$1,447.09
Choose 53850 when microwave thermotherapy is used. This code is for radiofrequency-generated water vapor.
On this page
CMS RVU26D · Effective 2026-10-01
53854 Prostate ablation Medicare reimbursement rates in Minnesota
Reports transurethral treatment of benign prostatic obstruction using radiofrequency-generated water vapor to ablate prostate tissue and relieve urinary symptoms. Compare 53854 office and facility rates across CMS payment localities in Minnesota.
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 53854 in Minnesota?
Minnesota 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
$3470.05
1 of 1 localities have a supported rate.
Payment area: Minnesota
One mapped payment locality.
Facility setting
$340.36
1 of 1 localities have a supported rate.
Payment area: Minnesota
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 53854: Prostate water-vapor thermal ablation
Reports transurethral treatment of benign prostatic obstruction using radiofrequency-generated water vapor to ablate prostate tissue and relieve urinary symptoms.
A urologist uses a transurethral endoscopic approach to deliver radiofrequency-generated water vapor into prostate tissue. The resulting thermal injury treats benign prostatic enlargement that contributes to lower urinary tract symptoms, such as difficulty emptying the bladder or a weak urinary stream. The service is commonly performed in an outpatient setting, including an office or a hospital or ambulatory surgery facility.
Select this code when the documented prostate tissue treatment uses the water-vapor method, rather than microwave or another radiofrequency technique. The operative record should identify the indication, approach, and treatment method. 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 the others at 50%. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this service, and co-surgeon and team-surgery reporting are not permitted.
CMS billing rules for 53854
- 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 · 6%
- Practice expense (office) RVU95.13 · 94%
- Malpractice RVU0.75 · 1%
5.1K
Medicare services in 2024 · #1856 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.
53854 compared with similar codes
Office rates for Minnesota, from the same CMS release.
$1,413.03
Choose 53852 for radiofrequency thermotherapy that is not the water-vapor method. The treatment technology documented in the operative report separates the codes.
No office rate
Code 52601 represents transurethral resection of prostate tissue. This code represents water-vapor thermal ablation, not resection.
$1,265.77
Code 52441 represents placement of a prostatic urethral lift implant. This code is used when prostate tissue is treated with water-vapor thermal energy instead.
Compare 53854 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
Minnesota →
Office / nonfacility
$3470.05
Facility
$340.36
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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 53854 in Minnesota.
PPRRVU2026_Oct_nonQPP.csv
6,229
- Code
- 53854
- Physician work
- 5.78
- Practice expense
- 95.13
- Malpractice
- 0.75
GPCI2026.csv
66
- Locality
- Minnesota
- Physician work
- 1.000
- Practice expense
- 1.029
- Malpractice
- 0.296
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.78 | × 1.000 | 5.7800 |
| Practice expense | 95.13 | × 1.029 | 97.8888 |
| Malpractice | 0.75 | × 0.296 | 0.2220 |
| Total RVUs | 103.8908 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Minnesota$3470.05
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 95.13 | 1.029 |
| Malpractice | 0.75 | 0.296 |
(5.78 × 1 + 95.13 × 1.029 + 0.75 × 0.296) × $33.4009 = $3470.05
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.78 | 1 |
| Practice expense | 4.07 | 1.029 |
| Malpractice | 0.75 | 0.296 |
(5.78 × 1 + 4.07 × 1.029 + 0.75 × 0.296) × $33.4009 = $340.36
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.
53854 billing questions
How is this code distinguished from 53850 or 53852?
Use this code for radiofrequency-generated water-vapor treatment. Code 53850 identifies microwave treatment, while 53852 identifies radiofrequency thermotherapy without the water-vapor method.
Can routine endoscopic access be billed separately?
Do not assume that routine access or guidance during the prostate treatment is a separate service. A separately reported service must be distinct and supported by the operative documentation.
Should modifier 50 be reported for treatment of both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
What postoperative care is included in the global period?
The 90-day global period includes the day-before preoperative visit and related postoperative care for 90 days after surgery.
How are other same-session procedures paid?
When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and the other procedures at 50%.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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.
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
6,23253865,,Cysto insj dev ischmc rmdlg,A,,3.02,89.00,,0.95,,0.39,92.41,4.36,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6314212,MA,99,REST OF MASSACHUSETTS,1.016,1.053,0.797
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002