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See a sample rate comparisonCPT 53850 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Transurethr Destruct Of Prostat Tissue; By Microwav Thermothera, Transurethral Destruction Of Prostate Tissue; By Microwave Thermothera
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 58 - Staged or related procedure during postoperative period |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53850 |
| Medicaid Fee Schedule | View Medicaid rates for 53850 |
National average reimbursement for CPT 53850 by major payers:
$2,179.43
$2,705.32
$2,462.83
$1,118.94
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CPT 53850
5 of 25 sample ratesHigher to lower in this preview
Linden Surgical Center, LLC
Linden Surgical Center LLC
$1,869.00Published rateOptimum Surgical Center, LLC, Nascent Paradise Valley Surgical Center
Optimum Surgical Center LLC
$947.00Published rateAffiliated Physicians & Surgeons, Ltd
Affiliated Physicians Surgeons Ltd
$669.00Published rateSurgery Center Of Northern Colorado, Eye Center Of Northen Colorado Surgery Center
Surgery Center Of Northern Colorado
$555.00Published rateRiverwalk Ambulatory Surgery Center LLC
Riverwalk Ambulatory Surgery Center, LLC
$435.00Published rate
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See a sample payer proposalCPT 53850 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53850 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 53850 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 53850-CPT | High | Transurethr Destruct Of Prostat Tissue; By Microwav Thermothera, Transurethral Destruction Of Prostate Tissue; By Microwave Thermothera |
| 53852-CPT | High | Transurethr Destruct Of Prostat Tissue; By Radiofrequ Thermo, Transurethral Destruction Of Prostate Tissue; By Radiofrequency Thermo |
| 53854-CPT | High | Trurl Dstrj Prst8 Tiss Rf Wv, Destruction Of Prostate Tissue Accessed Through Urethra Using Radiofrequency Generated Water Vapor Heat Therapy |
| 53855-CPT | Moderate | Insert Device To Pass Urine, Insertion Of A Temporary Device To Hold Open The Urinary Tract (Stent). This Helps Urine Flow Past An Enlarged Prostate Gland. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53850. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53850 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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