CPT code 52260: Bladder distention, general or spinal anesthesia2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $184.13 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.

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 Delaware 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. Delaware pays $184.13. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52260 rates by state

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

See 52260 in every payment locality

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.

Payment rules and modifiers for 52260

The CMS indicators that decide how 52260 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52260

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

How 52260 has changed in Delaware

Price 52260 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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