CPT code 52005: Ureteral catheterization, cystoscopic access2026 Medicare rate & RVUs in South Dakota

In South Dakota, Medicare pays $274.14 for 52005 in the office and $113.14 when it’s performed in a hospital or facility.

Check a contract rate as a % of Medicare · 52005 nationwide

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

What 52005 covers

A urologist passes a cystoscope through the urethra to inspect the bladder and guide a catheter into a ureter. The catheter may be used for irrigation, instillation, or contrast injection for retrograde evaluation of the ureter and collecting system. This service commonly supports evaluation of suspected obstruction, stones, or narrowing and may be performed in an operating room or another setting equipped for cystoscopy and imaging.

Report the service when the ureteral catheterization is performed; the cystoscopic access is part of the service, not a separate diagnostic cystoscopy. Document the ureter accessed and the catheterization and any irrigation, instillation, or retrograde study performed. Radiologic services are separate from this code. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Do not use modifier 50 for bilateral catheterization. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery reporting are not permitted.

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 South Dakota compares for 52005

Across 109 of 109 payment localities, the office rate for 52005 runs from $248.55 in Arkansas to $370.19 in San Benito County, CA. South Dakota pays $274.14. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52005 rates by state

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

See 52005 in every payment locality

How the 52005 rate is calculated

Each of 52005’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.

Payment rules and modifiers for 52005

The CMS indicators that decide how 52005 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52005

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

How 52005 has changed in South Dakota

Price 52005 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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

Open CMS sourceHow we calculate rates