No office rate
Use 55881 for the transurethral thermal ultrasound approach. Code 55880 describes transrectal high-intensity focused ultrasound ablation.
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CMS RVU26D · Effective 2026-10-01
55881 Prostate ablation Medicare reimbursement rates in Florida
Reports transurethral thermal ultrasound ablation of prostate tissue, with imaging guidance included when performed, rather than transrectal HIFU or another ablation method. Compare 55881 office and facility rates across CMS payment localities in Florida.
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 55881 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$8899.23–$9699.04
3 of 3 localities have a supported rate.
Facility setting
$447.34–$495.68
3 of 3 localities have a supported rate.
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.
Where 55881 pays more and less in Florida
3 payment localities
$8899.23 to $9699.04
Urology procedure
About 55881: Transurethral thermal ultrasound prostate ablation
Reports transurethral thermal ultrasound ablation of prostate tissue, with imaging guidance included when performed, rather than transrectal HIFU or another ablation method.
A urologist delivers thermal ultrasound to prostate tissue through a transurethral device to ablate the targeted tissue. The procedure is typically performed in a hospital or ambulatory surgical setting; imaging guidance used during treatment is part of the service when performed. The operative record should identify the ablation method and document the treated prostate tissue and treatment session.
Report 55881 for the transurethral thermal ultrasound approach, not for transrectal HIFU or prostate removal. Imaging guidance performed as part of the ablation is included. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and the others are subject to the standard 50% reduction. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 55881
- 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 RVU9.56 · 3%
- Practice expense (office) RVU266.75 · 96%
- Malpractice RVU1.24 · 0%
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.
55881 compared with similar codes
Office rates for Florida, from the same CMS release.
$5,491.45–$5,990.70
Code 55873 represents prostate cryoablation; 55881 uses thermal ultrasound delivered transurethrally.
No office rate
Code 55877 describes percutaneous irreversible electroporation. Select 55881 when the documented technique is transurethral thermal ultrasound.
Compare 55881 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$9419.71
Facility
$463.90
Miami →
Office / nonfacility
$9699.04
Facility
$495.68
Rest Of Florida →
Office / nonfacility
$8899.23
Facility
$447.34
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55881 billing questions
How is 55881 different from 55880?
55881 describes transurethral thermal ultrasound ablation. Code 55880 is for prostate ablation using high-intensity focused ultrasound delivered transrectally.
Can imaging guidance be billed separately?
Imaging guidance performed as part of the transurethral thermal ultrasound ablation is included in 55881.
Should modifier 50 be appended for treatment on both sides?
No. Modifier 50 is inappropriate for this service; the code is not reported as a bilateral procedure.
Is an assistant at surgery payable?
No. Medicare's statutory restriction bars assistant-at-surgery payment for 55881.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple-procedure reduction.
What documentation supports reporting 55881?
Document the transurethral thermal ultrasound technique, the prostate tissue treated, and the procedure performed. The record should distinguish this approach from transrectal HIFU and other prostate ablation methods.
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.
6,39455876,,Place rt device/marker pros,A,,1.69,2.65,,0.84,,0.19,4.53,2.72,0,000,0.00,0.00,0.00,2,0,1,1,1,9,,33.4009,09,0,99,0.00,0.00,0.00
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