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CPT code 52275: Urethrotomy, female urethral stricture incision2026 Medicare rate & RVUs in Santa Clara County, CA

Endoscopic incision of a female urethral narrowing is reported when the urologist performs internal urethrotomy rather than dilation or meatotomy.

CMS RVU26DEffective Oct 1, 2026One payment locality730 Medicare services in 2024

In Santa Clara County, CA, Medicare pays $677.55 for 52275 in the office and $245.04 when it’s performed in a hospital or facility.

$677.55Office (non-facility)
$245.04Hospital or facility
+30.5%vs the national office rate ($519.05)

Check a contract rate as a % of Medicare · 52275 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 52275 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Santa Clara County, CA
  2. What 52275 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 52275 covers

A urologist uses a cystoscope to reach and incise scar tissue narrowing the female urethra. The procedure treats a urethral stricture by opening the narrowed segment from within, rather than simply stretching it or cutting the external urethral opening. It is generally performed in an operating room or outpatient procedural setting; the specific setting depends on the patient and the procedure plan.

Report the code for internal urethrotomy in a female patient, supported by documentation of the stricture and the incision performed. Distinguish the service from urethral dilation or meatotomy, which involve different techniques. CMS 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. CMS does not pay an assistant at surgery for this code, 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 Santa Clara County, CA compares for 52275

Across 109 of 109 payment localities, the office rate for 52275 runs from $460.72 in Arkansas to $680.24 in San Benito County, CA. Santa Clara County, CA pays $677.55. The RVUs are the same everywhere; the geographic indexes change the dollars.

52275 in Santa Clara County, CA vs other payment areas
  1. Santa Clara County, CA · this page$677.55
  2. Bakersfield, CA · California$547.69−$129.86
  3. Chico, CA · California$545.97−$131.58
  4. El Centro, CA · California$546.07−$131.48
  5. Fresno, CA · California$545.97−$131.58
  6. Hanford, CA · California$545.97−$131.58
  7. Los Angeles, CA · California$582.31−$95.24

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

52275 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$545.97$217.24
Merced, CACalifornia$545.97$217.24
Modesto, CACalifornia$545.97$217.24
Napa, CACalifornia$629.49$234.17
Oxnard, CACalifornia$579.18$224.65
Redding, CACalifornia$545.97$217.24
Rest of CaliforniaCalifornia$545.97$217.24
Riverside, CACalifornia$552.27$223.53

52275 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$460.72

$613.11

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
52275 office rate range by state
State / territoryOffice rate rangeLocalities
AK$609.231
AL$467.261
AR$460.721
AZ$505.501
CA$545.97–$680.2429
CO$538.851
CT$552.891
DC$591.251
DE$513.691
FL$513.52–$562.903
GA$485.29–$528.952
GU$558.441
HI$558.441
IA$477.871
ID$481.081
IL$499.76–$546.944
IN$483.761
KS$476.131
KY$478.881
LA$478.33–$501.212
MA$535.95–$590.502
MD$523.15–$591.253
ME$483.96–$508.782
MI$491.36–$520.192
MN$515.481
MO$470.66–$502.433
MS$465.761
MT$519.011
NC$488.811
ND$507.541
NE$480.281
NH$530.861
NJ$558.96–$585.512
NM$494.141
NV$516.161
NY$495.94–$611.015
OH$489.011
OK$477.601
OR$511.91–$555.052
PA$489.53–$539.762
PR$522.581
RI$531.311
SC$489.771
SD$506.191
TN$478.501
TX$486.44–$537.278
UT$496.251
VA$507.45–$591.252
VI$522.581
VT$506.011
WA$534.80–$601.912
WI$491.071
WV$481.941
WY$514.011

See 52275 in every payment locality

How the 52275 rate is calculated

Each of 52275’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 · 52275

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.57

4.57 RVUs× 1.000 GPCI

Practice expense10.39

10.39 RVUs× 1.000 GPCI

Malpractice0.58

0.58 RVUs× 1.000 GPCI

Adjusted RVUs

15.5400

Conversion factor

$33.4009

Medicare rate

$519.05

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Santa Clara County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,121

Code
52275
Physician work
4.57
Practice expense
10.39
Malpractice
0.58

GPCI2026.csv

28

Locality
Santa Clara County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.397
Office calculation for 52275 in Santa Clara County, CA
ComponentRVULocality factorAdjusted
Physician work4.57× 1.1105.0727
Practice expense10.39× 1.44214.9824
Malpractice0.58× 0.3970.2303
Total RVUs20.2853
Conversion factor× 33.4009

Office rate, Santa Clara County, CA$677.55

Office: (4.57 × 1.11 + 10.39 × 1.442 + 0.58 × 0.397) × $33.4009 = $677.55

Facility: (4.57 × 1.11 + 1.41 × 1.442 + 0.58 × 0.397) × $33.4009 = $245.04

Open 52275 in the RVU calculator

Payment rules and modifiers for 52275

The CMS indicators that decide how 52275 is paid alongside other services.

CMS payment indicators · 52275

Urethrotomy, female urethral stricture incision

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52275 without 51 · national office

$519.05

Urethrotomy, female urethral stricture incision

52275-51 · Second procedure: 50%

$259.53

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%).

When to use modifier 51

Codes related to 52275

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

Codes related to 52275
CodeHow it relatesOffice range, Santa Clara County, CA
Used instead
52270Urethrotomy, female urethraFemale urethral meatotomy treats the urethral opening rather than an internal stricture.$525.14
52276Urethral stricture treatment, direct-vision incisionDirect-vision internal urethrotomy; distinguish by the procedure and applicable code description.No office rate
52265Urethral fulguration, female urethral syndromeFemale urethral stricture calibration or dilation rather than internal incision.$451.53
52281Urethral dilation, cystoscopic stricture treatmentUrethral stricture calibration or dilation, with or without meatotomy.$405.16

How 52275 has changed in Santa Clara County, CA

52275 · Office / nonfacility

$677.55

Effective 2026-10-01

The base rate is $32.12 higher than on 2025-10-01, moving from $645.43 to $677.55 (5.0%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $645.43changed to$677.55

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 4.69 changed to 4.57
    • Practice expense RVU 10.14 changed to 10.39
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.420 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $699.75changed to$645.43

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 10.89 changed to 10.14
    • Malpractice RVU 0.56 changed to 0.58

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $688.33changed to$699.75

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $704.63changed to$688.33

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 10.94 changed to 10.89
    • Malpractice RVU 0.55 changed to 0.56
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.417 changed to 0.420

  5. January 1, 2023

    RVU23A

    $720.51changed to$704.63

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 11.17 changed to 10.94
    • Malpractice RVU 0.56 changed to 0.55
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.414 changed to 0.417

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $719.92changed to$720.51

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 11.04 changed to 11.17
    • Malpractice RVU 0.54 changed to 0.56

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $677.31changed to$719.92

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.82 changed to 11.04
    • Work GPCI 1.089 changed to 1.096
    • Practice expense GPCI 1.369 changed to 1.383
    • Malpractice GPCI 0.401 changed to 0.414

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $642.04changed to$677.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.26 changed to 9.82
    • Malpractice RVU 0.51 changed to 0.54
    • Work GPCI 1.083 changed to 1.089
    • Practice expense GPCI 1.354 changed to 1.369
    • Malpractice GPCI 0.388 changed to 0.401

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $611.12changed to$642.04

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.64 changed to 9.26

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $600.97changed to$611.12

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.47 changed to 8.64
    • Malpractice RVU 0.52 changed to 0.51
    • Work GPCI 1.086 changed to 1.083
    • Practice expense GPCI 1.351 changed to 1.354
    • Malpractice GPCI 0.402 changed to 0.388

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $594.12changed to$600.97

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.37 changed to 8.47
    • Work GPCI 1.088 changed to 1.086
    • Practice expense GPCI 1.347 changed to 1.351
    • Malpractice GPCI 0.416 changed to 0.402

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $595.78changed to$594.12

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.36 changed to 8.37

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $592.81changed to$595.78

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $583.82changed to$592.81

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.21 changed to 8.36
    • Malpractice RVU 0.43 changed to 0.52
    • Work GPCI 1.083 changed to 1.088
    • Practice expense GPCI 1.342 changed to 1.347
    • Malpractice GPCI 0.466 changed to 0.416

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $584.15changed to$583.82

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.89 changed to 8.21
    • Malpractice RVU 0.45 changed to 0.43
    • Work GPCI 1.077 changed to 1.083
    • Practice expense GPCI 1.337 changed to 1.342
    • Malpractice GPCI 0.516 changed to 0.466

    Held through RVU14B, RVU14C, RVU14D.

  16. October 1, 2013

    RVU13D

    No ratechanged to$584.15

  17. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$677.55$245.04RVU26D
2026-07-01$677.55$245.04RVU26C
2026-04-01$677.55$245.04RVU26B
2026-01-01$677.55$245.04RVU26A
2025-10-01$645.43$273.16RVU25D
2025-07-01$645.43$273.16RVU25C
2025-04-01$645.43$273.16RVU25B
2025-01-01$645.43$273.16RVU25A
2024-10-01$699.75$278.44RVU24D
2024-07-01$699.75$278.44RVU24C
2024-04-01$699.75$278.44RVU24B
2024-03-09$699.75$278.44RVU24AR
2024-01-01$688.33$273.89RVU24A
2023-10-01$704.63$277.77RVU23D
2023-07-01$704.63$277.77RVU23C
2023-04-01$704.63$277.77RVU23B
2023-01-01$704.63$277.77RVU23A
2022-10-01$720.51$279.24RVU22D
2022-07-01$720.51$279.24RVU22C
2022-04-01$720.51$279.24RVU22B
2022-01-01$720.51$279.24RVU22A
2021-10-01$719.92$281.26RVU21D
2021-07-01$719.92$281.26RVU21C
2021-04-01$719.92$281.26RVU21B
2021-01-01$719.92$281.26RVU21A
2020-10-01$677.31$287.49RVU20D
2020-07-01$677.31$287.49RVU20C
2020-04-01$677.31$287.49RVU20B
2020-01-01$677.31$287.49RVU20A
2019-10-01$642.04$287.29RVU19D
2019-07-01$642.04$287.29RVU19C
2019-04-01$642.04$287.29RVU19B
2019-01-01$642.04$287.29RVU19A
2018-10-01$611.12$288.44RVU18D
2018-07-01$611.12$288.44RVU18C
2018-04-01$611.12$288.44RVU18B
2018-01-01$611.12$288.44RVU18AR1
2017-10-01$600.97$286.78RVU17D
2017-07-01$600.97$286.78RVU17C
2017-04-01$600.97$286.78RVU17B
2017-01-01$600.97$286.78RVU17A
2016-10-01$594.12$284.49RVU16D
2016-07-01$594.12$284.49RVU16C
2016-04-01$594.12$284.49RVU16B
2016-01-01$594.12$284.49RVU16A
2015-10-01$595.78$285.52RVU15D
2015-07-01$595.78$285.52RVU15C
2015-04-01$592.81$284.10RVU15B
2015-01-01$592.81$284.10RVU15A
2014-10-01$583.82$282.40RVU14D
2014-07-01$583.82$282.40RVU14C
2014-04-01$583.82$282.40RVU14B
2014-01-01$583.82$282.40RVU14A
2013-10-01$584.15$272.10RVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 52275 for an earlier date of service

Where the Santa Clara County, CA rate applies

Santa Clara County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 24 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • San Jose
  • Santa Clara
  • Sunnyvale
  • Alum Rock
  • Burbank
  • Cambrian Park
  • Campbell
  • Cupertino

Browse all communities in California

52275 billing questions

How does this differ from 52276?

52275 is for internal urethrotomy in a female patient. 52276 identifies direct-vision internal urethrotomy; select based on the procedure performed and the applicable code description.

Is dilation reported instead of this code?

Use a dilation code when the surgeon dilates or calibrates the narrowed urethra rather than incising the stricture internally. The operative note should make the technique clear.

Can urethral meatotomy be reported with this service?

Meatotomy is a distinct procedure involving an incision at the urethral opening. Do not use it as a substitute for documentation of internal incision of a stricture.

What is included in the global period?

The 0-day global period includes same-day preoperative and postoperative care. CMS does not include a multi-day postoperative period for this procedure.

Can an assistant surgeon or co-surgeon be billed?

CMS 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
RVUs for 52275PPRRVU2026_Oct_nonQPP.csv, line 6,121 (RVU26D)
Geographic factors for Santa Clara County, CAGPCI2026.csv, line 28 (RVU26D)

Open CMS sourceHow we calculate rates

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