Medicare reimbursement
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Aquablation Therapy Receives Category I Code in 2026 Medicare Proposed Physician Fee Schedule
PROCEPT BioRobotics’ Aquablation therapy received a Category I CPT code (52XX1), effective January 1, 2026, replacing the previous Category III code. The 2026 Medicare Proposed Physician Fee Schedule assigns 16.14 RVUs to Aquablation, translating to a $540 average payment, slightly exceeding TURP’s $529. This milestone reflects Aquablation’s clinical value and aims to broaden adoption by urologists, expanding patient access. Proposed payment rates are subject to a public comment period, with the Final Rule expected in November 2025.
