No office rate
Use 52597 for robotic waterjet resection. Use 52601 when the prostate tissue is resected transurethrally with an electrosurgical technique.
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CMS RVU26D · Effective 2026-10-01
52597 Prostate resection Medicare reimbursement rates in Iowa
Reports robotic waterjet resection of prostate tissue, including imaging guidance when performed, for patients undergoing surgical treatment of prostate obstruction. Compare 52597 office and facility rates across CMS payment localities in Iowa.
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 52597 in Iowa?
Iowa 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
$508.09
1 of 1 localities have a supported rate.
Payment area: Iowa
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 52597: Robotic waterjet prostate resection
Reports robotic waterjet resection of prostate tissue, including imaging guidance when performed, for patients undergoing surgical treatment of prostate obstruction.
A urologist uses ultrasound imaging to plan treatment and a robotically controlled waterjet to remove prostate tissue, typically to relieve obstruction from benign prostatic enlargement. The procedure is performed in an operating room; the surgeon directs the treatment rather than manually resecting tissue with an electrosurgical loop or laser.
Report 52597 for the robotic waterjet technique, not for electrosurgical resection, laser treatment, or incision alone. The operative record should support the indication, the waterjet method, and the procedure performed. Medicare assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. 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 50% multiple-procedure reduction. Modifier 50 is inappropriate. Medicare does not pay for an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52597
- 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 RVU10.25 · 62%
- Practice expense (office) RVU4.85 · 30%
- Malpractice RVU1.32 · 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.
52597 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
52648 describes laser vaporization of prostate tissue; it is not the robotic waterjet method reported with 52597.
No office rate
52649 is for laser enucleation of prostate tissue. Choose 52597 when the documented procedure uses robotic waterjet resection.
No office rate
52500 is for transurethral incision of the prostate, rather than resection of prostate tissue with a robotic waterjet.
Compare 52597 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
Iowa →
Office / nonfacility
Unavailable
Facility
$508.09
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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 52597 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,164
- Code
- 52597
- Physician work
- 10.25
- Practice expense
- 4.85
- Malpractice
- 1.32
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 10.25 | × 1.000 | 10.2500 |
| Practice expense | 4.85 | × 0.915 | 4.4377 |
| Malpractice | 1.32 | × 0.397 | 0.5240 |
| Total RVUs | 15.2118 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Iowa$508.09
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 10.25 | 1 |
| Practice expense | 4.85 | 0.915 |
| Malpractice | 1.32 | 0.397 |
(10.25 × 1 + 4.85 × 0.915 + 1.32 × 0.397) × $33.4009 = $508.09
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.
52597 billing questions
How does 52597 differ from electrosurgical TURP?
52597 identifies robotic waterjet resection. Electrosurgical transurethral prostate resection is reported with 52601.
Is imaging guidance included?
Imaging guidance is included when performed as part of the robotic waterjet resection; it is not a separate unit of 52597.
Can modifier 50 be used?
No. The CMS bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.
How are other procedures in the same session paid?
Medicare pays the highest-valued procedure in full and applies the standard multiple-procedure reduction to the others.
Does Medicare pay for an assistant or co-surgeon?
Medicare does not pay for an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days.
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.
6,16152450,,Transurethral inc prostate,A,,7.59,4.53,NA,4.53,,0.99,13.11,13.11,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16252500,,Trurl resection bladder neck,A,,5.85,3.94,NA,3.94,,0.76,10.55,10.55,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,1635250F,,Asthma discharge plan presnt,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16452597,,Trurl rbtc wtrjt rescj prst8,A,,10.25,4.85,NA,4.85,,1.32,16.42,16.42,0,090,0.08,0.83,0.09,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16552601,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136