55860 Surgical exposure prostate
Also known as: prostate exposure, surgical exposure
Surgical exposure of prostate with urinary diversion or fistula closure for complex pathology.
In Plain Language
surgical opening to prostate
Clinical Context
Surgical exposure of prostate for complex reconstruction, fistula repair, or diversion procedures.
RVU Breakdown
| Work RVU | 15.44 |
| Total RVU | 15.44 |
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 15.44, this code ranks in the 74th percentile among Surgery codes — 1.9x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 55860?
CPT 55860 (Surgical exposure prostate) is a Surgery code. Surgical exposure of prostate with urinary diversion or fistula closure for complex pathology.
What is the wRVU value for CPT 55860?
The work RVU for CPT 55860 is 15.44. This code is primarily used by Urology. It has a 90-day global period.
When is CPT 55860 used?
Surgical exposure of prostate for complex reconstruction, fistula repair, or diversion procedures.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against MGMA data — all in one app.
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.