$792.47
52441 represents the first implant. Use 52442 for each additional implant placed in the same treatment session.
On this page
CMS RVU26D · Effective 2026-10-01
52441 Prostate implant Medicare reimbursement rates in Ohio
A urologist places the first implant to hold enlarged prostate tissue away from the urethra when treating urinary symptoms from benign prostatic enlargement. Compare 52441 office and facility rates across CMS payment localities in Ohio.
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 52441 in Ohio?
Ohio 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
$1149.71
1 of 1 localities have a supported rate.
Payment area: Ohio
One mapped payment locality.
Facility setting
$180.88
1 of 1 localities have a supported rate.
Payment area: Ohio
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 52441: Transprostatic implant placement, first implant
A urologist places the first implant to hold enlarged prostate tissue away from the urethra when treating urinary symptoms from benign prostatic enlargement.
This endoscopic treatment places an implant that retracts obstructing prostate tissue and helps open the urinary channel. Urologists use it for lower urinary tract symptoms associated with benign prostatic enlargement. The procedure is commonly performed in an outpatient clinic or facility, with a cystoscope passed through the urethra to position the implant in the prostate.
Report 52441 for the first implant placed; report 52442 for each additional implant. The operative record should support the indication, endoscopic approach, and number of implants placed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate for this service. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52441
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- 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 RVU3.90 · 10%
- Practice expense (office) RVU32.90 · 88%
- Malpractice RVU0.48 · 1%
14.3K
Medicare services in 2024 · #1283 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.
52441 compared with similar codes
Office rates for Ohio, from the same CMS release.
No office rate
52450 describes transurethral incision of the prostate; 52441 places an implant to retract obstructing tissue.
No office rate
52601 is transurethral resection of prostate tissue. Use 52441 when the treatment is implant placement rather than tissue resection.
$3,119.30
53854 treats prostate tissue with water-vapor thermal therapy. 52441 is selected when the procedure places a transprostatic implant.
Compare 52441 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
Ohio →
Office / nonfacility
$1149.71
Facility
$180.88
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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 52441 in Ohio.
PPRRVU2026_Oct_nonQPP.csv
6,158
- Code
- 52441
- Physician work
- 3.90
- Practice expense
- 32.90
- Malpractice
- 0.48
GPCI2026.csv
85
- Locality
- Ohio
- Physician work
- 1.000
- Practice expense
- 0.913
- Malpractice
- 1.008
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.90 | × 1.000 | 3.9000 |
| Practice expense | 32.90 | × 0.913 | 30.0377 |
| Malpractice | 0.48 | × 1.008 | 0.4838 |
| Total RVUs | 34.4215 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Ohio$1149.71
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 32.9 | 0.913 |
| Malpractice | 0.48 | 1.008 |
(3.9 × 1 + 32.9 × 0.913 + 0.48 × 1.008) × $33.4009 = $1149.71
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.9 | 1 |
| Practice expense | 1.13 | 0.913 |
| Malpractice | 0.48 | 1.008 |
(3.9 × 1 + 1.13 × 0.913 + 0.48 × 1.008) × $33.4009 = $180.88
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.
52441 billing questions
When should 52442 be reported with 52441?
Report 52441 for the first implant and 52442 for each additional implant placed during the procedure. Document the total number placed.
How does this differ from transurethral incision of the prostate?
52441 places an implant to retract prostate tissue. Transurethral incision opens the obstructed channel by cutting prostate tissue rather than placing an implant.
Is same-day postoperative care separately reported?
No. The 0-day global period includes same-day preoperative and postoperative care.
Can modifier 50 be used?
No. CMS identifies bilateral adjustment as inapplicable because the descriptor or anatomy makes modifier 50 inappropriate.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code. 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.
6,15552356,,Cysto/uretero w/lithotripsy,A,,7.80,2.11,NA,2.11,,1.02,10.93,10.93,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15652400,,Cysto cgen post urtl valves,A,,8.47,3.26,NA,3.26,,1.09,12.82,12.82,0,090,0.08,0.83,0.09,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,15752402,,Cysto trurl rescj ejacul dux,A,,5.14,1.12,NA,1.12,,0.65,6.91,6.91,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,15852441,,Cysto insj trnsprstc 1 implt,A,,3.90,32.90,,1.13,,0.48,37.28,5.51,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,15952442,,Cysto ins trnsprstc implt ea,A,,0.98,24.77,,0.21,,0.13,25.88,1.32,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,16052443,,Cysto 1st trurl prst8 comis,A,,3.62,172.69,,1.08,,0.46,176.77,5.16,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
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
8213282,NY,99,REST OF NEW YORK,1.000,0.950,0.703
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703