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CPT code 52000: Cystoscopy, diagnostic examination only2026 Medicare rate & RVUs in King County, WA

Report diagnostic cystourethroscopy to inspect the urethra and bladder when no more extensive cystourethroscopic procedure includes the examination during the same session.

CMS RVU26DEffective Oct 1, 2026One payment locality826.9K Medicare services in 2024

In King County, WA, Medicare pays $253.20 for 52000 in the office and $75.75 when it’s performed in a hospital or facility.

$253.20Office (non-facility)
$75.75Hospital or facility
+17.3%vs the national office rate ($215.77)

Check a contract rate as a % of Medicare · 52000 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 52000 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in King County, WA
  2. What 52000 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 52000 covers

The clinician passes a flexible or rigid cystoscope through the urethra to inspect the urethral lining, bladder neck, bladder walls, and ureteral orifices. Urologists perform the examination most often, sometimes in an office using topical anesthetic gel and a flexible scope. It may also be performed in a hospital or ambulatory surgery center. Common reasons include hematuria, bladder cancer surveillance, recurrent urinary tract infections, voiding symptoms, and suspected urethral stricture.

Report 52000 for a diagnostic examination when a more extensive cystourethroscopy does not include it during the same session. A biopsy, ureteral catheterization, or clot evacuation performed through the scope calls for the applicable procedure code instead. Document the indication, structures examined, and findings. Its 0-day global period includes routine same-day preoperative and postoperative care; a significant, separately identifiable E/M service may be reported with modifier 25. When other procedures are separately reportable in the same session, the standard multiple-procedure rule pays the highest-valued procedure in full and others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted. Office practice expense is higher than facility practice expense.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How King County, WA compares for 52000

Across 109 of 109 payment localities, the office rate for 52000 runs from $190.07 in Arkansas to $288.57 in San Benito County, CA. King County, WA pays $253.20. The RVUs are the same everywhere; the geographic indexes change the dollars.

52000 in King County, WA vs other payment areas
  1. King County, WA · this page$253.20
  2. Rest of Washington · Washington$223.26−$29.94
  3. Los Angeles, CA · California$244.72−$8.48
  4. Washington, DC area · District of Columbia$247.57−$5.63
  5. Miami, FL · Florida$232.52−$20.68
  6. Chicago, IL · Illinois$225.57−$27.63
  7. Manhattan, NY · New York$248.68−$4.52

Other areas in Washington first, then benchmark localities. Bars start at $0.

Every other payment area

52000 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$248.01$93.98
AlabamaAlabama$192.96$66.41
ArkansasArkansas$190.07$65.83
ArizonaArizona$209.87$69.73
Bakersfield, CACalifornia$229.40$70.89
Chico, CACalifornia$228.81$70.30
El Centro, CACalifornia$228.84$70.33
Fresno, CACalifornia$228.81$70.30

52000 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$190.07

$258.69

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
52000 office rate range by state
State / territoryOffice rate rangeLocalities
AK$248.011
AL$192.961
AR$190.071
AZ$209.871
CA$228.81–$288.5729
CO$225.101
CT$230.441
DC$247.571
DE$213.431
FL$212.12–$232.523
GA$199.85–$219.812
GU$234.781
HI$234.781
IA$198.201
ID$199.501
IL$205.67–$225.584
IN$200.711
KS$197.161
KY$197.521
LA$197.17–$207.282
MA$223.65–$247.982
MD$217.63–$247.573
ME$200.50–$211.872
MI$202.77–$214.782
MN$215.691
MO$193.61–$208.143
MS$191.881
MT$215.761
NC$202.681
ND$211.801
NE$199.351
NH$221.471
NJ$233.07–$244.852
NM$203.891
NV$214.811
NY$205.82–$254.795
OH$201.961
OK$197.231
OR$213.15–$232.542
PA$202.34–$224.492
PR$217.421
RI$221.251
SC$202.661
SD$211.331
TN$198.181
TX$200.96–$224.358
UT$205.531
VA$211.10–$247.572
VI$217.421
VT$210.881
WA$223.26–$253.202
WI$204.461
WV$197.781
WY$214.031

See 52000 in every payment locality

How the 52000 rate is calculated

Each of 52000’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 52000

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.49

1.49 RVUs× 1.000 GPCI

Practice expense4.77

4.77 RVUs× 1.000 GPCI

Malpractice0.20

0.20 RVUs× 1.000 GPCI

Adjusted RVUs

6.4600

Conversion factor

$33.4009

Medicare rate

$215.77

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact King County, WA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,105

Code
52000
Physician work
1.49
Practice expense
4.77
Malpractice
0.20

GPCI2026.csv

108

Locality
King County, WA
Physician work
1.050
Practice expense
1.227
Malpractice
0.817
Office calculation for 52000 in King County, WA
ComponentRVULocality factorAdjusted
Physician work1.49× 1.0501.5645
Practice expense4.77× 1.2275.8528
Malpractice0.20× 0.8170.1634
Total RVUs7.5807
Conversion factor× 33.4009

Office rate, King County, WA$253.20

Office: (1.49 × 1.05 + 4.77 × 1.227 + 0.2 × 0.817) × $33.4009 = $253.20

Facility: (1.49 × 1.05 + 0.44 × 1.227 + 0.2 × 0.817) × $33.4009 = $75.75

Open 52000 in the RVU calculator

Payment rules and modifiers for 52000

The CMS indicators that decide how 52000 is paid alongside other services.

CMS payment indicators · 52000

Cystoscopy, diagnostic examination only

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52000 without 51 · national office

$215.77

Cystoscopy, diagnostic examination only

52000-51 · Second procedure: 50%

$107.89

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 52000

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 52000
CodeHow it relatesOffice range, King County, WA
Same family
52001Clot evacuation, multiple obstructing clotsCystourethroscopy with irrigation and evacuation of multiple obstructing clots.$474.10
52005Ureteral catheterization, cystoscopic accessCystourethroscopy with ureteral catheterization, with or without irrigation, instillation, or retrograde pyelography.$326.63
52007Ureteral biopsy, brush biopsy by catheterCystourethroscopy with ureteral catheterization and brush biopsy of the ureter or renal pelvis.$506.64
Used instead
52204Cystoscopic biopsy, bladder tissue samplingReported instead when a biopsy is performed through the scope without a more extensive procedure.$416.44
52224Bladder lesion treatment, lesions under 0.5 cmReported instead when qualifying minor bladder lesions are treated through the scope.$902.71

How 52000 has changed in King County, WA

52000 · Office / nonfacility

$253.20

Effective 2026-10-01

The base rate is $4.04 higher than on 2025-10-01, moving from $249.16 to $253.20 (1.6%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $249.16changed to$253.20

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.53 changed to 1.49
    • Practice expense RVU 4.88 changed to 4.77
    • Malpractice RVU 0.18 changed to 0.20
    • Work GPCI 1.043 changed to 1.050
    • Practice expense GPCI 1.220 changed to 1.227
    • Malpractice GPCI 0.853 changed to 0.817

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $280.66changed to$249.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.47 changed to 4.88
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $276.07changed to$280.66

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $283.67changed to$276.07

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.49 changed to 5.47
    • Work GPCI 1.039 changed to 1.043
    • Practice expense GPCI 1.207 changed to 1.220
    • Malpractice GPCI 0.815 changed to 0.853

  5. January 1, 2023

    RVU23A

    $290.93changed to$283.67

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.59 changed to 5.49
    • Work GPCI 1.036 changed to 1.039
    • Practice expense GPCI 1.194 changed to 1.207
    • Malpractice GPCI 0.776 changed to 0.815

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $276.97changed to$290.93

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.21 changed to 5.59
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $243.20changed to$276.97

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.28 changed to 5.21
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.031 changed to 1.036
    • Practice expense GPCI 1.170 changed to 1.194
    • Malpractice GPCI 0.854 changed to 0.776

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $214.73changed to$243.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.69 changed to 4.28
    • Malpractice RVU 0.17 changed to 0.18
    • Work GPCI 1.027 changed to 1.031
    • Practice expense GPCI 1.146 changed to 1.170
    • Malpractice GPCI 0.931 changed to 0.854

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $187.27changed to$214.73

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.03 changed to 3.69

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $183.78changed to$187.27

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.98 changed to 3.03
    • Work GPCI 1.026 changed to 1.027
    • Practice expense GPCI 1.151 changed to 1.146
    • Malpractice GPCI 0.713 changed to 0.931

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $223.57changed to$183.78

    • Conversion factor 35.8043 changed to 35.8887
    • Work RVU 2.23 changed to 1.53
    • Practice expense RVU 3.32 changed to 2.98
    • Malpractice RVU 0.25 changed to 0.17
    • Work GPCI 1.025 changed to 1.026
    • Practice expense GPCI 1.155 changed to 1.151
    • Malpractice GPCI 0.495 changed to 0.713

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $224.14changed to$223.57

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.31 changed to 3.32
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $223.02changed to$224.14

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $219.96changed to$223.02

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.22 changed to 3.31
    • Malpractice RVU 0.22 changed to 0.26
    • Practice expense GPCI 1.150 changed to 1.155
    • Malpractice GPCI 0.688 changed to 0.495

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $220.50changed to$219.96

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.49 changed to 3.22
    • Malpractice RVU 0.23 changed to 0.22
    • Practice expense GPCI 1.144 changed to 1.150
    • Malpractice GPCI 0.881 changed to 0.688

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $220.50

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$253.20$75.75RVU26D
2026-07-01$253.20$75.75RVU26C
2026-04-01$253.20$75.75RVU26B
2026-01-01$253.20$75.75RVU26A
2025-10-01$249.16$83.42RVU25D
2025-07-01$249.16$83.42RVU25C
2025-04-01$249.16$83.42RVU25B
2025-01-01$249.16$83.42RVU25A
2024-10-01$280.66$85.32RVU24D
2024-07-01$280.66$85.32RVU24C
2024-04-01$280.66$85.32RVU24B
2024-03-09$280.66$85.32RVU24AR
2024-01-01$276.07$83.93RVU24A
2023-10-01$283.67$85.29RVU23D
2023-07-01$283.67$85.29RVU23C
2023-04-01$283.67$85.29RVU23B
2023-01-01$283.67$85.29RVU23A
2022-10-01$290.93$85.99RVU22D
2022-07-01$290.93$85.99RVU22C
2022-04-01$290.93$85.99RVU22B
2022-01-01$290.93$85.99RVU22A
2021-10-01$276.97$86.16RVU21D
2021-07-01$276.97$86.16RVU21C
2021-04-01$276.97$86.16RVU21B
2021-01-01$276.97$86.16RVU21A
2020-10-01$243.20$88.66RVU20D
2020-07-01$243.20$88.66RVU20C
2020-04-01$243.20$88.66RVU20B
2020-01-01$243.20$88.66RVU20A
2019-10-01$214.73$88.77RVU19D
2019-07-01$214.73$88.77RVU19C
2019-04-01$214.73$88.77RVU19B
2019-01-01$214.73$88.77RVU19A
2018-10-01$187.27$90.32RVU18D
2018-07-01$187.27$90.32RVU18C
2018-04-01$187.27$90.32RVU18B
2018-01-01$187.27$90.32RVU18AR1
2017-10-01$183.78$111.91RVU17D
2017-07-01$183.78$111.91RVU17C
2017-04-01$183.78$111.91RVU17B
2017-01-01$183.78$111.91RVU17A
2016-10-01$223.57$133.83RVU16D
2016-07-01$223.57$133.83RVU16C
2016-04-01$223.57$133.83RVU16B
2016-01-01$223.57$133.83RVU16A
2015-10-01$224.14$134.07RVU15D
2015-07-01$224.14$134.07RVU15C
2015-04-01$223.02$133.41RVU15B
2015-01-01$223.02$133.41RVU15A
2014-10-01$219.96$134.27RVU14D
2014-07-01$219.96$134.27RVU14C
2014-04-01$219.96$134.27RVU14B
2014-01-01$219.96$134.27RVU14A
2013-10-01$220.50$131.37RVU13D
2013-07-01$220.50$131.37RVU13C
2013-04-01$220.50$131.37RVU13B
2013-01-01$220.50$131.37RVU13AR

Price 52000 for an earlier date of service

Where the King County, WA rate applies

King County, WA is a Medicare payment area, not a city. Our Census mapping connects it to 63 cities and communities in Washington. Some span more than one payment area; confirm with the service ZIP.

  • Seattle
  • Algona
  • Ames Lake
  • 52000 in Auburn · multiple payment areas
  • Baring
  • Beaux Arts Village
  • Bellevue
  • Black Diamond

Browse all communities in Washington

52000 billing questions

Can this code be billed with a cystoscopic bladder biopsy in the same session?

No. When the biopsy includes the diagnostic examination, report the applicable biopsy code rather than 52000.

Is an E/M visit separately billable on the day of an office cystoscopy?

Yes, if the clinician performs a significant, separately identifiable E/M service beyond routine same-day procedure care. The E/M service may concern the same condition; append modifier 25 to the E/M code.

Should modifier 50 be appended because both ureteral orifices are viewed?

No. Viewing both orifices is part of the examination, and the bilateral adjustment is inappropriate for 52000.

Does it matter whether a flexible or rigid cystoscope is used?

The code is the same for either scope type and for male or female patients. The site of service affects practice expense payment, not code selection.

What if the clinician also catheterizes a ureter for retrograde pyelography?

Report 52005 rather than 52000 for cystourethroscopy with ureteral catheterization. The diagnostic examination is included.

What documentation supports this code?

Record the indication, scope type, structures examined, and findings in the urethra and bladder. Document any additional procedure, since it may determine a different code.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 52000PPRRVU2026_Oct_nonQPP.csv, line 6,105 (RVU26D)
Geographic factors for King County, WAGPCI2026.csv, line 108 (RVU26D)

Open CMS sourceHow we calculate rates

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