CPT code 52260: Bladder distention, general or spinal anesthesia2026 Medicare rate & RVUs in Arizona
Reports cystoscopic bladder distention for interstitial cystitis when performed under general or spinal anesthesia.
In Arizona, Medicare pays $181.97 for 52260 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 52260 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 52260 covers
A urologist passes a cystoscope into the bladder and distends the bladder with fluid as treatment for interstitial cystitis. This code is for the procedure performed under general or spinal anesthesia, commonly in an operating room or outpatient surgical setting. The anesthesia type distinguishes it from the corresponding local-anesthesia service.
The operative note should support the interstitial cystitis indication, cystoscopic bladder distention, and anesthesia used. The procedure has 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 bladder procedure. 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 Arizona compares for 52260
Across 109 of 109 payment localities, the facility rate for 52260 runs from $171.61 in Arkansas to $244.38 in Alaska. Arizona pays $181.97. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Arizona · this page$181.97
- Los Angeles, CA · California$192.78+$10.81
- Washington, DC area · District of Columbia$201.88+$19.91
- Miami, FL · Florida$213.45+$31.48
- Chicago, IL · Illinois$208.87+$26.90
- Manhattan, NY · New York$210.55+$28.58
- Alaska · Alaska$244.38+$62.41
Other areas in Arizona first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $173.14 |
| ArkansasArkansas | — | $171.61 |
| Bakersfield, CACalifornia | — | $185.44 |
| Chico, CACalifornia | — | $183.94 |
| El Centro, CACalifornia | — | $184.03 |
| Fresno, CACalifornia | — | $183.94 |
| Hanford, CACalifornia | — | $183.94 |
| Madera, CACalifornia | — | $183.94 |
| Merced, CACalifornia | — | $183.94 |
| Modesto, CACalifornia | — | $183.94 |
| Napa, CACalifornia | — | $198.52 |
| Oxnard, CACalifornia | — | $190.39 |
| Redding, CACalifornia | — | $183.94 |
| Rest of CaliforniaCalifornia | — | $183.94 |
| Riverside, CACalifornia | — | $189.47 |
| Sacramento, CACalifornia | — | $189.14 |
| Salinas, CACalifornia | — | $188.34 |
| San Diego, CACalifornia | — | $189.84 |
| Marin County, CACalifornia | — | $205.56 |
| San Francisco, CACalifornia | — | $204.98 |
| San Benito County, CACalifornia | — | $210.11 |
| Santa Clara County, CACalifornia | — | $207.74 |
| San Luis Obispo, CACalifornia | — | $185.73 |
| Santa Cruz, CACalifornia | — | $189.38 |
| Santa Maria, CACalifornia | — | $188.24 |
| Santa Rosa, CACalifornia | — | $191.07 |
| Stockton, CACalifornia | — | $183.94 |
| Vallejo, CACalifornia | — | $197.68 |
| Visalia, CACalifornia | — | $183.94 |
| Yuba City, CACalifornia | — | $183.94 |
| ColoradoColorado | — | $186.16 |
| ConnecticutConnecticut | — | $195.02 |
| DelawareDelaware | — | $184.13 |
| Fort Lauderdale, FLFlorida | — | $200.01 |
| Rest of FloridaFlorida | — | $192.45 |
| Atlanta, GAGeorgia | — | $190.18 |
| Rest of GeorgiaGeorgia | — | $184.51 |
| Hawaii, Guam, HIHawaii | — | $184.21 |
| IowaIowa | — | $171.92 |
| IdahoIdaho | — | $173.42 |
| East St. Louis, ILIllinois | — | $199.67 |
| Rest of IllinoisIllinois | — | $191.70 |
| Suburban Chicago, ILIllinois | — | $200.87 |
| IndianaIndiana | — | $173.93 |
| KansasKansas | — | $173.28 |
| KentuckyKentucky | — | $179.66 |
| New Orleans, LALouisiana | — | $185.58 |
| Rest of LouisianaLouisiana | — | $180.23 |
| Metropolitan Boston, MAMassachusetts | — | $197.09 |
| Rest of MassachusettsMassachusetts | — | $186.48 |
| Baltimore area, MDMaryland | — | $194.81 |
| Rest of MarylandMaryland | — | $186.08 |
| Rest of MaineMaine | — | $175.96 |
| Southern Maine, MEMaine | — | $179.05 |
| Detroit, MIMichigan | — | $195.95 |
| Rest of MichiganMichigan | — | $184.30 |
| MinnesotaMinnesota | — | $174.92 |
| Metropolitan Kansas City, MOMissouri | — | $182.79 |
| Metropolitan St. Louis, MOMissouri | — | $183.76 |
| Rest of MissouriMissouri | — | $179.55 |
| MississippiMississippi | — | $175.51 |
| MontanaMontana | — | $185.67 |
| North CarolinaNorth Carolina | — | $176.78 |
| North DakotaNorth Dakota | — | $175.59 |
| NebraskaNebraska | — | $171.92 |
| New HampshireNew Hampshire | — | $185.28 |
| Northern New JerseyNew Jersey | — | $201.51 |
| Rest of New JerseyNew Jersey | — | $196.26 |
| New MexicoNew Mexico | — | $185.70 |
| NevadaNevada | — | $182.91 |
| NYC suburbs and Long Island, NYNew York | — | $216.28 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $198.95 |
| Queens, NYNew York | — | $208.92 |
| Rest of New YorkNew York | — | $178.58 |
| OhioOhio | — | $182.24 |
| OklahomaOklahoma | — | $177.48 |
| Portland, OROregon | — | $187.98 |
| Rest of OregonOregon | — | $180.48 |
| Metropolitan Philadelphia, PAPennsylvania | — | $192.99 |
| Rest of PennsylvaniaPennsylvania | — | $181.38 |
| Puerto RicoPuerto Rico | — | $185.91 |
| Rhode IslandRhode Island | — | $187.65 |
| South CarolinaSouth Carolina | — | $180.01 |
| South DakotaSouth Dakota | — | $174.40 |
| TennesseeTennessee | — | $174.05 |
| Austin, TXTexas | — | $186.42 |
| Beaumont, TXTexas | — | $180.77 |
| Brazoria, TXTexas | — | $182.61 |
| Dallas, TXTexas | — | $184.27 |
| Fort Worth, TXTexas | — | $184.08 |
| Galveston, TXTexas | — | $183.51 |
| Houston, TXTexas | — | $192.84 |
| Rest of TexasTexas | — | $181.94 |
| UtahUtah | — | $181.49 |
| VirginiaVirginia | — | $180.00 |
| Virgin Islands, VIUnited States Virgin Islands | — | $185.91 |
| VermontVermont | — | $176.88 |
| Rest of WashingtonWashington | — | $185.49 |
| King County, WAWashington | — | $198.36 |
| WisconsinWisconsin | — | $172.18 |
| West VirginiaWest Virginia | — | $187.63 |
| WyomingWyoming | — | $181.28 |
52260 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 52260 rate is calculated
Each of 52260’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 · 52260
RVUs × geographic indexes × conversion factor
Work3.81
3.81 RVUs× 1.000 GPCI
Practice expense1.24
1.24 RVUs× 1.000 GPCI
Malpractice0.51
0.51 RVUs× 1.000 GPCI
Adjusted RVUs
5.5600
Conversion factor
$33.4009
Medicare rate
$185.71
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Arizona inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,118
- Code
- 52260
- Physician work
- 3.81
- Practice expense
- 1.24
- Malpractice
- 0.51
GPCI2026.csv
6
- Locality
- Arizona
- Physician work
- 1.000
- Practice expense
- 0.969
- Malpractice
- 0.856
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.81 | × 1.000 | 3.8100 |
| Practice expense | 1.24 | × 0.969 | 1.2016 |
| Malpractice | 0.51 | × 0.856 | 0.4366 |
| Total RVUs | 5.4481 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Arizona$181.97
Facility: (3.81 × 1 + 1.24 × 0.969 + 0.51 × 0.856) × $33.4009 = $181.97
Payment rules and modifiers for 52260
The CMS indicators that decide how 52260 is paid alongside other services.
CMS payment indicators · 52260
Bladder distention, general or spinal anesthesia
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52260 without 51 · national facility
$185.71
Bladder distention, general or spinal anesthesia
52260-51 · Second procedure: 50%
$92.86
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%).
How 52260 has changed in Arizona
52260 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $181.97 | RVU26D |
| 2026-07-01 | Not available in this setting | $181.97 | RVU26C |
| 2026-04-01 | Not available in this setting | $181.97 | RVU26B |
| 2026-01-01 | Not available in this setting | $181.97 | RVU26A |
| 2025-10-01 | Not available in this setting | $198.63 | RVU25D |
| 2025-07-01 | Not available in this setting | $198.63 | RVU25C |
| 2025-04-01 | Not available in this setting | $198.63 | RVU25B |
| 2025-01-01 | Not available in this setting | $198.63 | RVU25A |
| 2024-10-01 | Not available in this setting | $203.11 | RVU24D |
| 2024-07-01 | Not available in this setting | $203.11 | RVU24C |
| 2024-04-01 | Not available in this setting | $203.11 | RVU24B |
| 2024-03-09 | Not available in this setting | $203.11 | RVU24AR |
| 2024-01-01 | Not available in this setting | $199.80 | RVU24A |
| 2023-10-01 | Not available in this setting | $204.42 | RVU23D |
| 2023-07-01 | Not available in this setting | $204.42 | RVU23C |
| 2023-04-01 | Not available in this setting | $204.42 | RVU23B |
| 2023-01-01 | Not available in this setting | $204.42 | RVU23A |
| 2022-10-01 | Not available in this setting | $206.42 | RVU22D |
| 2022-07-01 | Not available in this setting | $206.42 | RVU22C |
| 2022-04-01 | Not available in this setting | $206.42 | RVU22B |
| 2022-01-01 | Not available in this setting | $206.42 | RVU22A |
| 2021-10-01 | Not available in this setting | $207.56 | RVU21D |
| 2021-07-01 | Not available in this setting | $207.56 | RVU21C |
| 2021-04-01 | Not available in this setting | $207.56 | RVU21B |
| 2021-01-01 | Not available in this setting | $207.56 | RVU21A |
| 2020-10-01 | Not available in this setting | $214.38 | RVU20D |
| 2020-07-01 | Not available in this setting | $214.38 | RVU20C |
| 2020-04-01 | Not available in this setting | $214.38 | RVU20B |
| 2020-01-01 | Not available in this setting | $214.38 | RVU20A |
| 2019-10-01 | Not available in this setting | $214.38 | RVU19D |
| 2019-07-01 | Not available in this setting | $214.38 | RVU19C |
| 2019-04-01 | Not available in this setting | $214.38 | RVU19B |
| 2019-01-01 | Not available in this setting | $214.38 | RVU19A |
| 2018-10-01 | Not available in this setting | $215.49 | RVU18D |
| 2018-07-01 | Not available in this setting | $215.49 | RVU18C |
| 2018-04-01 | Not available in this setting | $215.49 | RVU18B |
| 2018-01-01 | Not available in this setting | $215.49 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $215.41 | RVU17D |
| 2017-07-01 | Not available in this setting | $215.41 | RVU17C |
| 2017-04-01 | Not available in this setting | $215.41 | RVU17B |
| 2017-01-01 | Not available in this setting | $215.41 | RVU17A |
| 2016-10-01 | Not available in this setting | $215.04 | RVU16D |
| 2016-07-01 | Not available in this setting | $215.04 | RVU16C |
| 2016-04-01 | Not available in this setting | $215.04 | RVU16B |
| 2016-01-01 | Not available in this setting | $215.04 | RVU16A |
| 2015-10-01 | Not available in this setting | $216.13 | RVU15D |
| 2015-07-01 | Not available in this setting | $216.13 | RVU15C |
| 2015-04-01 | Not available in this setting | $215.05 | RVU15B |
| 2015-01-01 | Not available in this setting | $215.05 | RVU15A |
| 2014-10-01 | Not available in this setting | $213.19 | RVU14D |
| 2014-07-01 | Not available in this setting | $213.19 | RVU14C |
| 2014-04-01 | Not available in this setting | $213.19 | RVU14B |
| 2014-01-01 | Not available in this setting | $213.19 | RVU14A |
| 2013-10-01 | Not available in this setting | $206.06 | RVU13D |
| 2013-07-01 | Not available in this setting | $206.06 | RVU13C |
| 2013-04-01 | Not available in this setting | $206.06 | RVU13B |
| 2013-01-01 | Not available in this setting | $206.06 | RVU13AR |
Where the Arizona rate applies
Arizona is a Medicare payment area, not a city. Our Census mapping connects it to 467 cities and communities in Arizona. Some span more than one payment area; confirm with the service ZIP.
- Aguila
- Ajo
- Ak Chin
- Ak-Chin Village
- Alamo Lake
- Ali Chuk
- Ali Chukson
- Ali Molina
52260 billing questions
How is 52260 distinguished from 52265?
Both describe cystoscopic bladder distention for interstitial cystitis. Report 52260 when performed under general or spinal anesthesia; 52265 is the local-anesthesia counterpart.
What documentation supports 52260?
Document interstitial cystitis as the indication, the cystoscopic bladder distention performed, and the use of general or spinal anesthesia.
Can modifier 50 be appended?
No. The bladder procedure is not bilateral, and modifier 50 is inappropriate.
How are related endoscopies handled when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The same-day preoperative and postoperative care is included in the 0-day global period.
Can an assistant or co-surgeon be paid for 52260?
Medicare does not pay an assistant at surgery for this code. 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
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