{
    "code": "52601",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/52601/2022/A",
    "release_specific_url": "https://localishealth.com/cpt/52601/2022/D",
    "description": "The classic operation for an enlarged prostate: a resectoscope is passed up the urethra and an electrified wire loop shaves away the prostate tissue crowding the channel, chip by chip, until urine can flow freely again. The pieces are washed out, bleeding vessels are cauterized, and a catheter is left in for a day or two. This code covers the complete operation as a single unit, including the scope work, any stretching or opening of the urethra needed to get instruments in, and control of bleeding during the same session.",
    "answer": {
        "question": "How much did Medicare pay for CPT 52601 in Q4 2022?",
        "text": "Medicare paid $736.77 for CPT 52601 in the office (non-facility) setting and $736.77 in a facility under the Q4 2022 Physician Fee Schedule, effective October 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 0.5%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2022,
        "quarter": "D",
        "label": "Q4 2022",
        "effective": "October 1 – December 31, 2022",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 736.77,
        "facility": 736.77,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 13.16,
        "practice_expense_non_facility": 6.58,
        "practice_expense_facility": 6.58,
        "malpractice": 1.55
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 34.6062,
    "source": {
        "label": "Physician relative value file (Q4 2022)",
        "cms_url": "https://www.cms.gov/files/zip/rvu22d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2022/D",
        "file": "PPRRVU22_OCT.csv",
        "row": 10900,
        "sha256": "f8774a019545e1fd71536837b20b74674c014b1acef3435d93456857885190ab"
    },
    "modified_at": "2026-08-04T03:12:03+00:00"
}