$1,317.15
Choose 53852 for radiofrequency thermotherapy; choose 53850 when the operative documentation identifies microwave thermotherapy.
On this page
CMS RVU26D · Effective 2026-10-01
53852 Prostate ablation Medicare reimbursement rates in Idaho
Reports transurethral radiofrequency thermotherapy that destroys prostate tissue, typically to treat urinary symptoms from benign prostatic enlargement. Compare 53852 office and facility rates across CMS payment localities in Idaho.
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 53852 in Idaho?
Idaho 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
$1289.02
1 of 1 localities have a supported rate.
Payment area: Idaho
One mapped payment locality.
Facility setting
$329.67
1 of 1 localities have a supported rate.
Payment area: Idaho
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 53852: Prostate radiofrequency thermotherapy
Reports transurethral radiofrequency thermotherapy that destroys prostate tissue, typically to treat urinary symptoms from benign prostatic enlargement.
A urologist delivers radiofrequency heat through a transurethral device to destroy prostate tissue, generally to relieve lower urinary tract symptoms associated with benign prostatic enlargement. The treatment is performed through the urethra and may occur in an office or facility setting. This code identifies the radiofrequency thermotherapy method, not prostate tissue treatment by microwave energy or radiofrequency-generated water vapor.
Select the code from the documented treatment method; the operative report should identify radiofrequency thermotherapy and describe the procedure performed. The day-before preoperative visit and 90 days of related postoperative care are included in the 90-day global period. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is not appropriate for this prostate procedure. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery are not permitted.
CMS billing rules for 53852
- 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 RVU5.78 · 14%
- Practice expense (office) RVU35.28 · 84%
- Malpractice RVU0.75 · 2%
153
Medicare services in 2024 · #4549 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.
53852 compared with similar codes
Office rates for Idaho, from the same CMS release.
$3,128.14
53854 describes prostate treatment using radiofrequency-generated water vapor, while 53852 identifies radiofrequency thermotherapy by a different method.
$2,203.36
53860 is for transurethral needle ablation. Use 53852 when the documented prostate tissue treatment is radiofrequency thermotherapy.
Compare 53852 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
Idaho →
Office / nonfacility
$1289.02
Facility
$329.67
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 53852 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,228
- Code
- 53852
- Physician work
- 5.78
- Practice expense
- 35.28
- Malpractice
- 0.75
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.78 | × 1.000 | 5.7800 |
| Practice expense | 35.28 | × 0.920 | 32.4576 |
| Malpractice | 0.75 | × 0.473 | 0.3548 |
| Total RVUs | 38.5924 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Idaho$1289.02
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 35.28 | 0.92 |
| Malpractice | 0.75 | 0.473 |
(5.78 × 1 + 35.28 × 0.92 + 0.75 × 0.473) × $33.4009 = $1289.02
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 4.06 | 0.92 |
| Malpractice | 0.75 | 0.473 |
(5.78 × 1 + 4.06 × 0.92 + 0.75 × 0.473) × $33.4009 = $329.67
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.
53852 billing questions
How is this code different from 53850?
53852 identifies prostate tissue treatment using radiofrequency thermotherapy. Use 53850 when the documented method is microwave thermotherapy.
How is this different from 53854?
53854 is for radiofrequency-generated water vapor thermotherapy. Choose 53852 when the documented technique is radiofrequency thermotherapy rather than water vapor treatment.
Should modifier 50 be appended?
No. Modifier 50 is not appropriate for this prostate procedure.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens if another procedure is performed in the same session?
The highest-valued procedure is paid in full; 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.
6,22553661,,Dilation of urethra,A,,0.70,1.54,,0.30,,0.08,2.32,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22653665,,Dilation of urethra,A,,0.74,0.16,NA,0.16,,0.09,0.99,0.99,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22753850,,Prostatic microwave thermotx,A,,5.28,36.78,,3.96,,0.67,42.73,9.91,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22853852,,Prostatic rf thermotx,A,,5.78,35.28,,4.06,,0.75,41.81,10.59,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22953854,,Trurl dstrj prst8 tiss rf wv,A,,5.78,95.13,,4.07,,0.75,101.66,10.60,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23053855,,Insert prost urethral stent,A,,1.60,17.77,,0.34,,0.21,19.58,2.15,0,000,0.00,0.00,0.00,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,23153860,,Transurethral rf treatment,A,,3.87,67.25,,1.69,,0.48,71.60,6.04,0,090,0.08,0.83,0.09,2,0,0,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772