Austin Krishingner

TO ALL UROLOGISTS (sorry for long tweet but please give it a read) The @CMSGov has once again changed some of the RVU values for surgeries and now while I do not perform as many BPH surgeries as I have in the past, I as well as the MAJORITY of practicing urologists, especially generalists are dedicated to the daily care of patients with benign prostatic hyperplasia (BPH). For decades, Transurethral Resection of the Prostate (TURP) has been the gold standard of surgical management for BPH, and it remains the benchmark in the rapidly evolving treatment landscape. The typical operative time for TURP has not changed and the procedure demands continuous mental focus, physical effort, and advanced technical skill. The 2026 proposed rule recommends reducing the value of TURP (CPT 52601) to 10.00 wRVU—down from 13.16 in 2025. This constitutes a cut of nearly 25% in reimbursement and represents a serious miscalculation. The intensity and complexity of performing TURP have not diminished. The work required remains unchanged and should be recognized accordingly. I have seen on several urology forums and chat groups how upset most urologists rightfully are about this, but little has been offered for fixing it. Here is an idea - not by me, but by my friend and excellent Urologist Dr. Michael Tradewell (@doctorT_urology) . His idea which I endorse, is below: I urge CMS to maintain the 2025 TURP value of 13.16 wRVU and to re-scale the remaining 2026 Section II, E, 4(11) Transurethral Robotic-Assisted Resection of Prostate (CPT Codes 52500, 52601, 52630, 52648, 52649, and 52XX1) wRVU valuations using the proposed 2026 values relative to TURP. For example, for aquablation (code 52xx1): 10.25 x 13.16 / 10.00 = 13.49 And for HoLEP (code 52649): 13.00 x 13.16 / 10.00  = 17.108 Adopting these values will provide fair and equitable compensation for the broad range of BPH treatments that urologists deliver now and in the years ahead. Thank you for your consideration. The proposed cuts to TURP are terrible… I submitted a comment to the CMS 2026 Proposed Rule. It was easy. You can do it too. Go to this link and leave a comment. You can leave your own comment but if you agree with his recommended changes feel free to copy/paste that and/or share. federalregister.gov/document… The 2026 CMS proposal was released around 14 days ago and today there are only 300 comments… Urologists have numbers, if we all submit to CMS we can hopefully move the needle in the right direction. Instead of complaining to each other, we have the opportunity to work together and try to help our community by using our voices. #SaveTURP