CPT code 52235: Bladder tumor resection, medium, 2.0–5.0 cm2026 Medicare rate & RVUs in Washington, DC area

In Washington, DC area, Medicare pays $276.39 for 52235 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52235 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 52235 covers

A urologist uses a cystoscope and endoscopic instruments to remove or destroy a bladder tumor measuring 2.0 to 5.0 cm. The treatment may involve resection, electrosurgical fulguration, laser, or cryosurgical techniques. It is commonly performed in an operating room, often as transurethral bladder tumor resection, with the tumor tissue submitted for pathology when removed.

Choose this level from the documented tumor size and operative findings; record the measured lesion and the treatment performed. The 0-day global period includes same-day preoperative and postoperative care. 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; 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 Washington, DC area compares for 52235

Across 109 of 109 payment localities, the facility rate for 52235 runs from $235.78 in Arkansas to $336.39 in Alaska. Washington, DC area pays $276.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52235 rates by state

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

See 52235 in every payment locality

How the 52235 rate is calculated

Each of 52235’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 52235

The CMS indicators that decide how 52235 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52235

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

How 52235 has changed in Washington, DC area

Price 52235 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

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