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

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 Iowa, Medicare pays $667.88 for 52214 in the office and $141.30 when it’s performed in a hospital or facility.

$667.88Office (non-facility)
$141.30Hospital or facility
−8.2%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 Iowa
  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 Iowa 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. Iowa pays $667.88. The RVUs are the same everywhere; the geographic indexes change the dollars.

52214 in Iowa vs other payment areas
  1. Iowa · this page$667.88
  2. Los Angeles, CA · California$836.97+$169.09
  3. Washington, DC area · District of Columbia$841.90+$174.02
  4. Miami, FL · Florida$774.00+$106.12
  5. Chicago, IL · Illinois$749.86+$81.98
  6. Manhattan, NY · New York$840.25+$172.37
  7. Alaska · Alaska$816.92+$149.04

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

Every other payment area

52214 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$646.34$142.78
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

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 Iowa 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

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 52214 in Iowa
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense17.94× 0.91516.4151
Malpractice0.43× 0.3970.1707
Total RVUs19.9958
Conversion factor× 33.4009

Office rate, Iowa$667.88

Office: (3.41 × 1 + 17.94 × 0.915 + 0.43 × 0.397) × $33.4009 = $667.88

Facility: (3.41 × 1 + 0.71 × 0.915 + 0.43 × 0.397) × $33.4009 = $141.30

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, Iowa
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.$698.32
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.$326.48

How 52214 has changed in Iowa

52214 · Office / nonfacility

$667.88

Effective 2026-10-01

The base rate is $37.99 higher than on 2025-10-01, moving from $629.89 to $667.88 (6.0%).

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

    $629.89changed to$667.88

    • 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
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $681.79changed to$629.89

    • 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

    $670.67changed to$681.79

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $698.46changed to$670.67

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 18.60 changed to 18.39
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $726.66changed to$698.46

    • 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
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $731.57changed to$726.66

    • 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

    $685.78changed to$731.57

    • 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
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $658.68changed to$685.78

    • 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
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $629.40changed to$658.68

    • 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

    $613.71changed to$629.40

    • 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
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $605.39changed to$613.71

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 14.75 changed to 14.88
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $606.43changed to$605.39

    • 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

    $603.41changed to$606.43

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $592.56changed to$603.41

    • 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
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $599.51changed to$592.56

    • 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
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $599.51

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$667.88$141.30RVU26D
2026-07-01$667.88$141.30RVU26C
2026-04-01$667.88$141.30RVU26B
2026-01-01$667.88$141.30RVU26A
2025-10-01$629.89$157.08RVU25D
2025-07-01$629.89$157.08RVU25C
2025-04-01$629.89$157.08RVU25B
2025-01-01$629.89$157.08RVU25A
2024-10-01$681.79$160.28RVU24D
2024-07-01$681.79$160.28RVU24C
2024-04-01$681.79$160.28RVU24B
2024-03-09$681.79$160.28RVU24AR
2024-01-01$670.67$157.66RVU24A
2023-10-01$698.46$161.89RVU23D
2023-07-01$698.46$161.89RVU23C
2023-04-01$698.46$161.89RVU23B
2023-01-01$698.46$161.89RVU23A
2022-10-01$726.66$164.50RVU22D
2022-07-01$726.66$164.50RVU22C
2022-04-01$726.66$164.50RVU22B
2022-01-01$726.66$164.50RVU22A
2021-10-01$731.57$166.33RVU21D
2021-07-01$731.57$166.33RVU21C
2021-04-01$731.57$166.33RVU21B
2021-01-01$731.57$166.33RVU21A
2020-10-01$685.78$171.21RVU20D
2020-07-01$685.78$171.21RVU20C
2020-04-01$685.78$171.21RVU20B
2020-01-01$685.78$171.21RVU20A
2019-10-01$658.68$171.63RVU19D
2019-07-01$658.68$171.63RVU19C
2019-04-01$658.68$171.63RVU19B
2019-01-01$658.68$171.63RVU19A
2018-10-01$629.40$171.95RVU18D
2018-07-01$629.40$171.95RVU18C
2018-04-01$629.40$171.95RVU18B
2018-01-01$629.40$171.95RVU18AR1
2017-10-01$613.71$171.51RVU17D
2017-07-01$613.71$171.51RVU17C
2017-04-01$613.71$171.51RVU17B
2017-01-01$613.71$171.51RVU17A
2016-10-01$605.39$170.38RVU16D
2016-07-01$605.39$170.38RVU16C
2016-04-01$605.39$170.38RVU16B
2016-01-01$605.39$170.38RVU16A
2015-10-01$606.43$170.49RVU15D
2015-07-01$606.43$170.49RVU15C
2015-04-01$603.41$169.64RVU15B
2015-01-01$603.41$169.64RVU15A
2014-10-01$592.56$168.85RVU14D
2014-07-01$592.56$168.85RVU14C
2014-04-01$592.56$168.85RVU14B
2014-01-01$592.56$168.85RVU14A
2013-10-01$599.51$161.32RVU13D
2013-07-01$599.51$161.32RVU13C
2013-04-01$599.51$161.32RVU13B
2013-01-01$599.51$161.32RVU13AR

Price 52214 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

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 IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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