637.25
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52597
Office
Unavailable
Facility
$631.12
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52597
Office
Unavailable
Facility
$556.32
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52597
Office
Unavailable
Facility
$570.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52597
Office
Unavailable
Facility
$564.46
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52597
Office
Unavailable
Facility
$575.19
No comparable office rate is available.
Stockton
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Vallejo
California · 52597
Office
Unavailable
Facility
$597.67
No comparable office rate is available.
Visalia
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Yuba City
California · 52597
Office
Unavailable
Facility
$549.36
No comparable office rate is available.
Colorado
Colorado · 52597
Office
Unavailable
Facility
$553.26
No comparable office rate is available.
Connecticut
Connecticut · 52597
Office
Unavailable
Facility
$577.02
No comparable office rate is available.
Delaware
Delaware · 52597
Office
Unavailable
Facility
$543.76
No comparable office rate is available.
Fort Lauderdale
Florida · 52597
Office
Unavailable
Facility
$586.17
No comparable office rate is available.
Rest Of Florida
Florida · 52597
Office
Unavailable
Facility
$563.49
No comparable office rate is available.
Atlanta
Georgia · 52597
Office
Unavailable
Facility
$560.92
No comparable office rate is available.
Rest Of Georgia
Georgia · 52597
Office
Unavailable
Facility
$539.41
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52597
Office
Unavailable
Facility
$552.07
No comparable office rate is available.
Iowa
Iowa · 52597
Office
Unavailable
Facility
$508.09
No comparable office rate is available.
Idaho
Idaho · 52597
Office
Unavailable
Facility
$512.25
No comparable office rate is available.
East St. Louis
Illinois · 52597
Office
Unavailable
Facility
$580.19
No comparable office rate is available.
Rest Of Illinois
Illinois · 52597
Office
Unavailable
Facility
$559.17
No comparable office rate is available.
Suburban Chicago
Illinois · 52597
Office
Unavailable
Facility
$589.25
No comparable office rate is available.
Indiana
Indiana · 52597
Office
Unavailable
Facility
$513.96
No comparable office rate is available.
Kansas
Kansas · 52597
Office
Unavailable
Facility
$511.02
No comparable office rate is available.
Kentucky
Kentucky · 52597
Office
Unavailable
Facility
$526.71
No comparable office rate is available.
New Orleans
Louisiana · 52597
Office
Unavailable
Facility
$544.88
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52597
Office
Unavailable
Facility
$527.96
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52597
Office
Unavailable
Facility
$589.06
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52597
Office
Unavailable
Facility
$553.56
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52597
Office
Unavailable
Facility
$576.20
No comparable office rate is available.
Rest Of Maryland
Maryland · 52597
Office
Unavailable
Facility
$550.19
No comparable office rate is available.
Rest Of Maine
Maine · 52597
Office
Unavailable
Facility
$518.82
No comparable office rate is available.
Southern Maine
Maine · 52597
Office
Unavailable
Facility
$530.72
No comparable office rate is available.
Detroit
Michigan · 52597
Office
Unavailable
Facility
$573.02
No comparable office rate is available.
Rest Of Michigan
Michigan · 52597
Office
Unavailable
Facility
$540.04
No comparable office rate is available.
Minnesota
Minnesota · 52597
Office
Unavailable
Facility
$522.10
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52597
Office
Unavailable
Facility
$537.55
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52597
Office
Unavailable
Facility
$540.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 52597
Office
Unavailable
Facility
$524.94
No comparable office rate is available.
Mississippi
Mississippi · 52597
Office
Unavailable
Facility
$514.42
No comparable office rate is available.
Montana**
Montana · 52597
Office
Unavailable
Facility
$548.35
No comparable office rate is available.
North Carolina
North Carolina · 52597
Office
Unavailable
Facility
$521.67
No comparable office rate is available.
North Dakota**
North Dakota · 52597
Office
Unavailable
Facility
$522.25
No comparable office rate is available.
Nebraska
Nebraska · 52597
Office
Unavailable
Facility
$508.55
No comparable office rate is available.
New Hampshire
New Hampshire · 52597
Office
Unavailable
Facility
$549.57
No comparable office rate is available.
Northern Nj
New Jersey · 52597
Office
Unavailable
Facility
$598.93
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52597
Office
Unavailable
Facility
$581.32
No comparable office rate is available.
New Mexico
New Mexico · 52597
Office
Unavailable
Facility
$543.86
No comparable office rate is available.
Nevada**
Nevada · 52597
Office
Unavailable
Facility
$541.24
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52597
Office
Unavailable
Facility
$638.76
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52597
Office
Unavailable
Facility
$588.50
No comparable office rate is available.
Queens
New York · 52597
Office
Unavailable
Facility
$619.32
No comparable office rate is available.
Rest Of New York
New York · 52597
Office
Unavailable
Facility
$527.25
No comparable office rate is available.
Ohio
Ohio · 52597
Office
Unavailable
Facility
$534.70
No comparable office rate is available.
Oklahoma
Oklahoma · 52597
Office
Unavailable
Facility
$521.28
No comparable office rate is available.
Portland
Oregon · 52597
Office
Unavailable
Facility
$560.62
No comparable office rate is available.
Rest Of Oregon
Oregon · 52597
Office
Unavailable
Facility
$534.70
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52597
Office
Unavailable
Facility
$569.76
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52597
Office
Unavailable
Facility
$532.73
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52597
Office
Unavailable
Facility
$549.56
No comparable office rate is available.
Rhode Island
Rhode Island · 52597
Office
Unavailable
Facility
$555.53
No comparable office rate is available.
South Carolina
South Carolina · 52597
Office
Unavailable
Facility
$529.52
No comparable office rate is available.
South Dakota**
South Dakota · 52597
Office
Unavailable
Facility
$519.17
No comparable office rate is available.
Tennessee
Tennessee · 52597
Office
Unavailable
Facility
$513.29
No comparable office rate is available.
Austin
Texas · 52597
Office
Unavailable
Facility
$553.50
No comparable office rate is available.
Beaumont
Texas · 52597
Office
Unavailable
Facility
$530.73
No comparable office rate is available.
Brazoria
Texas · 52597
Office
Unavailable
Facility
$540.02
No comparable office rate is available.
Dallas
Texas · 52597
Office
Unavailable
Facility
$544.62
No comparable office rate is available.
Fort Worth
Texas · 52597
Office
Unavailable
Facility
$543.57
No comparable office rate is available.
Galveston
Texas · 52597
Office
Unavailable
Facility
$542.46
No comparable office rate is available.
Houston
Texas · 52597
Office
Unavailable
Facility
$566.63
No comparable office rate is available.
Rest Of Texas
Texas · 52597
Office
Unavailable
Facility
$535.90
No comparable office rate is available.
Utah
Utah · 52597
Office
Unavailable
Facility
$534.23
No comparable office rate is available.
Virginia
Virginia · 52597
Office
Unavailable
Facility
$532.73
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52597
Office
Unavailable
Facility
$549.56
No comparable office rate is available.
Vermont
Vermont · 52597
Office
Unavailable
Facility
$525.04
No comparable office rate is available.
Rest Of Washington
Washington · 52597
Office
Unavailable
Facility
$550.94
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52597
Office
Unavailable
Facility
$594.27
No comparable office rate is available.
Wisconsin
Wisconsin · 52597
Office
Unavailable
Facility
$511.13
No comparable office rate is available.
West Virginia
West Virginia · 52597
Office
Unavailable
Facility
$546.22
No comparable office rate is available.
See how rates vary across the country
52597 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 52597 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$590.68
$536.98 × 110% = $590.68
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 52597 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,164
- Code
- 52597
- Physician work
- 10.25
- Practice expense
- 4.85
- Malpractice
- 1.32
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.25 | × 1.000 | 10.2500 |
| Practice expense | 4.85 | × 1.000 | 4.8500 |
| Malpractice | 1.32 | × 0.740 | 0.9768 |
| Total RVUs | 16.0768 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$536.98
Open 52597 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.25 | 1 |
| Practice expense | 4.85 | 1 |
| Malpractice | 1.32 | 0.74 |
(10.25 × 1 + 4.85 × 1 + 1.32 × 0.74) × $33.4009 = $536.98
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
52597 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
No ratechanged toNo rate
Held through RVU26B, RVU26C, RVU26D.
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 from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $536.98 | RVU26D |
| 2026-07-01 | Not available in this setting | $536.98 | RVU26C |
| 2026-04-01 | Not available in this setting | $536.98 | RVU26B |
| 2026-01-01 | Not available in this setting | $536.98 | RVU26A |
| 2025-10-01 | Not in this release | Not in this release | RVU25D |
| 2025-07-01 | Not in this release | Not in this release | RVU25C |
| 2025-04-01 | Not in this release | Not in this release | RVU25B |
| 2025-01-01 | Not in this release | Not in this release | RVU25A |
52597 billing questions
How does 52597 differ from electrosurgical TURP?
52597 identifies robotic waterjet resection. Electrosurgical transurethral prostate resection is reported with 52601.
Is imaging guidance included?
Imaging guidance is included when performed as part of the robotic waterjet resection; it is not a separate unit of 52597.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others.
Does Medicare pay for an assistant or co-surgeon?
Medicare does not pay for an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense, and malpractice RVUs, adjusted by each locality’s geographic indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,16152450,,Transurethral inc prostate,A,,7.59,4.53,NA,4.53,,0.99,13.11,13.11,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16252500,,Trurl resection bladder neck,A,,5.85,3.94,NA,3.94,,0.76,10.55,10.55,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,1635250F,,Asthma discharge plan presnt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16452597,,Trurl rbtc wtrjt rescj prst8,A,,10.25,4.85,NA,4.85,,1.32,16.42,16.42,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16552601,,Prostatectomy (turp),A,,9.75,4.74,NA,4.74,,1.26,15.75,15.75,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16652630,,Remove prostate regrowth,A,,6.39,4.04,NA,4.04,,0.83,11.26,11.26,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16752640,,Relieve bladder contracture,A,,4.67,3.79,NA,3.79,,0.59,9.05,9.05,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,