No office rate
Choose 52648 for laser vaporization and 52649 for laser enucleation. The operative method, not simply use of a laser, distinguishes the codes.
On this page
CMS RVU26D · Effective 2026-10-01
52648 Laser prostate surgery Medicare reimbursement rates in Guam
Transurethral laser vaporization removes obstructive prostate tissue for benign enlargement when the surgeon vaporizes tissue rather than resecting or enucleating it. Compare 52648 office and facility rates across CMS payment localities in Guam.
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 52648 in Guam?
Guam 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
$532.28
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 52648: Transurethral laser vaporization of prostate
Transurethral laser vaporization removes obstructive prostate tissue for benign enlargement when the surgeon vaporizes tissue rather than resecting or enucleating it.
A urologist performs this transurethral procedure to relieve obstruction from benign prostate enlargement, often in a patient with bothersome urinary symptoms or retention. The surgeon directs laser energy through an endoscope to vaporize the obstructive tissue. It is performed in an operating room or other surgical setting; unlike tissue-removing techniques, vaporization does not typically yield a resection specimen for pathology.
Report 52648 when the operative technique is laser vaporization, not transurethral resection or laser enucleation. The operative report should identify the laser vaporization method, treated prostate tissue, and the clinical indication. The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 52648
- 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 RVU9.80 · 62%
- Practice expense (office) RVU4.75 · 30%
- Malpractice RVU1.27 · 8%
14.7K
Medicare services in 2024 · #1262 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.
52648 compared with similar codes
Office rates for Guam, from the same CMS release.
No office rate
52648 represents laser vaporization; 52601 represents transurethral resection. Match the code to the technique documented in the operative report.
No office rate
52630 is for treating residual or regrown prostate tissue after prior surgery. 52648 describes laser vaporization for the current obstructive prostate condition.
Compare 52648 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
Hawaii, Guam →
Office / nonfacility
Unavailable
Facility
$532.28
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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 52648 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,168
- Code
- 52648
- Physician work
- 9.80
- Practice expense
- 4.75
- Malpractice
- 1.27
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 9.80 | × 1.000 | 9.8000 |
| Practice expense | 4.75 | × 1.137 | 5.4008 |
| Malpractice | 1.27 | × 0.579 | 0.7353 |
| Total RVUs | 15.9361 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$532.28
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 9.8 | 1 |
| Practice expense | 4.75 | 1.137 |
| Malpractice | 1.27 | 0.579 |
(9.8 × 1 + 4.75 × 1.137 + 1.27 × 0.579) × $33.4009 = $532.28
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.
52648 billing questions
How does 52648 differ from 52649?
52648 is for laser vaporization of obstructive prostate tissue. Use 52649 when the surgeon performs laser enucleation instead.
How does 52648 differ from TURP, code 52601?
52648 describes laser vaporization; 52601 describes transurethral resection. Select the code that matches the operative technique documented.
Is control of bleeding included?
Control of bleeding associated with the prostate procedure is included in 52648; it is not separately reported as another prostate procedure.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can modifier 50 or an assistant-at-surgery claim be used?
Modifier 50 is not appropriate for this prostate procedure. Medicare does not pay an assistant-at-surgery claim for 52648.
How are other procedures in the same session paid?
The highest-valued procedure is paid in full; other procedures in the session are subject to the standard 50% 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.
6,16552601,,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
6,16952649,,Prostate laser enucleation,A,,12.68,5.36,NA,5.36,,1.63,19.67,19.67,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17052700,,Drainage of prostate abscess,A,,7.30,3.91,NA,3.91,,0.93,12.14,12.14,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,17153000,,Incision of urethra,A,,2.27,1.60,NA,1.60,,0.28,4.15,4.15,0,010,0.10,0.80,0.10,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014