$1,436.34
Choose 53850 for microwave thermotherapy and 53852 for radiofrequency thermotherapy; the energy-delivery method distinguishes the procedures.
On this page
CMS RVU26D · Effective 2026-10-01
53850 Prostate treatment Medicare reimbursement rates in Rhode Island
Urologists report transurethral microwave thermotherapy to heat obstructive prostate tissue as a minimally invasive treatment for lower urinary tract symptoms from benign prostatic enlargement. Compare 53850 office and facility rates across CMS payment localities in Rhode Island.
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 53850 in Rhode Island?
Rhode Island 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
$1468.69
1 of 1 localities have a supported rate.
Payment area: Rhode Island
One mapped payment locality.
Facility setting
$336.30
1 of 1 localities have a supported rate.
Payment area: Rhode Island
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 53850: Transurethral microwave prostate treatment
Urologists report transurethral microwave thermotherapy to heat obstructive prostate tissue as a minimally invasive treatment for lower urinary tract symptoms from benign prostatic enlargement.
During transurethral microwave thermotherapy, a urologist passes a treatment catheter through the urethra and delivers microwave energy to heat prostate tissue contributing to bladder-outlet obstruction. The procedure is used for men with bothersome lower urinary tract symptoms associated with benign prostatic enlargement, such as weak stream, hesitancy, or frequency. It is generally performed in an outpatient urology setting.
Report this code for the microwave treatment, not for radiofrequency or water-vapor prostate therapy. Documentation should identify the prostate condition, symptoms, and treatment method. The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery. When other procedures occur in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 53850
- 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 RVU5.28 · 12%
- Practice expense (office) RVU36.78 · 86%
- Malpractice RVU0.67 · 2%
647
Medicare services in 2024 · #3335 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.
53850 compared with similar codes
Office rates for Rhode Island, from the same CMS release.
$3,501.35
CPT 53854 uses radiofrequency-generated water vapor to destroy prostate tissue, while 53850 uses microwave energy delivered by a treatment catheter.
No office rate
CPT 52601 represents transurethral resection of prostate tissue. CPT 53850 is microwave thermotherapy, not tissue resection.
Compare 53850 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
Rhode Island →
Office / nonfacility
$1468.69
Facility
$336.30
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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 53850 in Rhode Island.
PPRRVU2026_Oct_nonQPP.csv
6,227
- Code
- 53850
- Physician work
- 5.28
- Practice expense
- 36.78
- Malpractice
- 0.67
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.28 | × 1.019 | 5.3803 |
| Practice expense | 36.78 | × 1.033 | 37.9937 |
| Malpractice | 0.67 | × 0.892 | 0.5976 |
| Total RVUs | 43.9717 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Rhode Island$1468.69
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.28 | 1.019 |
| Practice expense | 36.78 | 1.033 |
| Malpractice | 0.67 | 0.892 |
(5.28 × 1.019 + 36.78 × 1.033 + 0.67 × 0.892) × $33.4009 = $1468.69
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.28 | 1.019 |
| Practice expense | 3.96 | 1.033 |
| Malpractice | 0.67 | 0.892 |
(5.28 × 1.019 + 3.96 × 1.033 + 0.67 × 0.892) × $33.4009 = $336.30
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.
53850 billing questions
How does this differ from CPT 53852?
CPT 53850 is for microwave thermotherapy. CPT 53852 is for transurethral radiofrequency thermotherapy.
How does this differ from CPT 53854?
CPT 53854 describes prostate tissue destruction using radiofrequency-generated water vapor. CPT 53850 uses microwave energy delivered through a treatment catheter.
Should modifier 50 be appended?
No. The descriptor and anatomy make bilateral adjustment inappropriate.
What postoperative care is included?
The 90-day global includes the day-before preoperative visit and related postoperative care during the 90 days after surgery.
What happens when another procedure is performed in the same session?
The highest-valued procedure is paid in full, and other procedures are subject to the standard multiple-procedure reduction.
What should the record support?
Document the prostate condition and symptoms, and identify microwave thermotherapy as the treatment performed.
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.
6,22453660,,Dilation of urethra,A,,0.69,1.59,,0.35,,0.08,2.36,1.12,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22553661,,Dilation of urethra,A,,0.70,1.54,,0.30,,0.08,2.32,1.08,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,22653665,,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
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193
9012502,PA,99,REST OF PENNSYLVANIA,1.000,0.918,0.945
9109202,PR,20,PUERTO RICO,1.000,1.011,0.985
9214412,RI,01,RHODE ISLAND,1.019,1.033,0.892
9311202,SC,01,SOUTH CAROLINA,1.000,0.924,0.850
9403402,SD,02,SOUTH DAKOTA**,1.000,1.000,0.336
9510312,TN,35,TENNESSEE,1.000,0.909,0.537