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

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 Mississippi, Medicare pays $465.76 for 52275 in the office and $207.51 when it’s performed in a hospital or facility.

$465.76Office (non-facility)
$207.51Hospital or facility
−10.3%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 Mississippi
  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 Mississippi 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. Mississippi pays $465.76. The RVUs are the same everywhere; the geographic indexes change the dollars.

52275 in Mississippi vs other payment areas
  1. Mississippi · this page$465.76
  2. Los Angeles, CA · California$582.31+$116.55
  3. Washington, DC area · District of Columbia$591.25+$125.49
  4. Miami, FL · Florida$562.90+$97.14
  5. Chicago, IL · Illinois$546.94+$81.18
  6. Manhattan, NY · New York$596.39+$130.63
  7. Alaska · Alaska$609.23+$143.47

Other areas in Mississippi 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.

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 Mississippi 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

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Office calculation for 52275 in Mississippi
ComponentRVULocality factorAdjusted
Physician work4.57× 1.0004.5700
Practice expense10.39× 0.8618.9458
Malpractice0.58× 0.7390.4286
Total RVUs13.9444
Conversion factor× 33.4009

Office rate, Mississippi$465.76

Office: (4.57 × 1 + 10.39 × 0.861 + 0.58 × 0.739) × $33.4009 = $465.76

Facility: (4.57 × 1 + 1.41 × 0.861 + 0.58 × 0.739) × $33.4009 = $207.51

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

How 52275 has changed in Mississippi

52275 · Office / nonfacility

$465.76

Effective 2026-10-01

The base rate is $20.20 higher than on 2025-10-01, moving from $445.56 to $465.76 (4.5%).

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

    $445.56changed to$465.76

    • 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
    • Practice expense GPCI 0.852 changed to 0.861
    • Malpractice GPCI 0.768 changed to 0.739

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $479.29changed to$445.56

    • 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

    $471.46changed to$479.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $486.36changed to$471.46

    • 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
    • Practice expense GPCI 0.847 changed to 0.852
    • Malpractice GPCI 0.720 changed to 0.768
  5. January 1, 2023

    RVU23A

    $500.78changed to$486.36

    • 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
    • Practice expense GPCI 0.842 changed to 0.847
    • Malpractice GPCI 0.671 changed to 0.720

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $500.65changed to$500.78

    • 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

    $482.78changed to$500.65

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 9.82 changed to 11.04
    • Practice expense GPCI 0.856 changed to 0.842
    • Malpractice GPCI 0.521 changed to 0.671

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $466.16changed to$482.78

    • 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
    • Practice expense GPCI 0.870 changed to 0.856
    • Malpractice GPCI 0.370 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $446.23changed to$466.16

    • 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

    $441.05changed to$446.23

    • 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
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.492 changed to 0.370

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $438.26changed to$441.05

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.37 changed to 8.47
    • Practice expense GPCI 0.864 changed to 0.867
    • Malpractice GPCI 0.613 changed to 0.492

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $439.53changed to$438.26

    • 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

    $437.34changed to$439.53

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $432.99changed to$437.34

    • 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 0.865 changed to 0.864
    • Malpractice GPCI 0.687 changed to 0.613

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $433.15changed to$432.99

    • 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 0.866 changed to 0.865
    • Malpractice GPCI 0.761 changed to 0.687

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $433.15

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$465.76$207.51RVU26D
2026-07-01$465.76$207.51RVU26C
2026-04-01$465.76$207.51RVU26B
2026-01-01$465.76$207.51RVU26A
2025-10-01$445.56$224.54RVU25D
2025-07-01$445.56$224.54RVU25C
2025-04-01$445.56$224.54RVU25B
2025-01-01$445.56$224.54RVU25A
2024-10-01$479.29$229.14RVU24D
2024-07-01$479.29$229.14RVU24C
2024-04-01$479.29$229.14RVU24B
2024-03-09$479.29$229.14RVU24AR
2024-01-01$471.46$225.40RVU24A
2023-10-01$486.36$229.76RVU23D
2023-07-01$486.36$229.76RVU23C
2023-04-01$486.36$229.76RVU23B
2023-01-01$486.36$229.76RVU23A
2022-10-01$500.78$232.13RVU22D
2022-07-01$500.78$232.13RVU22C
2022-04-01$500.78$232.13RVU22B
2022-01-01$500.78$232.13RVU22A
2021-10-01$500.65$233.58RVU21D
2021-07-01$500.65$233.58RVU21C
2021-04-01$500.65$233.58RVU21B
2021-01-01$500.65$233.58RVU21A
2020-10-01$482.78$239.04RVU20D
2020-07-01$482.78$239.04RVU20C
2020-04-01$482.78$239.04RVU20B
2020-01-01$482.78$239.04RVU20A
2019-10-01$466.16$238.22RVU19D
2019-07-01$466.16$238.22RVU19C
2019-04-01$466.16$238.22RVU19B
2019-01-01$466.16$238.22RVU19A
2018-10-01$446.23$238.90RVU18D
2018-07-01$446.23$238.90RVU18C
2018-04-01$446.23$238.90RVU18B
2018-01-01$446.23$238.90RVU18AR1
2017-10-01$441.05$239.42RVU17D
2017-07-01$441.05$239.42RVU17C
2017-04-01$441.05$239.42RVU17B
2017-01-01$441.05$239.42RVU17A
2016-10-01$438.26$239.66RVU16D
2016-07-01$438.26$239.66RVU16C
2016-04-01$438.26$239.66RVU16B
2016-01-01$438.26$239.66RVU16A
2015-10-01$439.53$240.52RVU15D
2015-07-01$439.53$240.52RVU15C
2015-04-01$437.34$239.33RVU15B
2015-01-01$437.34$239.33RVU15A
2014-10-01$432.99$238.71RVU14D
2014-07-01$432.99$238.71RVU14C
2014-04-01$432.99$238.71RVU14B
2014-01-01$432.99$238.71RVU14A
2013-10-01$433.15$231.03RVU13D
2013-07-01$433.15$231.03RVU13C
2013-04-01$433.15$231.03RVU13B
2013-01-01$433.15$231.03RVU13AR

Price 52275 for an earlier date of service

Where the Mississippi rate applies

Mississippi is a Medicare payment area, not a city. Our Census mapping connects it to 427 cities and communities in Mississippi. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Aberdeen
  • Ackerman
  • Agricola
  • Alcorn State University
  • Algoma
  • Alligator
  • Amory

Browse all communities in Mississippi

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 MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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