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

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 South Carolina, Medicare pays $679.78 for 52214 in the office and $148.02 when it’s performed in a hospital or facility.

$679.78Office (non-facility)
$148.02Hospital or facility
−6.6%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 South Carolina
  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 South Carolina 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. South Carolina pays $679.78. The RVUs are the same everywhere; the geographic indexes change the dollars.

52214 in South Carolina vs other payment areas
  1. South Carolina · this page$679.78
  2. Los Angeles, CA · California$836.97+$157.19
  3. Washington, DC area · District of Columbia$841.90+$162.12
  4. Miami, FL · Florida$774.00+$94.22
  5. Chicago, IL · Illinois$749.86+$70.08
  6. Manhattan, NY · New York$840.25+$160.47
  7. Alaska · Alaska$816.92+$137.14

Other areas in South Carolina 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 South Carolina 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

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 52214 in South Carolina
ComponentRVULocality factorAdjusted
Physician work3.41× 1.0003.4100
Practice expense17.94× 0.92416.5766
Malpractice0.43× 0.8500.3655
Total RVUs20.3521
Conversion factor× 33.4009

Office rate, South Carolina$679.78

Office: (3.41 × 1 + 17.94 × 0.924 + 0.43 × 0.85) × $33.4009 = $679.78

Facility: (3.41 × 1 + 0.71 × 0.924 + 0.43 × 0.85) × $33.4009 = $148.02

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, South Carolina
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.$711.24
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.$333.96

How 52214 has changed in South Carolina

52214 · Office / nonfacility

$679.78

Effective 2026-10-01

The base rate is $44.88 higher than on 2025-10-01, moving from $634.90 to $679.78 (7.1%).

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

    $634.90changed to$679.78

    • 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 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $686.83changed to$634.90

    • 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

    $675.62changed to$686.83

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $701.68changed to$675.62

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 18.60 changed to 18.39
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $727.85changed to$701.68

    • 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 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $732.86changed to$727.85

    • 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

    $688.74changed to$732.86

    • 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
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $663.41changed to$688.74

    • 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
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $633.92changed to$663.41

    • 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

    $621.51changed to$633.92

    • 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
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $616.94changed to$621.51

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 14.75 changed to 14.88
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $617.92changed to$616.94

    • 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

    $614.85changed to$617.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $604.03changed to$614.85

    • 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 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $612.02changed to$604.03

    • 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 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $612.02

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$679.78$148.02RVU26D
2026-07-01$679.78$148.02RVU26C
2026-04-01$679.78$148.02RVU26B
2026-01-01$679.78$148.02RVU26A
2025-10-01$634.90$162.08RVU25D
2025-07-01$634.90$162.08RVU25C
2025-04-01$634.90$162.08RVU25B
2025-01-01$634.90$162.08RVU25A
2024-10-01$686.83$165.31RVU24D
2024-07-01$686.83$165.31RVU24C
2024-04-01$686.83$165.31RVU24B
2024-03-09$686.83$165.31RVU24AR
2024-01-01$675.62$162.61RVU24A
2023-10-01$701.68$166.29RVU23D
2023-07-01$701.68$166.29RVU23C
2023-04-01$701.68$166.29RVU23B
2023-01-01$701.68$166.29RVU23A
2022-10-01$727.85$168.17RVU22D
2022-07-01$727.85$168.17RVU22C
2022-04-01$727.85$168.17RVU22B
2022-01-01$727.85$168.17RVU22A
2021-10-01$732.86$170.12RVU21D
2021-07-01$732.86$170.12RVU21C
2021-04-01$732.86$170.12RVU21B
2021-01-01$732.86$170.12RVU21A
2020-10-01$688.74$174.17RVU20D
2020-07-01$688.74$174.17RVU20C
2020-04-01$688.74$174.17RVU20B
2020-01-01$688.74$174.17RVU20A
2019-10-01$663.41$173.68RVU19D
2019-07-01$663.41$173.68RVU19C
2019-04-01$663.41$173.68RVU19B
2019-01-01$663.41$173.68RVU19A
2018-10-01$633.92$173.95RVU18D
2018-07-01$633.92$173.95RVU18C
2018-04-01$633.92$173.95RVU18B
2018-01-01$633.92$173.95RVU18AR1
2017-10-01$621.51$174.42RVU17D
2017-07-01$621.51$174.42RVU17C
2017-04-01$621.51$174.42RVU17B
2017-01-01$621.51$174.42RVU17A
2016-10-01$616.94$174.16RVU16D
2016-07-01$616.94$174.16RVU16C
2016-04-01$616.94$174.16RVU16B
2016-01-01$616.94$174.16RVU16A
2015-10-01$617.92$174.20RVU15D
2015-07-01$617.92$174.20RVU15C
2015-04-01$614.85$173.33RVU15B
2015-01-01$614.85$173.33RVU15A
2014-10-01$604.03$171.30RVU14D
2014-07-01$604.03$171.30RVU14C
2014-04-01$604.03$171.30RVU14B
2014-01-01$604.03$171.30RVU14A
2013-10-01$612.02$162.96RVU13D
2013-07-01$612.02$162.96RVU13C
2013-04-01$612.02$162.96RVU13B
2013-01-01$612.02$162.96RVU13AR

Price 52214 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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 South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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