CPT code 52005: Ureteral catheterization, cystoscopic access2026 Medicare rate & RVUs in Utah
Report cystourethroscopy with ureteral catheterization to access a ureter for drainage, instillation, irrigation, or retrograde evaluation.
In Utah, Medicare pays $267.96 for 52005 in the office and $116.62 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.
On this page 11 sections
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 Utah 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. Utah pays $267.96. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$267.96
- Los Angeles, CA · California$315.93+$47.97
- Washington, DC area · District of Columbia$320.31+$52.35
- Miami, FL · Florida$303.32+$35.36
- Chicago, IL · Illinois$294.62+$26.66
- Manhattan, NY · New York$322.57+$54.61
- Alaska · Alaska$327.39+$59.43
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $252.15 | $111.28 |
| ArkansasArkansas | $248.55 | $110.26 |
| ArizonaArizona | $273.17 | $117.17 |
| Bakersfield, CACalifornia | $296.84 | $120.40 |
| Chico, CACalifornia | $295.98 | $119.53 |
| El Centro, CACalifornia | $296.03 | $119.58 |
| Fresno, CACalifornia | $295.98 | $119.53 |
| Hanford, CACalifornia | $295.98 | $119.53 |
| Madera, CACalifornia | $295.98 | $119.53 |
| Merced, CACalifornia | $295.98 | $119.53 |
| Modesto, CACalifornia | $295.98 | $119.53 |
| Napa, CACalifornia | $342.27 | $130.08 |
| Oxnard, CACalifornia | $314.33 | $124.04 |
| Redding, CACalifornia | $295.98 | $119.53 |
| Rest of CaliforniaCalifornia | $295.98 | $119.53 |
| Riverside, CACalifornia | $299.13 | $122.68 |
| Sacramento, CACalifornia | $310.43 | $123.19 |
| Salinas, CACalifornia | $309.27 | $122.68 |
| San Diego, CACalifornia | $316.42 | $123.87 |
| Marin County, CACalifornia | $362.08 | $135.09 |
| San Francisco, CACalifornia | $361.76 | $134.76 |
| San Benito County, CACalifornia | $370.19 | $138.04 |
| Santa Clara County, CACalifornia | $368.84 | $136.69 |
| San Luis Obispo, CACalifornia | $304.31 | $120.94 |
| Santa Cruz, CACalifornia | $319.34 | $123.74 |
| Santa Maria, CACalifornia | $310.39 | $122.67 |
| Santa Rosa, CACalifornia | $322.56 | $124.86 |
| Stockton, CACalifornia | $295.98 | $119.53 |
| Vallejo, CACalifornia | $341.79 | $129.60 |
| Visalia, CACalifornia | $295.98 | $119.53 |
| Yuba City, CACalifornia | $295.98 | $119.53 |
| ColoradoColorado | $291.77 | $120.47 |
| ConnecticutConnecticut | $299.06 | $125.67 |
| DelawareDelaware | $277.65 | $118.59 |
| Fort Lauderdale, FLFlorida | $290.91 | $127.83 |
| Rest of FloridaFlorida | $276.92 | $123.01 |
| Atlanta, GAGeorgia | $285.85 | $122.28 |
| Rest of GeorgiaGeorgia | $261.50 | $117.90 |
| Hawaii, Guam, HIHawaii | $303.03 | $119.98 |
| IowaIowa | $258.26 | $110.95 |
| IdahoIdaho | $259.96 | $111.85 |
| East St. Louis, ILIllinois | $274.89 | $126.78 |
| Rest of IllinoisIllinois | $269.17 | $122.18 |
| Suburban Chicago, ILIllinois | $293.82 | $128.48 |
| IndianaIndiana | $261.45 | $112.21 |
| KansasKansas | $257.17 | $111.63 |
| KentuckyKentucky | $258.24 | $115.12 |
| New Orleans, LALouisiana | $270.46 | $118.96 |
| Rest of LouisianaLouisiana | $257.88 | $115.40 |
| Metropolitan Boston, MAMassachusetts | $320.25 | $128.02 |
| Rest of MassachusettsMassachusetts | $290.10 | $120.58 |
| Baltimore area, MDMaryland | $298.24 | $125.49 |
| Rest of MarylandMaryland | $282.87 | $119.95 |
| Rest of MaineMaine | $261.41 | $113.30 |
| Southern Maine, MEMaine | $275.25 | $115.71 |
| Detroit, MIMichigan | $280.43 | $125.07 |
| Rest of MichiganMichigan | $264.96 | $117.98 |
| MinnesotaMinnesota | $279.37 | $113.71 |
| Metropolitan Kansas City, MOMissouri | $268.53 | $117.36 |
| Metropolitan St. Louis, MOMissouri | $271.29 | $118.02 |
| Rest of MissouriMissouri | $253.58 | $114.81 |
| MississippiMississippi | $251.11 | $112.50 |
| MontanaMontana | $280.55 | $119.56 |
| North CarolinaNorth Carolina | $264.09 | $113.89 |
| North DakotaNorth Dakota | $274.81 | $113.82 |
| NebraskaNebraska | $259.63 | $111.03 |
| New HampshireNew Hampshire | $287.30 | $119.71 |
| Northern New JerseyNew Jersey | $317.08 | $130.33 |
| Rest of New JerseyNew Jersey | $302.42 | $126.61 |
| New MexicoNew Mexico | $266.44 | $118.81 |
| NevadaNevada | $279.14 | $117.99 |
| NYC suburbs and Long Island, NYNew York | $330.42 | $139.00 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $304.48 | $128.19 |
| Queens, NYNew York | $325.04 | $134.75 |
| Rest of New YorkNew York | $268.00 | $115.06 |
| OhioOhio | $263.79 | $116.80 |
| OklahomaOklahoma | $257.68 | $113.91 |
| Portland, OROregon | $300.83 | $121.96 |
| Rest of OregonOregon | $276.92 | $116.57 |
| Metropolitan Philadelphia, PAPennsylvania | $291.77 | $124.18 |
| Rest of PennsylvaniaPennsylvania | $264.15 | $116.36 |
| Puerto RicoPuerto Rico | $282.55 | $119.79 |
| Rhode IslandRhode Island | $287.38 | $121.08 |
| South CarolinaSouth Carolina | $264.39 | $115.63 |
| South DakotaSouth Dakota | $274.14 | $113.14 |
| TennesseeTennessee | $258.45 | $112.11 |
| Austin, TXTexas | $290.85 | $120.52 |
| Beaumont, TXTexas | $262.44 | $115.94 |
| Brazoria, TXTexas | $277.31 | $117.77 |
| Dallas, TXTexas | $279.11 | $118.76 |
| Fort Worth, TXTexas | $277.30 | $118.56 |
| Galveston, TXTexas | $278.16 | $118.30 |
| Houston, TXTexas | $283.47 | $123.61 |
| Rest of TexasTexas | $269.75 | $116.97 |
| VirginiaVirginia | $274.43 | $116.17 |
| Virgin Islands, VIUnited States Virgin Islands | $282.55 | $119.79 |
| VermontVermont | $273.85 | $114.46 |
| Rest of WashingtonWashington | $289.52 | $120.00 |
| King County, WAWashington | $326.63 | $129.09 |
| WisconsinWisconsin | $265.73 | $111.50 |
| West VirginiaWest Virginia | $259.36 | $119.46 |
| WyomingWyoming | $278.05 | $117.06 |
52005 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$248.55
$333.09
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $327.39 | 1 |
| AL | $252.15 | 1 |
| AR | $248.55 | 1 |
| AZ | $273.17 | 1 |
| CA | $295.98–$370.19 | 29 |
| CO | $291.77 | 1 |
| CT | $299.06 | 1 |
| DC | $320.31 | 1 |
| DE | $277.65 | 1 |
| FL | $276.92–$303.32 | 3 |
| GA | $261.50–$285.85 | 2 |
| GU | $303.03 | 1 |
| HI | $303.03 | 1 |
| IA | $258.26 | 1 |
| ID | $259.96 | 1 |
| IL | $269.17–$294.62 | 4 |
| IN | $261.45 | 1 |
| KS | $257.17 | 1 |
| KY | $258.24 | 1 |
| LA | $257.88–$270.46 | 2 |
| MA | $290.10–$320.25 | 2 |
| MD | $282.87–$320.31 | 3 |
| ME | $261.41–$275.25 | 2 |
| MI | $264.96–$280.43 | 2 |
| MN | $279.37 | 1 |
| MO | $253.58–$271.29 | 3 |
| MS | $251.11 | 1 |
| MT | $280.55 | 1 |
| NC | $264.09 | 1 |
| ND | $274.81 | 1 |
| NE | $259.63 | 1 |
| NH | $287.30 | 1 |
| NJ | $302.42–$317.08 | 2 |
| NM | $266.44 | 1 |
| NV | $279.14 | 1 |
| NY | $268.00–$330.42 | 5 |
| OH | $263.79 | 1 |
| OK | $257.68 | 1 |
| OR | $276.92–$300.83 | 2 |
| PA | $264.15–$291.77 | 2 |
| PR | $282.55 | 1 |
| RI | $287.38 | 1 |
| SC | $264.39 | 1 |
| SD | $274.14 | 1 |
| TN | $258.45 | 1 |
| TX | $262.44–$290.85 | 8 |
| UT | $267.96 | 1 |
| VA | $274.43–$320.31 | 2 |
| VI | $282.55 | 1 |
| VT | $273.85 | 1 |
| WA | $289.52–$326.63 | 2 |
| WI | $265.73 | 1 |
| WV | $259.36 | 1 |
| WY | $278.05 | 1 |
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.
How the rate is built · 52005
RVUs × geographic indexes × conversion factor
Work2.31
2.31 RVUs× 1.000 GPCI
Practice expense5.80
5.80 RVUs× 1.000 GPCI
Malpractice0.29
0.29 RVUs× 1.000 GPCI
Adjusted RVUs
8.4000
Conversion factor
$33.4009
Medicare rate
$280.57
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,107
- Code
- 52005
- Physician work
- 2.31
- Practice expense
- 5.80
- Malpractice
- 0.29
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.31 | × 1.000 | 2.3100 |
| Practice expense | 5.80 | × 0.940 | 5.4520 |
| Malpractice | 0.29 | × 0.898 | 0.2604 |
| Total RVUs | 8.0224 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$267.96
Office: (2.31 × 1 + 5.8 × 0.94 + 0.29 × 0.898) × $33.4009 = $267.96
Facility: (2.31 × 1 + 0.98 × 0.94 + 0.29 × 0.898) × $33.4009 = $116.62
Payment rules and modifiers for 52005
The CMS indicators that decide how 52005 is paid alongside other services.
CMS payment indicators · 52005
Ureteral catheterization, cystoscopic access
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52005 without 51 · national office
$280.57
Ureteral catheterization, cystoscopic access
52005-51 · Second procedure: 50%
$140.29
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%).
How 52005 has changed in Utah
52005 · Office / nonfacility
$267.96
Effective 2026-10-01
The base rate is $6.03 higher than on 2025-10-01, moving from $261.93 to $267.96 (2.3%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$261.93changed to$267.96
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 2.37 changed to 2.31
- Practice expense RVU 5.85 changed to 5.80
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$287.88changed to$261.93
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.44 changed to 5.85
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$283.18changed to$287.88
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$290.94changed to$283.18
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.46 changed to 6.44
- Malpractice RVU 0.27 changed to 0.29
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$298.39changed to$290.94
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.56 changed to 6.46
- Malpractice RVU 0.28 changed to 0.27
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$297.38changed to$298.39
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.46 changed to 6.56
- Malpractice RVU 0.27 changed to 0.28
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$285.97changed to$297.38
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.73 changed to 6.46
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$277.49changed to$285.97
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 5.41 changed to 5.73
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$264.42changed to$277.49
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.04 changed to 5.41
- Malpractice RVU 0.26 changed to 0.27
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$260.36changed to$264.42
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 4.94 changed to 5.04
- Malpractice RVU 0.27 changed to 0.26
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$257.58changed to$260.36
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 4.89 changed to 4.94
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$257.85changed to$257.58
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 4.87 changed to 4.89
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$256.57changed to$257.85
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$250.96changed to$256.57
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 4.76 changed to 4.87
- Malpractice RVU 0.23 changed to 0.27
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$250.76changed to$250.96
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.17 changed to 4.76
- Malpractice RVU 0.24 changed to 0.23
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $250.76
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $267.96 | $116.62 | RVU26D |
| 2026-07-01 | $267.96 | $116.62 | RVU26C |
| 2026-04-01 | $267.96 | $116.62 | RVU26B |
| 2026-01-01 | $267.96 | $116.62 | RVU26A |
| 2025-10-01 | $261.93 | $125.22 | RVU25D |
| 2025-07-01 | $261.93 | $125.22 | RVU25C |
| 2025-04-01 | $261.93 | $125.22 | RVU25B |
| 2025-01-01 | $261.93 | $125.22 | RVU25A |
| 2024-10-01 | $287.88 | $127.93 | RVU24D |
| 2024-07-01 | $287.88 | $127.93 | RVU24C |
| 2024-04-01 | $287.88 | $127.93 | RVU24B |
| 2024-03-09 | $287.88 | $127.93 | RVU24AR |
| 2024-01-01 | $283.18 | $125.84 | RVU24A |
| 2023-10-01 | $290.94 | $126.82 | RVU23D |
| 2023-07-01 | $290.94 | $126.82 | RVU23C |
| 2023-04-01 | $290.94 | $126.82 | RVU23B |
| 2023-01-01 | $290.94 | $126.82 | RVU23A |
| 2022-10-01 | $298.39 | $127.92 | RVU22D |
| 2022-07-01 | $298.39 | $127.92 | RVU22C |
| 2022-04-01 | $298.39 | $127.92 | RVU22B |
| 2022-01-01 | $298.39 | $127.92 | RVU22A |
| 2021-10-01 | $297.38 | $128.70 | RVU21D |
| 2021-07-01 | $297.38 | $128.70 | RVU21C |
| 2021-04-01 | $297.38 | $128.70 | RVU21B |
| 2021-01-01 | $297.38 | $128.70 | RVU21A |
| 2020-10-01 | $285.97 | $134.07 | RVU20D |
| 2020-07-01 | $285.97 | $134.07 | RVU20C |
| 2020-04-01 | $285.97 | $134.07 | RVU20B |
| 2020-01-01 | $285.97 | $134.07 | RVU20A |
| 2019-10-01 | $277.49 | $136.84 | RVU19D |
| 2019-07-01 | $277.49 | $136.84 | RVU19C |
| 2019-04-01 | $277.49 | $136.84 | RVU19B |
| 2019-01-01 | $277.49 | $136.84 | RVU19A |
| 2018-10-01 | $264.42 | $137.27 | RVU18D |
| 2018-07-01 | $264.42 | $137.27 | RVU18C |
| 2018-04-01 | $264.42 | $137.27 | RVU18B |
| 2018-01-01 | $264.42 | $137.27 | RVU18AR1 |
| 2017-10-01 | $260.36 | $136.86 | RVU17D |
| 2017-07-01 | $260.36 | $136.86 | RVU17C |
| 2017-04-01 | $260.36 | $136.86 | RVU17B |
| 2017-01-01 | $260.36 | $136.86 | RVU17A |
| 2016-10-01 | $257.58 | $135.44 | RVU16D |
| 2016-07-01 | $257.58 | $135.44 | RVU16C |
| 2016-04-01 | $257.58 | $135.44 | RVU16B |
| 2016-01-01 | $257.58 | $135.44 | RVU16A |
| 2015-10-01 | $257.85 | $135.93 | RVU15D |
| 2015-07-01 | $257.85 | $135.93 | RVU15C |
| 2015-04-01 | $256.57 | $135.25 | RVU15B |
| 2015-01-01 | $256.57 | $135.25 | RVU15A |
| 2014-10-01 | $250.96 | $133.44 | RVU14D |
| 2014-07-01 | $250.96 | $133.44 | RVU14C |
| 2014-04-01 | $250.96 | $133.44 | RVU14B |
| 2014-01-01 | $250.96 | $133.44 | RVU14A |
| 2013-10-01 | $250.76 | $128.59 | RVU13D |
| 2013-07-01 | $250.76 | $128.59 | RVU13C |
| 2013-04-01 | $250.76 | $128.59 | RVU13B |
| 2013-01-01 | $250.76 | $128.59 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
52005 billing questions
When should 52005 be reported instead of 52000?
Report 52005 when the cystoscopy includes catheterization of a ureter. Use 52000 for cystourethroscopy without ureteral catheterization.
Can 52000 be billed separately with 52005?
The cystourethroscopy used to perform the ureteral catheterization is included in 52005. Do not separately report 52000 for that same cystoscopic access.
How does 52005 differ from 52007?
52007 is the related code when ureteral or renal-pelvis brush biopsy is performed along with ureteral catheterization. Use 52005 when that biopsy service is not performed.
Should modifier 50 be added when both ureters are catheterized?
No. CMS identifies bilateral adjustment as inapplicable to 52005, so modifier 50 is inappropriate.
Is retrograde imaging included in 52005?
The code may include ureteropyelography, but the radiologic service is separate. Report a radiology service only when its requirements are met and the service is documented.
Can an assistant or co-surgeon be reported for 52005?
Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery reporting are not permitted.
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
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