BPH Procedural Treatment: The Case for Value-Based Pay for Performance

Table 1

2008 Medicare physician payment data for BPH procedural therapies (figures are derived using the CMS listing for the 2008 fee schedule, the 2008 conversion factor, and the RBRVS formula).

CPT code/procedure	Nonfacility Medicare payment schedule 2008	Facility Medicare payment schedule 2008
52601 (TURP complete)	N/A	$783.11
52647 (Indigo laser)	$2457.86	$606.77
52648 (contact laser vaporization of prostate)	$2498.50	$648.11
52649 (laser Enucleation of the Prostate)	N/A	$951.99
55821 (prostatectomy, suprapubic simple)	N/A	$829.45
53850 (microwave thermotherapy)	$2901.75	$536.34
53852 (radiofrequency ablation)	$2891.72	$582.43