No office rate
52601 is for the initial electrosurgical prostate resection; 52630 is for resection of recurrent obstructing tissue or regrowth.
On this page
CMS RVU26D · Effective 2026-10-01
52601 TURP Medicare reimbursement rates in Connecticut
Reports electrosurgical removal of obstructing prostate tissue through the urethra, typically to relieve urinary symptoms from benign prostatic enlargement. Compare 52601 office and facility rates across CMS payment localities in Connecticut.
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.
What does Medicare pay for 52601 in Connecticut?
Connecticut has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
No supported rate
Facility setting
$553.61
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology surgery
About 52601: Initial transurethral prostate resection
Reports electrosurgical removal of obstructing prostate tissue through the urethra, typically to relieve urinary symptoms from benign prostatic enlargement.
A urologist performs this transurethral electrosurgical resection to remove prostate tissue obstructing urinary flow, most often for benign prostatic enlargement. The procedure is commonly performed in an operating room with endoscopic visualization; removed tissue may be sent for pathology. The service includes associated cystourethroscopy and control of postoperative bleeding when part of the TURP service.
Report 52601 for the initial electrosurgical resection, not a later procedure to remove recurrent prostate tissue. The operative report should support the indication and describe the resection performed. Medicare assigns a 90-day global period: the day-before preoperative visit and related postoperative care during that period are 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 multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 52601
- 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 RVU9.75 · 62%
- Practice expense (office) RVU4.74 · 30%
- Malpractice RVU1.26 · 8%
40.3K
Medicare services in 2024 · #866 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.
52601 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
52648 describes laser vaporization of prostate tissue, rather than electrosurgical resection.
No office rate
52649 describes laser enucleation; 52601 is the electrosurgical resection approach.
No office rate
52640 treats a bladder neck contracture. Use 52601 when the operation resects obstructing prostate tissue instead.
Compare 52601 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Connecticut →
Office / nonfacility
Unavailable
Facility
$553.61
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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 52601 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,165
- Code
- 52601
- Physician work
- 9.75
- Practice expense
- 4.74
- Malpractice
- 1.26
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.75 | × 1.020 | 9.9450 |
| Practice expense | 4.74 | × 1.077 | 5.1050 |
| Malpractice | 1.26 | × 1.210 | 1.5246 |
| Total RVUs | 16.5746 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Connecticut$553.61
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.75 | 1.02 |
| Practice expense | 4.74 | 1.077 |
| Malpractice | 1.26 | 1.21 |
(9.75 × 1.02 + 4.74 × 1.077 + 1.26 × 1.21) × $33.4009 = $553.61
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.
52601 billing questions
When should 52601 be used instead of 52630?
Use 52601 for the initial electrosurgical resection. Code 52630 describes a later resection for recurrent obstructing prostate tissue or regrowth.
Is cystourethroscopy separately reportable with the TURP?
Cystourethroscopy associated with the TURP is included in the service. The same code also includes associated control of postoperative bleeding.
Does 52601 have a global period?
Yes. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during the 90 days.
Can modifier 50 be reported?
No. The bilateral adjustment does not apply to this prostate procedure, so modifier 50 is inappropriate.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for 52601. Co-surgeons and team surgery are not permitted for this service.
How is 52601 paid 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 multiple-procedure reduction.
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.
6,16252500,,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
6,16852648,,Laser surgery of prostate,A,,9.80,4.75,NA,4.75,,1.27,15.82,15.82,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
3501112,CA,70,YUBA CITY,1.017,1.096,0.536
3601112,CA,75,REST OF CALIFORNIA,1.017,1.096,0.536
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808