PROCEPT BioRobotics Corporation announced on July 14, 2025, that Aquablation therapy was assigned a Category I Current Procedural Terminology (CPT) code, effective January 1, 2026. This new code, 52XX1, will replace the existing Category III CPT code 0421T as the primary code for Aquablation therapy.
The 2026 Medicare Proposed Physician Fee Schedule (PFS) includes payment rates for this new Category I code, assigning it 16.14 total Relative Value Units (RVUs), which translates to an approximate national average of $540. This payment is comparable to Transurethral Resection of the Prostate (TURP), which was assigned 15.82 total RVUs, translating to approximately $529.
Securing a Category I CPT Code is a major milestone that recognizes the clinical value and widespread use of Aquablation therapy, supporting surgeon adoption and broadening patient access. This transition is expected to reduce administrative burdens and ensure consistent reimbursement for both surgeons and hospitals, reinforcing Aquablation therapy's progress toward becoming the BPH surgical standard of care.
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