55865 Extensive prostate surgery
Also known as: RP with diversion, prostatectomy with urinary reconstruction
Extensive prostatectomy with complex urinary reconstruction or external diversion.
In Plain Language
prostate removal with urine diversion
Clinical Context
Radical prostatectomy with concurrent urinary diversion or complex reconstruction for cancer.
RVU Breakdown
| Work RVU | 23.96 |
| Total RVU | 23.96 |
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 23.96, this code ranks in the 88th percentile among Surgery codes — 3.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 55865?
CPT 55865 (Extensive prostate surgery) is a Surgery code. Extensive prostatectomy with complex urinary reconstruction or external diversion.
What is the wRVU value for CPT 55865?
The work RVU for CPT 55865 is 23.96. This code is primarily used by Urology, Oncology. It has a 90-day global period.
When is CPT 55865 used?
Radical prostatectomy with concurrent urinary diversion or complex reconstruction for cancer.
Track This Code in RVU Edge
Log procedures, calculate wRVUs, and benchmark against national 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.