CPT Code 55711Complete Billing & Coding Guide (2026)Bx prst8 trct mri-us 1st
About CPT 55711
CPT 55711 is a Current Procedural Terminology code in the Surgery (Urinary/Reproductive) category maintained by the American Medical Association. The CMS short descriptor reads "Bx prst8 trct mri-us 1st". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
Documentation specificity, correct ICD-10 linkage, and modifier accuracy determine whether 55711 pays cleanly or triggers a denial. Verify CMS National Physician Fee Schedule status, applicable Medicare LCDs, and any payer-specific medical policies before submission.
Verify the current CMS National Physician Fee Schedule and any local Medicare Administrative Contractor LCDs before billing 55711. Commercial payer medical policies can impose additional bundling, prior authorization, or documentation requirements beyond national rules.
Code Properties
RVU Breakdown
Every CPT code’s Medicare payment is calculated from three Relative Value Unit components: physician work, practice expense, and malpractice. Together they multiply by the conversion factor to produce the payment amount.
Payment = Total RVU × Conversion Factor ($33.4009) × Geographic Adjustment (GPCI). National averages shown. Actual payment varies by locality.
Medicare Payment by State
Medicare adjusts payment by locality based on GPCI (Geographic Practice Cost Index). Higher cost-of-living areas like California and New York pay more. Rural states pay less. Top 12 states shown.
Showing top 12 of 53 states. Full locality data available in CMS PFS Locality file.
Applicable Modifiers
Modifiers commonly paired with 55711 based on its category. Apply only when the clinical circumstance warrants. Incorrect modifier use is a top audit target.
Modifier 24, 79, 78, and 58 on global-period claims are the highest-recovery surgical billing levers. 55711 carries a 000 global indicator. Our team flags every encounter inside an active global period for the right modifier decision.
Find the revenue leakage in your 55711 claims.
Wrong modifier, missing documentation, bundling without justification, stale ICD-10 linkage: these are the silent revenue killers on Surgery (Urinary/Reproductive) claims. Our AAPC-certified team audits your last 90 days of 55711 claims, surfaces the recoverable dollars, and appeals them. Free, no obligation.
Losing revenue on CPT 55711? We’ll find it.
We audit your last 90 days of claims and surface the recoverable revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.
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Related CPT Codes
Codes in the same family as 55711
Everything about CPT 55711
What does CPT code 55711 cover?
CPT 55711 is a Current Procedural Terminology code in the Surgery (Urinary/Reproductive) category maintained by the American Medical Association. The CMS short descriptor reads "Bx prst8 trct mri-us 1st". For the full AMA long descriptor and clinical guidance, refer to the current CPT code manual.
What is the Medicare payment for CPT 55711?
The national average Medicare payment for CPT 55711 is approximately $367.41 in a non-facility setting and $135.61 in a facility setting. Actual payment varies by locality based on GPCI adjustments. Total RVU is 11 with a conversion factor of $33.4009.
What is the global period for CPT 55711?
CPT 55711 has a 0-day global period (indicator 000). Same-day E/M is bundled into the procedure, but office visits the next day or after are separately billable for unrelated care. Use modifier 24 for unrelated E/M during the global period.
CPT codes and descriptions are copyright of the American Medical Association. RVU values reflect current CMS publications. Actual payment varies by locality. Commercial payer rates vary by contract.
Free 90-Day AR Recovery Audit
We audit your last 90 days of claims and surface the revenue leakage: wrong modifiers, missed bundling appeals, ICD-10 specificity gaps. AAPC-certified coders. 2.49% of collections. No setup fees.