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CPT code 52214: Cystoscopy treatment, fulguration at specified sites2026 Medicare rate & RVUs in Washington, DC area

Reports cystoscopic fulguration or comparable lesion treatment at the trigone, bladder neck, prostatic fossa, urethra, or periurethral glands.

CMS RVU26DEffective Oct 1, 2026One payment locality14.5K Medicare services in 2024

In Washington, DC area, Medicare pays $841.90 for 52214 in the office and $163.97 when it’s performed in a hospital or facility.

$841.90Office (non-facility)
$163.97Hospital or facility
+15.7%vs the national office rate ($727.47)

Check a contract rate as a % of Medicare · 52214 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 52214 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 52214 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 52214 covers

A urologist passes a cystoscope to visualize and destroy or treat lesions at the trigone, bladder neck, prostatic fossa, urethra, or periurethral glands. Treatment may use electrosurgical fulguration, cryosurgery, or laser. The procedure may be performed in an office or facility setting, depending on the patient and planned treatment. This code is distinguished by the treated anatomic site; it is not the size-based code for resection of a bladder tumor.

Report the service when the operative or procedure note identifies the treated site and the method used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing 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 Washington, DC area compares for 52214

Across 109 of 109 payment localities, the office rate for 52214 runs from $636.02 in Arkansas to $998.19 in San Benito County, CA. Washington, DC area pays $841.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

52214 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$841.90
  2. Los Angeles, CA · California$836.97−$4.93
  3. Miami, FL · Florida$774.00−$67.90
  4. Chicago, IL · Illinois$749.86−$92.04
  5. Manhattan, NY · New York$840.25−$1.65
  6. Alaska · Alaska$816.92−$24.98
  7. Alabama · Alabama$646.34−$195.56

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

52214 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$636.02$141.66
ArizonaArizona$706.83$149.17
Bakersfield, CACalifornia$781.54$150.80
Chico, CACalifornia$780.27$149.52
El Centro, CACalifornia$780.34$149.59
Fresno, CACalifornia$780.27$149.52
Hanford, CACalifornia$780.27$149.52
Madera, CACalifornia$780.27$149.52

52214 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.

$636.02

$889.23

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

View every state and territory as a table
52214 office rate range by state
State / territoryOffice rate rangeLocalities
AK$816.921
AL$646.341
AR$636.021
AZ$706.831
CA$780.27–$998.1929
CO$764.041
CT$778.901
DC$841.901
DE$719.401
FL$708.33–$774.003
GA$665.51–$740.292
GU$803.521
HI$803.521
IA$667.881
ID$671.971
IL$683.43–$755.544
IN$676.351
KS$662.821
KY$659.741
LA$657.96–$694.072
MA$758.14–$846.812
MD$734.62–$841.903
ME$674.11–$716.782
MI$677.19–$716.352
MN$734.741
MO$644.41–$698.743
MS$640.431
MT$727.441
NC$682.141
ND$718.941
NE$672.401
NH$750.241
NJ$788.55–$831.502
NM$680.621
NV$725.671
NY$693.25–$860.325
OH$675.461
OK$660.151
OR$720.81–$792.132
PA$677.55–$756.862
PR$733.851
RI$747.861
SC$679.781
SD$717.931
TN$666.291
TX$672.52–$760.828
UT$690.051
VA$713.06–$841.902
VI$733.851
VT$714.381
WA$757.28–$866.562
WI$692.371
WV$655.161
WY$723.741

See 52214 in every payment locality

How the 52214 rate is calculated

Each of 52214’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 · 52214

RVUs × geographic indexes × conversion factor

Office or facility?

Work3.41

3.41 RVUs× 1.000 GPCI

Practice expense17.94

17.94 RVUs× 1.000 GPCI

Malpractice0.43

0.43 RVUs× 1.000 GPCI

Adjusted RVUs

21.7800

Conversion factor

$33.4009

Medicare rate

$727.47

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,112

Code
52214
Physician work
3.41
Practice expense
17.94
Malpractice
0.43

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 52214 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0543.5941
Practice expense17.94× 1.17821.1333
Malpractice0.43× 1.1130.4786
Total RVUs25.2061
Conversion factor× 33.4009

Office rate, Washington, DC area$841.90

Office: (3.41 × 1.054 + 17.94 × 1.178 + 0.43 × 1.113) × $33.4009 = $841.90

Facility: (3.41 × 1.054 + 0.71 × 1.178 + 0.43 × 1.113) × $33.4009 = $163.97

Open 52214 in the RVU calculator

Payment rules and modifiers for 52214

The CMS indicators that decide how 52214 is paid alongside other services.

CMS payment indicators · 52214

Cystoscopy treatment, fulguration at specified sites

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
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

52214 without 51 · national office

$727.47

Cystoscopy treatment, fulguration at specified sites

52214-51 · Second procedure: 50%

$363.74

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 52214

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

Codes related to 52214
CodeHow it relatesOffice range, Washington, DC area
Used instead
52224Bladder lesion treatment, lesions under 0.5 cmFor cystoscopic treatment of minor bladder lesion(s), rather than treatment at 52214's specified sites.$878.10
52234Bladder tumor treatment, tumor 0.5 to 2.0 cmFor cystoscopic treatment of a small bladder tumor selected by tumor size.No office rate
52235Bladder tumor resection, medium, 2.0–5.0 cmFor cystoscopic treatment of a medium bladder tumor selected by tumor size.No office rate
52204Cystoscopic biopsy, bladder tissue samplingFor cystoscopic biopsy when tissue sampling, rather than fulguration, is the service performed.$407.43

How 52214 has changed in Washington, DC area

52214 · Office / nonfacility

$841.90

Effective 2026-10-01

The base rate is $39.72 higher than on 2025-10-01, moving from $802.18 to $841.90 (5.0%).

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

    $802.18changed to$841.90

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.50 changed to 3.41
    • Practice expense RVU 17.28 changed to 17.94
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $869.17changed to$802.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 18.39 changed to 17.28
    • Malpractice RVU 0.42 changed to 0.43

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $854.98changed to$869.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $907.95changed to$854.98

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 18.60 changed to 18.39
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $962.99changed to$907.95

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 19.10 changed to 18.60
    • Malpractice RVU 0.41 changed to 0.42
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $969.70changed to$962.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 19.06 changed to 19.10
    • Malpractice RVU 0.42 changed to 0.41

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $896.10changed to$969.70

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 16.90 changed to 19.06
    • Malpractice RVU 0.41 changed to 0.42
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $849.15changed to$896.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 16.11 changed to 16.90
    • Malpractice RVU 0.39 changed to 0.41
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $810.02changed to$849.15

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.24 changed to 16.11
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $792.93changed to$810.02

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 14.88 changed to 15.24
    • Malpractice RVU 0.39 changed to 0.38
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $785.96changed to$792.93

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 14.75 changed to 14.88
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $787.03changed to$785.96

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 14.72 changed to 14.75
    • Malpractice RVU 0.38 changed to 0.39

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $783.12changed to$787.03

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $767.66changed to$783.12

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 14.45 changed to 14.72
    • Malpractice RVU 0.32 changed to 0.38
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $779.57changed to$767.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 15.75 changed to 14.45
    • Malpractice RVU 0.33 changed to 0.32
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $779.57

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$841.90$163.97RVU26D
2026-07-01$841.90$163.97RVU26C
2026-04-01$841.90$163.97RVU26B
2026-01-01$841.90$163.97RVU26A
2025-10-01$802.18$184.88RVU25D
2025-07-01$802.18$184.88RVU25C
2025-04-01$802.18$184.88RVU25B
2025-01-01$802.18$184.88RVU25A
2024-10-01$869.17$188.28RVU24D
2024-07-01$869.17$188.28RVU24C
2024-04-01$869.17$188.28RVU24B
2024-03-09$869.17$188.28RVU24AR
2024-01-01$854.98$185.21RVU24A
2023-10-01$907.95$192.13RVU23D
2023-07-01$907.95$192.13RVU23C
2023-04-01$907.95$192.13RVU23B
2023-01-01$907.95$192.13RVU23A
2022-10-01$962.99$196.92RVU22D
2022-07-01$962.99$196.92RVU22C
2022-04-01$962.99$196.92RVU22B
2022-01-01$962.99$196.92RVU22A
2021-10-01$969.70$199.44RVU21D
2021-07-01$969.70$199.44RVU21C
2021-04-01$969.70$199.44RVU21B
2021-01-01$969.70$199.44RVU21A
2020-10-01$896.10$203.40RVU20D
2020-07-01$896.10$203.40RVU20C
2020-04-01$896.10$203.40RVU20B
2020-01-01$896.10$203.40RVU20A
2019-10-01$849.15$202.08RVU19D
2019-07-01$849.15$202.08RVU19C
2019-04-01$849.15$202.08RVU19B
2019-01-01$849.15$202.08RVU19A
2018-10-01$810.02$202.28RVU18D
2018-07-01$810.02$202.28RVU18C
2018-04-01$810.02$202.28RVU18B
2018-01-01$810.02$202.28RVU18AR1
2017-10-01$792.93$202.19RVU17D
2017-07-01$792.93$202.19RVU17C
2017-04-01$792.93$202.19RVU17B
2017-01-01$792.93$202.19RVU17A
2016-10-01$785.96$200.92RVU16D
2016-07-01$785.96$200.92RVU16C
2016-04-01$785.96$200.92RVU16B
2016-01-01$785.96$200.92RVU16A
2015-10-01$787.03$200.75RVU15D
2015-07-01$787.03$200.75RVU15C
2015-04-01$783.12$199.75RVU15B
2015-01-01$783.12$199.75RVU15A
2014-10-01$767.66$196.70RVU14D
2014-07-01$767.66$196.70RVU14C
2014-04-01$767.66$196.70RVU14B
2014-01-01$767.66$196.70RVU14A
2013-10-01$779.57$187.74RVU13D
2013-07-01$779.57$187.74RVU13C
2013-04-01$779.57$187.74RVU13B
2013-01-01$779.57$187.74RVU13AR

Price 52214 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

52214 billing questions

How does 52214 differ from 52224?

52214 covers treatment at the specified sites, such as the urethra or bladder neck. 52224 is used for treatment of minor bladder lesion(s); choose by the documented site and procedure.

When is a bladder tumor code a better fit?

For cystoscopic treatment of a bladder tumor, compare the size-based codes such as 52234 and 52235. 52214 is for the named sites in its descriptor, not a tumor-size level.

Can a biopsy be reported with 52214?

The procedure note should distinguish tissue sampling from lesion destruction. If a separate biopsy is performed, review applicable coding edits and documentation before reporting 52204 with 52214.

Can modifier 50 be used for treatment on both sides?

No. CMS identifies bilateral adjustment as inappropriate for 52214, so do not append modifier 50.

How does payment work when another endoscopy is performed in the same session?

CMS endoscopy-family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code's 0-day global period.

Can an assistant or co-surgeon be billed?

Medicare does not pay an assistant at surgery for 52214. Co-surgeons and team surgery 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

Show the CMS file lines behind this rate
RVUs for 52214PPRRVU2026_Oct_nonQPP.csv, line 6,112 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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