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53855 Insert prostate urethral stent

Surgery Global 0d

Also known as: prostatic urethral stent insertion, UroLume stent, permanent stent

Transurethral insertion of a permanent or semi-permanent prostatic urethral stent to relieve obstruction from benign prostatic hyperplasia.

In Plain Language

placing permanent tube in prostate to improve urine flow

Clinical Context

Used for benign prostatic hyperplasia in patients unable or unwilling to undergo standard procedures. Self-expanding metal stent maintains patency.

RVU Breakdown

Work RVU1.60
Total RVU1.60

Est. Medicare Payment

$53.44

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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.

How This Code Compares

With a work RVU of 1.60, this code ranks in the 10th percentile among Surgery codes — 5.0x below the median (8.00). The highest wRVU in this category is 106.19.

Specialties

UrologyMinimally Invasive SurgeryStent Placement

Frequently Asked Questions

What is CPT code 53855?

CPT 53855 (Insert prostate urethral stent) is a Surgery code. Transurethral insertion of a permanent or semi-permanent prostatic urethral stent to relieve obstruction from benign prostatic hyperplasia.

What is the wRVU value for CPT 53855?

The work RVU for CPT 53855 is 1.60. This code is primarily used by Urology, Minimally Invasive Surgery, Stent Placement.

When is CPT 53855 used?

Used for benign prostatic hyperplasia in patients unable or unwilling to undergo standard procedures. Self-expanding metal stent maintains patency.

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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.