Billing code 52601: TURPMedicare rate & RVUs in Illinois
Reports electrosurgical removal of obstructing prostate tissue through the urethra, typically to relieve urinary symptoms from benign prostatic enlargement.
CMS doesn’t publish an office rate for 52601 in Illinois.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 52601 covers
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.
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.
Where 52601 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | Unavailable | $583.64 |
| East St. Louis | Unavailable | $556.07 |
| Rest Of Illinois | Unavailable | $535.98 |
| Suburban Chicago | Unavailable | $565.11 |
How the 52601 rate is calculated
Each of 52601’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 52601
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 9.75Practice expense 4.74Malpractice 1.26
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 52601
52601 has a 90-day global period: related visits in that window are included in the surgery payment.
CMS payment indicators · 52601
TURP
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 090 | Major surgery: the day before, the day of, and 90 days after are included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
| Split (54/55/56) | 0.08/0.83/0.09 | Share of the payment for pre-op, the procedure itself, and post-op care. |
Global surgery period · 52601
TURP
90-day global period ends
Dec 30, 2026
Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).
Visit on Oct 31, 2026
Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.
Pre-op dayGlobal period
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52601 without 51 · national facility
$526.06
TURP
52601-51 · Second procedure: 50%
$263.03
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
52601 compared with similar codes
Compare codes
52601 vs 52630 vs 52648 vs 52649 vs 52640: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 52630Prostate resection
- 52601 is for the initial electrosurgical prostate resection; 52630 is for resection of recurrent obstructing tissue or regrowth.
- 52648Laser prostate surgery
- 52648 describes laser vaporization of prostate tissue, rather than electrosurgical resection.
- 52649Laser enucleation
- 52649 describes laser enucleation; 52601 is the electrosurgical resection approach.
- 52640Bladder neck treatment
- 52640 treats a bladder neck contracture. Use 52601 when the operation resects obstructing prostate tissue instead.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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