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CPT code 52275: Urethrotomy, female urethral stricture incision2026 Medicare rate & RVUs in Delaware

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 Delaware, Medicare pays $513.69 for 52275 in the office and $217.35 when it’s performed in a hospital or facility.

$513.69Office (non-facility)
$217.35Hospital or facility
−1.0%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 Delaware
  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 Delaware 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. Delaware pays $513.69. The RVUs are the same everywhere; the geographic indexes change the dollars.

52275 in Delaware vs other payment areas
  1. Delaware · this page$513.69
  2. Los Angeles, CA · California$582.31+$68.62
  3. Washington, DC area · District of Columbia$591.25+$77.56
  4. Miami, FL · Florida$562.90+$49.21
  5. Chicago, IL · Illinois$546.94+$33.25
  6. Manhattan, NY · New York$596.39+$82.70
  7. Alaska · Alaska$609.23+$95.54

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

Every other payment area

52275 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$467.26$204.82
ArkansasArkansas$460.72$203.07
ArizonaArizona$505.50$214.86
Bakersfield, CACalifornia$547.69$218.96
Chico, CACalifornia$545.97$217.24
El Centro, CACalifornia$546.07$217.33
Fresno, CACalifornia$545.97$217.24
Hanford, CACalifornia$545.97$217.24

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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 52275 in Delaware
ComponentRVULocality factorAdjusted
Physician work4.57× 1.0054.5928
Practice expense10.39× 0.98810.2653
Malpractice0.58× 0.8990.5214
Total RVUs15.3796
Conversion factor× 33.4009

Office rate, Delaware$513.69

Office: (4.57 × 1.005 + 10.39 × 0.988 + 0.58 × 0.899) × $33.4009 = $513.69

Facility: (4.57 × 1.005 + 1.41 × 0.988 + 0.58 × 0.899) × $33.4009 = $217.35

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, Delaware
Used instead
52270Urethrotomy, female urethraFemale urethral meatotomy treats the urethral opening rather than an internal stricture.$395.60
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.$341.60
52281Urethral dilation, cystoscopic stricture treatmentUrethral stricture calibration or dilation, with or without meatotomy.$307.02

How 52275 has changed in Delaware

52275 · Office / nonfacility

$513.69

Effective 2026-10-01

The base rate is $17.45 higher than on 2025-10-01, moving from $496.24 to $513.69 (3.5%).

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

    $496.24changed to$513.69

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $534.81changed to$496.24

    • 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

    $526.09changed to$534.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $550.85changed to$526.09

    • 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 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $576.13changed to$550.85

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $575.63changed to$576.13

    • 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

    $552.05changed to$575.63

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.82 changed to 11.04
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $530.84changed to$552.05

    • 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 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $507.51changed to$530.84

    • 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

    $502.12changed to$507.51

    • 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 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $499.07changed to$502.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.37 changed to 8.47
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $500.50changed to$499.07

    • 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

    $498.01changed to$500.50

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $488.83changed to$498.01

    • 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
    • Practice expense GPCI 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $487.54changed to$488.83

    • 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
    • Practice expense GPCI 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $487.54

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$513.69$217.35RVU26D
2026-07-01$513.69$217.35RVU26C
2026-04-01$513.69$217.35RVU26B
2026-01-01$513.69$217.35RVU26A
2025-10-01$496.24$238.90RVU25D
2025-07-01$496.24$238.90RVU25C
2025-04-01$496.24$238.90RVU25B
2025-01-01$496.24$238.90RVU25A
2024-10-01$534.81$243.57RVU24D
2024-07-01$534.81$243.57RVU24C
2024-04-01$534.81$243.57RVU24B
2024-03-09$534.81$243.57RVU24AR
2024-01-01$526.09$239.59RVU24A
2023-10-01$550.85$245.77RVU23D
2023-07-01$550.85$245.77RVU23C
2023-04-01$550.85$245.77RVU23B
2023-01-01$550.85$245.77RVU23A
2022-10-01$576.13$250.05RVU22D
2022-07-01$576.13$250.05RVU22C
2022-04-01$576.13$250.05RVU22B
2022-01-01$576.13$250.05RVU22A
2021-10-01$575.63$251.47RVU21D
2021-07-01$575.63$251.47RVU21C
2021-04-01$575.63$251.47RVU21B
2021-01-01$575.63$251.47RVU21A
2020-10-01$552.05$261.33RVU20D
2020-07-01$552.05$261.33RVU20C
2020-04-01$552.05$261.33RVU20B
2020-01-01$552.05$261.33RVU20A
2019-10-01$530.84$263.85RVU19D
2019-07-01$530.84$263.85RVU19C
2019-04-01$530.84$263.85RVU19B
2019-01-01$530.84$263.85RVU19A
2018-10-01$507.51$264.67RVU18D
2018-07-01$507.51$264.67RVU18C
2018-04-01$507.51$264.67RVU18B
2018-01-01$507.51$264.67RVU18AR1
2017-10-01$502.12$263.75RVU17D
2017-07-01$502.12$263.75RVU17C
2017-04-01$502.12$263.75RVU17B
2017-01-01$502.12$263.75RVU17A
2016-10-01$499.07$262.08RVU16D
2016-07-01$499.07$262.08RVU16C
2016-04-01$499.07$262.08RVU16B
2016-01-01$499.07$262.08RVU16A
2015-10-01$500.50$263.03RVU15D
2015-07-01$500.50$263.03RVU15C
2015-04-01$498.01$261.72RVU15B
2015-01-01$498.01$261.72RVU15A
2014-10-01$488.83$255.69RVU14D
2014-07-01$488.83$255.69RVU14C
2014-04-01$488.83$255.69RVU14B
2014-01-01$488.83$255.69RVU14A
2013-10-01$487.54$243.88RVU13D
2013-07-01$487.54$243.88RVU13C
2013-04-01$487.54$243.88RVU13B
2013-01-01$487.54$243.88RVU13AR

Price 52275 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

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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