CPT code 52240: Bladder tumor treatment, large tumor category2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $328.32 for 52240 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52240 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 52240 covers

A urologist performs this service through a cystoscope to remove or destroy a large bladder tumor, commonly using a resection instrument, cautery, or laser. It is typically performed in a facility operating room, although selected cases may be treated in an office setting. The procedure treats the tumor rather than merely obtaining a diagnostic tissue sample, and removed tissue may be submitted for pathologic examination.

Choose this code when the operative findings and documentation support the large-tumor size category; record the tumor size and whether it was resected, fulgurated, or treated by another method covered by the code. Medicare assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. Modifier 50 is inappropriate for this anatomy. Medicare does not pay an assistant at surgery under the statutory restriction, 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 North Carolina compares for 52240

Across 109 of 109 payment localities, the facility rate for 52240 runs from $319.32 in Arkansas to $456.65 in Alaska. North Carolina pays $328.32. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52240 rates by state

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

See 52240 in every payment locality

How the 52240 rate is calculated

Each of 52240’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 52240

The CMS indicators that decide how 52240 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52240

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

How 52240 has changed in North Carolina

Price 52240 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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