$9,971.55
Both treat prostate tissue through a transurethral approach. Use 55882 for the transducer-based method and 55881 when the documented technique is thermal ultrasound.
On this page
CMS RVU26D · Effective 2026-10-01
55882 Prostate ablation Medicare reimbursement rates in Connecticut
Reports transurethral ablation of prostate tissue using transducers when this approach is selected to treat prostate disease. Compare 55882 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 55882 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
$10363.82
1 of 1 localities have a supported rate.
Payment area: Connecticut
One mapped payment locality.
Facility setting
$554.05
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 procedure
About 55882: Transurethral prostate tissue ablation
Reports transurethral ablation of prostate tissue using transducers when this approach is selected to treat prostate disease.
A urologist performs this procedure by passing a transducer-based ablation device through the urethra to treat prostate tissue. Imaging may be used to guide treatment. The service is performed in an operative setting when ablation, rather than surgical removal of the prostate, is selected for the patient’s prostate disease.
Choose this code based on the transurethral route and transducer-based technique; document the approach, device method, tissue treated, and imaging used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 55882
- 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
- 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 RVU11.21 · 4%
- Practice expense (office) RVU275.71 · 96%
- Malpractice RVU1.58 · 1%
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.
55882 compared with similar codes
Office rates for Connecticut, from the same CMS release.
No office rate
55880 uses a transrectal high-intensity focused ultrasound approach; 55882 uses a transurethral transducer-based approach.
$6,112.02
55873 ablates prostate tissue by cryosurgery. Choose 55882 when the documented service uses the transurethral transducer method instead.
No office rate
55866 reports laparoscopic radical prostatectomy, which removes the prostate. This code reports prostate tissue ablation rather than gland removal.
Compare 55882 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
$10363.82
Facility
$554.05
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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 55882 in Connecticut.
PPRRVU2026_Oct_nonQPP.csv
6,398
- Code
- 55882
- Physician work
- 11.21
- Practice expense
- 275.71
- Malpractice
- 1.58
GPCI2026.csv
38
- Locality
- Connecticut
- Physician work
- 1.020
- Practice expense
- 1.077
- Malpractice
- 1.210
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 11.21 | × 1.020 | 11.4342 |
| Practice expense | 275.71 | × 1.077 | 296.9397 |
| Malpractice | 1.58 | × 1.210 | 1.9118 |
| Total RVUs | 310.2857 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Connecticut$10363.82
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.21 | 1.02 |
| Practice expense | 275.71 | 1.077 |
| Malpractice | 1.58 | 1.21 |
(11.21 × 1.02 + 275.71 × 1.077 + 1.58 × 1.21) × $33.4009 = $10363.82
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 11.21 | 1.02 |
| Practice expense | 3.01 | 1.077 |
| Malpractice | 1.58 | 1.21 |
(11.21 × 1.02 + 3.01 × 1.077 + 1.58 × 1.21) × $33.4009 = $554.05
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.
55882 billing questions
How is this different from 55881?
Both involve transurethral prostate ablation, but 55882 identifies a transducer-based method. Select the code that matches the technique documented in the operative report.
Can imaging guidance be billed separately?
Imaging guidance performed as part of this ablation is included in the service. The operative documentation should identify the guidance used.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
Does the code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and the other procedures are paid at 50%.
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.
6,39555877,,Abltj ire prst8 1+ tum perq,A,,13.50,4.99,NA,4.99,,1.61,20.10,20.10,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39655880,,Abltj mal prst8 tiss hifu,A,,17.29,6.83,NA,6.83,,2.21,26.33,26.33,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39755881,,Ablt trurl prst8 tis thrm us,A,,9.56,266.75,,2.06,,1.24,277.55,12.86,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39855882,,Ablt trurl prst8 tis trnsdcr,A,,11.21,275.71,,3.01,,1.58,288.50,15.80,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,39955899,,Unlisted px male genital sys,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,0,YYY,0.00,0.00,0.00,2,0,0,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40055920,,Place needles pelvic for rt,A,,8.10,2.71,NA,2.71,,0.69,11.50,11.50,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,40155970,,Sex transformation m to f,C,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,YYY,0.00,0.00,0.00,9,9,9,9,9,9,,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