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CMS RVU26D · Effective 2026-10-01

55877 Prostate ablation Medicare reimbursement rates in Indiana

Percutaneous irreversible electroporation treats one or more prostate tumors with needle-delivered electrical pulses, including imaging guidance when performed. Compare 55877 office and facility rates across CMS payment localities in Indiana.

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 55877 in Indiana?

Indiana 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

$631.55

1 of 1 localities have a supported rate.

Payment area: Indiana

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.

Find 55877 in your payment locality →

Urology procedure

About 55877: Percutaneous prostate tumor electroporation ablation

Percutaneous irreversible electroporation treats one or more prostate tumors with needle-delivered electrical pulses, including imaging guidance when performed.

A urologist uses percutaneously placed electrodes to deliver electrical pulses that disrupt tumor-cell membranes in one or more prostate tumors. This irreversible electroporation approach is used for targeted treatment of prostate cancer and differs from techniques that destroy tissue by freezing or focused ultrasound. Imaging guidance is included when performed. The service is generally performed in a procedural or surgical setting.

Report one unit for the treatment of one or more tumors; document the percutaneous approach, irreversible electroporation method, treated tumor site or sites, and any imaging guidance. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. 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 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 55877

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 RVU13.50 · 67%
  • Practice expense (office) RVU4.99 · 25%
  • Malpractice RVU1.61 · 8%

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.

55877 compared with similar codes

Office rates for Indiana, from the same CMS release.

55873

Prostate cryoablation

Ultrasound-guided freeze treatment

$5,283.47

Choose 55877 for percutaneous irreversible electroporation; 55873 describes prostate cryoablation.

55880

Prostate HIFU

Transrectal malignant tissue ablation

No office rate

55880 is for transrectal high-intensity focused ultrasound ablation of malignant prostate tissue. 55877 is the percutaneous irreversible electroporation service.

55881

Prostate ablation

Transurethral thermal ultrasound

$8,598.72

55881 describes a transurethral prostate tissue ablation approach. Use 55877 for percutaneous irreversible electroporation.

55882

Prostate ablation

Transurethral transducer method

$8,936.78

55882 describes a transurethral prostate tissue ablation approach. Use 55877 for percutaneous irreversible electroporation.

Compare 55877 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

Office and facility base rates · shared scale starting at $0
  • Indiana →

    Office / nonfacility

    Unavailable

    Facility

    $631.55

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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 55877 in Indiana.

PPRRVU2026_Oct_nonQPP.csv

6,395

Code
55877
Physician work
13.50
Practice expense
4.99
Malpractice
1.61

GPCI2026.csv

52

Locality
Indiana
Physician work
1.000
Practice expense
0.927
Malpractice
0.486
Facility calculation for 55877 in Indiana
ComponentRVULocality factorAdjusted
Physician work13.50× 1.00013.5000
Practice expense4.99× 0.9274.6257
Malpractice1.61× 0.4860.7825
Total RVUs18.9082
Conversion factor× 33.4009

Facility rate, Indiana$631.55

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.
Explore RVUs, geographic factors and the full formula

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work13.51
Practice expense4.990.927
Malpractice1.610.486

(13.5 × 1 + 4.99 × 0.927 + 1.61 × 0.486) × $33.4009 = $631.55

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.

55877 billing questions

Does the number of tumors change the units reported?

The descriptor covers treatment of one or more tumors, so report one unit for the session rather than a unit for each tumor. Document the treated tumor or tumors.

Can imaging guidance be billed separately?

Imaging guidance, when performed for this ablation, is included in 55877. Document the guidance used as part of the procedure.

How is 55877 different from prostate cryoablation?

55877 describes percutaneous irreversible electroporation using electrical pulses. Code 55873 describes prostate cryoablation, which uses freezing.

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 surgeon or co-surgeon be reported?

CMS does not pay an assistant at surgery for 55877. Co-surgeons and team surgery are not permitted.

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.

RVUs for 55877PPRRVU2026_Oct_nonQPP.csv, line 6,395 (RVU26D)
Geographic factors for IndianaGPCI2026.csv, line 52 (RVU26D)