CPT code 52234: Bladder tumor treatment, tumor 0.5 to 2.0 cm2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $206.89 for 52234 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52234 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 52234 covers

A urologist uses a cystoscope to access the bladder and treat or remove a tumor in the 0.5-to-2.0-cm size range. Treatment may involve resection or destruction of the lesion, including with electrocautery, laser, or cryosurgery. The service is commonly performed in an operating room or outpatient procedural setting for a patient with a bladder tumor identified during evaluation or surveillance.

Choose this level according to the documented tumor size; smaller and larger tumor levels are reported with their corresponding codes. The operative report should describe the lesion size and treatment performed. This is a minor procedure with 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. Medicare does not pay an assistant at surgery for this service, and co-surgeons and team surgery 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 Vermont compares for 52234

Across 109 of 109 payment localities, the facility rate for 52234 runs from $200.85 in Arkansas to $286.46 in Alaska. Vermont pays $206.89. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52234 rates by state

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

See 52234 in every payment locality

How the 52234 rate is calculated

Each of 52234’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 52234

The CMS indicators that decide how 52234 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52234

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

How 52234 has changed in Vermont

Price 52234 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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