CPT code 52500: Bladder neck resection2026 Medicare rate & RVUs in Alaska
Reports endoscopic removal of obstructing bladder-neck tissue, such as tissue narrowing the outlet and impeding urine flow.
CMS doesn’t publish an office rate for 52500 in Alaska.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 52500 covers
A urologist performs this endoscopic operation through the urethra, using a resectoscope to remove obstructing tissue at the bladder neck. It is used for bladder-neck narrowing that blocks urine flow, including a bladder-neck contracture. The procedure is typically performed in an operating room under anesthesia.
Report 52500 when the operative work removes obstructing tissue at the bladder neck, rather than resecting obstructive prostate tissue. The operative report should identify the bladder-neck site and describe the resection and its purpose. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and applies the standard reduction to the others. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
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.
52500 in Alaska*
| Payment locality | Office | Facility |
|---|---|---|
| Alaska* | Unavailable | $447.23 |
How the 52500 rate is calculated
Each of 52500’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 52500
RVUs × geographic indexes × conversion factor
Work5.85
5.85 RVUs× 1.000 GPCI
Practice expense3.94
3.94 RVUs× 1.000 GPCI
Malpractice0.76
0.76 RVUs× 1.000 GPCI
Adjusted RVUs
10.5500
Conversion factor
$33.4009
Medicare rate
$352.38
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52500
52500 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 52500
Bladder neck resection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 52500
Bladder neck resection
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52500 without 51 · national facility
$352.38
Bladder neck resection
52500-51 · Second procedure: 50%
$176.19
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
52500 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 52601TURP
- Choose 52601 when the surgeon resects obstructive prostate tissue as a complete prostate procedure. Choose 52500 when the resection is at the bladder neck.
- 52450Prostate incision
- 52450 is an incision procedure directed at the prostate. 52500 involves resection of obstructing tissue at the bladder neck.
- 52630Prostate resection
- 52630 addresses residual or regrown obstructive prostate tissue after prior treatment. 52500 targets obstructing tissue at the bladder neck.
52500 billing questions
How does 52500 differ from a prostate resection?
Use 52500 for resection of obstructing tissue at the bladder neck. A prostate resection code applies when the operative target is obstructive prostate tissue.
Can modifier 50 be reported?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Does Medicare pay an assistant surgeon?
No. A statutory restriction bars assistant-at-surgery payment for 52500. Co-surgeons and team surgery are also 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.
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 other procedures.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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