52649 Prostate laser enucleation
Also known as: HoLEP, laser prostate enucleation
Laser prostatectomy with complete enucleation of prostate adenoma using holmium or other laser energy, allowing removal of entire prostate obstructing portion.
In Plain Language
laser removal of entire prostate core
Clinical Context
Excellent for large prostate glands. Enucleated tissue removed via morcellation. Durable symptom relief with lower reoperation rates.
RVU Breakdown
| Work RVU | 12.68 |
| Total RVU | 12.68 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 12.68, this code ranks in the 67th percentile among Surgery codes — 1.6x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52649?
CPT 52649 (Prostate laser enucleation) is a Surgery code. Laser prostatectomy with complete enucleation of prostate adenoma using holmium or other laser energy, allowing removal of entire prostate obstructing portion.
What is the wRVU value for CPT 52649?
The work RVU for CPT 52649 is 12.68. This code is primarily used by Urology. It has a 90-day global period.
When is CPT 52649 used?
Excellent for large prostate glands. Enucleated tissue removed via morcellation. Durable symptom relief with lower reoperation rates.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.