Billing code 55882: Prostate ablationMedicare rate & RVUs in Ohio
Reports transurethral ablation of prostate tissue using transducers when this approach is selected to treat prostate disease.
Medicare pays $8,835.40 for 55882 in the office in Ohio (Ohio). Which amount applies depends on the service address.
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 55882 covers
A urologist performs this procedure by passing a transducer-based ablation device through the urethra to treat prostate tissue. Imaging may be used to guide treatment. The service is performed in an operative setting when ablation, rather than surgical removal of the prostate, is selected for the patient’s prostate disease.
Choose this code based on the transurethral route and transducer-based technique; document the approach, device method, tissue treated, and imaging used. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one 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.
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.
55882 in Ohio
| Payment locality | Office | Facility |
|---|---|---|
| Ohio | $8,835.40 | $519.41 |
How the 55882 rate is calculated
Each of 55882’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 · 55882
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 11.21Practice expense 275.71Malpractice 1.58
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 55882
The CMS indicators that decide how 55882 is paid alongside other services.
CMS payment indicators · 55882
Prostate ablation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is 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. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
55882 without 51 · national office
$9,636.16
Prostate ablation
55882-51 · Second procedure: 50%
$4,818.08
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%).
55882 compared with similar codes
Compare codes
55882 vs 55881 vs 55880 vs 55873 vs 55866: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 55881Prostate ablation
- Both treat prostate tissue through a transurethral approach. Use 55882 for the transducer-based method and 55881 when the documented technique is thermal ultrasound.
- 55880Prostate HIFU
- 55880 uses a transrectal high-intensity focused ultrasound approach; 55882 uses a transurethral transducer-based approach.
- 55873Prostate cryoablation
- 55873 ablates prostate tissue by cryosurgery. Choose 55882 when the documented service uses the transurethral transducer method instead.
- 55866Prostatectomy
- 55866 reports laparoscopic radical prostatectomy, which removes the prostate. This code reports prostate tissue ablation rather than gland removal.
55882 billing questions
How is this different from 55881?
Both involve transurethral prostate ablation, but 55882 identifies a transducer-based method. Select the code that matches the technique documented in the operative report.
Can imaging guidance be billed separately?
Imaging guidance performed as part of this ablation is included in the service. The operative documentation should identify the guidance used.
Should modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this code and anatomy.
Does the code have a postoperative global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service. Co-surgeons and team surgery are not permitted.
What happens when another procedure is performed in the same session?
CMS applies the standard multiple procedure reduction: the highest-valued procedure is paid in full, and the other procedures are paid at 50%.
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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