CPT code 52285: Urethral meatotomy, female urethral meatus2026 Medicare rate & RVUs in Utah
Cystourethroscopy with incision of a narrowed female urethral opening, reported when the surgeon treats meatal narrowing rather than performing dilation alone.
In Utah, Medicare pays $312.78 for 52285 in the office and $169.30 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 52285 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 52285 covers
A urologist uses a cystoscope to inspect the urethra and bladder while surgically opening a narrowed urethral meatus in a female patient. The procedure addresses meatal stenosis that obstructs urine flow or interferes with catheter passage. It may be performed in an operating room or an appropriately equipped outpatient setting; the operative record should identify the narrowing and document the incision or other treatment performed.
Report this code for the female meatal incision service, not for diagnostic cystoscopy alone or for dilation without meatotomy. Documentation should establish the patient’s anatomy, the site and nature of the narrowing, and the treatment performed. 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. Modifier 50 is inappropriate for this service. Medicare does not pay an assistant at surgery, 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 Utah compares for 52285
Across 109 of 109 payment localities, the office rate for 52285 runs from $290.93 in Arkansas to $416.33 in San Benito County, CA. Utah pays $312.78. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Utah · this page$312.78
- Los Angeles, CA · California$360.51+$47.73
- Washington, DC area · District of Columbia$368.42+$55.64
- Miami, FL · Florida$358.91+$46.13
- Chicago, IL · Illinois$348.97+$36.19
- Manhattan, NY · New York$374.25+$61.47
- Alaska · Alaska$389.77+$76.99
Other areas in Utah first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $294.84 | $161.28 |
| ArkansasArkansas | $290.93 | $159.81 |
| ArizonaArizona | $317.67 | $169.76 |
| Bakersfield, CACalifornia | $340.29 | $172.99 |
| Chico, CACalifornia | $338.86 | $171.57 |
| El Centro, CACalifornia | $338.94 | $171.65 |
| Fresno, CACalifornia | $338.86 | $171.57 |
| Hanford, CACalifornia | $338.86 | $171.57 |
| Madera, CACalifornia | $338.86 | $171.57 |
| Merced, CACalifornia | $338.86 | $171.57 |
| Modesto, CACalifornia | $338.86 | $171.57 |
| Napa, CACalifornia | $386.51 | $185.32 |
| Oxnard, CACalifornia | $358.12 | $177.70 |
| Redding, CACalifornia | $338.86 | $171.57 |
| Rest of CaliforniaCalifornia | $338.86 | $171.57 |
| Riverside, CACalifornia | $344.17 | $176.87 |
| Sacramento, CACalifornia | $353.98 | $176.46 |
| Salinas, CACalifornia | $352.62 | $175.71 |
| San Diego, CACalifornia | $359.72 | $177.16 |
| Marin County, CACalifornia | $407.16 | $191.93 |
| San Francisco, CACalifornia | $406.60 | $191.37 |
| San Benito County, CACalifornia | $416.33 | $196.22 |
| Santa Clara County, CACalifornia | $414.06 | $193.95 |
| San Luis Obispo, CACalifornia | $347.13 | $173.27 |
| Santa Cruz, CACalifornia | $362.22 | $176.76 |
| Santa Maria, CACalifornia | $353.62 | $175.64 |
| Santa Rosa, CACalifornia | $365.78 | $178.34 |
| Stockton, CACalifornia | $338.86 | $171.57 |
| Vallejo, CACalifornia | $385.70 | $184.52 |
| Visalia, CACalifornia | $338.86 | $171.57 |
| Yuba City, CACalifornia | $338.86 | $171.57 |
| ColoradoColorado | $336.13 | $173.72 |
| ConnecticutConnecticut | $346.59 | $182.19 |
| DelawareDelaware | $322.62 | $171.81 |
| Fort Lauderdale, FLFlorida | $341.72 | $187.09 |
| Rest of FloridaFlorida | $325.76 | $179.83 |
| Atlanta, GAGeorgia | $332.71 | $177.63 |
| Rest of GeorgiaGeorgia | $308.36 | $172.20 |
| Hawaii, Guam, HIHawaii | $345.46 | $171.91 |
| IowaIowa | $299.77 | $160.10 |
| IdahoIdaho | $301.98 | $161.55 |
| East St. Louis, ILIllinois | $327.20 | $186.77 |
| Rest of IllinoisIllinois | $318.47 | $179.11 |
| Suburban Chicago, ILIllinois | $344.64 | $187.88 |
| IndianaIndiana | $303.54 | $162.04 |
| KansasKansas | $299.41 | $161.42 |
| KentuckyKentucky | $303.25 | $167.55 |
| New Orleans, LALouisiana | $316.87 | $173.23 |
| Rest of LouisianaLouisiana | $303.18 | $168.09 |
| Metropolitan Boston, MAMassachusetts | $366.32 | $184.07 |
| Rest of MassachusettsMassachusetts | $334.74 | $174.01 |
| Baltimore area, MDMaryland | $345.79 | $182.01 |
| Rest of MarylandMaryland | $328.13 | $173.66 |
| Rest of MaineMaine | $304.42 | $163.98 |
| Southern Maine, MEMaine | $318.22 | $166.95 |
| Detroit, MIMichigan | $330.49 | $183.19 |
| Rest of MichiganMichigan | $311.37 | $172.00 |
| MinnesotaMinnesota | $320.05 | $162.98 |
| Metropolitan Kansas City, MOMissouri | $313.88 | $170.55 |
| Metropolitan St. Louis, MOMissouri | $316.79 | $171.48 |
| Rest of MissouriMissouri | $299.02 | $167.44 |
| MississippiMississippi | $294.98 | $163.55 |
| MontanaMontana | $325.96 | $173.32 |
| North CarolinaNorth Carolina | $307.19 | $164.78 |
| North DakotaNorth Dakota | $316.27 | $163.63 |
| NebraskaNebraska | $301.00 | $160.11 |
| New HampshireNew Hampshire | $331.83 | $172.93 |
| Northern New JerseyNew Jersey | $365.27 | $188.21 |
| Rest of New JerseyNew Jersey | $349.97 | $183.28 |
| New MexicoNew Mexico | $313.31 | $173.34 |
| NevadaNevada | $323.45 | $170.66 |
| NYC suburbs and Long Island, NYNew York | $383.88 | $202.39 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $352.98 | $185.84 |
| Queens, NYNew York | $375.74 | $195.32 |
| Rest of New YorkNew York | $311.51 | $166.50 |
| OhioOhio | $309.39 | $170.02 |
| OklahomaOklahoma | $301.76 | $165.45 |
| Portland, OROregon | $345.03 | $175.45 |
| Rest of OregonOregon | $320.36 | $168.33 |
| Metropolitan Philadelphia, PAPennsylvania | $339.15 | $180.25 |
| Rest of PennsylvaniaPennsylvania | $309.32 | $169.19 |
| Puerto RicoPuerto Rico | $327.86 | $173.54 |
| Rhode IslandRhode Island | $332.80 | $175.12 |
| South CarolinaSouth Carolina | $308.92 | $167.87 |
| South DakotaSouth Dakota | $315.13 | $162.48 |
| TennesseeTennessee | $300.91 | $162.16 |
| Austin, TXTexas | $335.52 | $174.02 |
| Beaumont, TXTexas | $307.52 | $168.61 |
| Brazoria, TXTexas | $321.60 | $170.33 |
| Dallas, TXTexas | $323.95 | $171.92 |
| Fort Worth, TXTexas | $322.24 | $171.74 |
| Galveston, TXTexas | $322.77 | $171.20 |
| Houston, TXTexas | $331.74 | $180.16 |
| Rest of TexasTexas | $314.59 | $169.74 |
| VirginiaVirginia | $317.91 | $167.86 |
| Virgin Islands, VIUnited States Virgin Islands | $327.86 | $173.54 |
| VermontVermont | $315.98 | $164.87 |
| Rest of WashingtonWashington | $333.80 | $173.07 |
| King County, WAWashington | $372.53 | $185.24 |
| WisconsinWisconsin | $306.59 | $160.36 |
| West VirginiaWest Virginia | $307.84 | $175.20 |
| WyomingWyoming | $321.74 | $169.10 |
52285 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.
$290.93
$389.77
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $389.77 | 1 |
| AL | $294.84 | 1 |
| AR | $290.93 | 1 |
| AZ | $317.67 | 1 |
| CA | $338.86–$416.33 | 29 |
| CO | $336.13 | 1 |
| CT | $346.59 | 1 |
| DC | $368.42 | 1 |
| DE | $322.62 | 1 |
| FL | $325.76–$358.91 | 3 |
| GA | $308.36–$332.71 | 2 |
| GU | $345.46 | 1 |
| HI | $345.46 | 1 |
| IA | $299.77 | 1 |
| ID | $301.98 | 1 |
| IL | $318.47–$348.97 | 4 |
| IN | $303.54 | 1 |
| KS | $299.41 | 1 |
| KY | $303.25 | 1 |
| LA | $303.18–$316.87 | 2 |
| MA | $334.74–$366.32 | 2 |
| MD | $328.13–$368.42 | 3 |
| ME | $304.42–$318.22 | 2 |
| MI | $311.37–$330.49 | 2 |
| MN | $320.05 | 1 |
| MO | $299.02–$316.79 | 3 |
| MS | $294.98 | 1 |
| MT | $325.96 | 1 |
| NC | $307.19 | 1 |
| ND | $316.27 | 1 |
| NE | $301.00 | 1 |
| NH | $331.83 | 1 |
| NJ | $349.97–$365.27 | 2 |
| NM | $313.31 | 1 |
| NV | $323.45 | 1 |
| NY | $311.51–$383.88 | 5 |
| OH | $309.39 | 1 |
| OK | $301.76 | 1 |
| OR | $320.36–$345.03 | 2 |
| PA | $309.32–$339.15 | 2 |
| PR | $327.86 | 1 |
| RI | $332.80 | 1 |
| SC | $308.92 | 1 |
| SD | $315.13 | 1 |
| TN | $300.91 | 1 |
| TX | $307.52–$335.52 | 8 |
| UT | $312.78 | 1 |
| VA | $317.91–$368.42 | 2 |
| VI | $327.86 | 1 |
| VT | $315.98 | 1 |
| WA | $333.80–$372.53 | 2 |
| WI | $306.59 | 1 |
| WV | $307.84 | 1 |
| WY | $321.74 | 1 |
How the 52285 rate is calculated
Each of 52285’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 · 52285
RVUs × geographic indexes × conversion factor
Work3.51
3.51 RVUs× 1.000 GPCI
Practice expense5.76
5.76 RVUs× 1.000 GPCI
Malpractice0.49
0.49 RVUs× 1.000 GPCI
Adjusted RVUs
9.7600
Conversion factor
$33.4009
Medicare rate
$325.99
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Utah inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,128
- Code
- 52285
- Physician work
- 3.51
- Practice expense
- 5.76
- Malpractice
- 0.49
GPCI2026.csv
104
- Locality
- Utah
- Physician work
- 1.000
- Practice expense
- 0.940
- Malpractice
- 0.898
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.51 | × 1.000 | 3.5100 |
| Practice expense | 5.76 | × 0.940 | 5.4144 |
| Malpractice | 0.49 | × 0.898 | 0.4400 |
| Total RVUs | 9.3644 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Utah$312.78
Office: (3.51 × 1 + 5.76 × 0.94 + 0.49 × 0.898) × $33.4009 = $312.78
Facility: (3.51 × 1 + 1.19 × 0.94 + 0.49 × 0.898) × $33.4009 = $169.30
Payment rules and modifiers for 52285
The CMS indicators that decide how 52285 is paid alongside other services.
CMS payment indicators · 52285
Urethral meatotomy, female urethral meatus
| 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
52285 without 51 · national office
$325.99
Urethral meatotomy, female urethral meatus
52285-51 · Second procedure: 50%
$163.00
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 52285 has changed in Utah
52285 · Office / nonfacility
$312.78
Effective 2026-10-01
The base rate is $4.44 higher than on 2025-10-01, moving from $308.34 to $312.78 (1.4%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$308.34changed to$312.78
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.60 changed to 3.51
- Practice expense RVU 5.86 changed to 5.76
- Malpractice RVU 0.50 changed to 0.49
- Practice expense GPCI 0.933 changed to 0.940
- Malpractice GPCI 0.930 changed to 0.898
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$334.39changed to$308.34
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 6.44 changed to 5.86
- Malpractice RVU 0.47 changed to 0.50
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$328.94changed to$334.39
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$337.60changed to$328.94
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 6.46 changed to 6.44
- Malpractice RVU 0.44 changed to 0.47
- Practice expense GPCI 0.926 changed to 0.933
- Malpractice GPCI 0.865 changed to 0.930
January 1, 2023
RVU23A
$343.83changed to$337.60
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 6.52 changed to 6.46
- Malpractice RVU 0.43 changed to 0.44
- Practice expense GPCI 0.919 changed to 0.926
- Malpractice GPCI 0.799 changed to 0.865
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$334.77changed to$343.83
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 6.14 changed to 6.52
- Malpractice RVU 0.44 changed to 0.43
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$319.73changed to$334.77
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 5.23 changed to 6.14
- Practice expense GPCI 0.923 changed to 0.919
- Malpractice GPCI 0.982 changed to 0.799
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$302.30changed to$319.73
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 4.65 changed to 5.23
- Malpractice RVU 0.41 changed to 0.44
- Practice expense GPCI 0.927 changed to 0.923
- Malpractice GPCI 1.165 changed to 0.982
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$281.53changed to$302.30
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 4.05 changed to 4.65
- Malpractice RVU 0.40 changed to 0.41
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$278.83changed to$281.53
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 3.99 changed to 4.05
- Malpractice RVU 0.41 changed to 0.40
- Practice expense GPCI 0.925 changed to 0.927
- Malpractice GPCI 1.167 changed to 1.165
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$275.79changed to$278.83
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 3.93 changed to 3.99
- Practice expense GPCI 0.922 changed to 0.925
- Malpractice GPCI 1.169 changed to 1.167
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$276.12changed to$275.79
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 3.91 changed to 3.93
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$274.75changed to$276.12
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$269.62changed to$274.75
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 3.84 changed to 3.91
- Malpractice RVU 0.35 changed to 0.41
- Practice expense GPCI 0.919 changed to 0.922
- Malpractice GPCI 1.136 changed to 1.169
Held through RVU15B.
January 1, 2014
RVU14A
$265.69changed to$269.62
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 4.15 changed to 3.84
- Malpractice RVU 0.37 changed to 0.35
- Practice expense GPCI 0.916 changed to 0.919
- Malpractice GPCI 1.102 changed to 1.136
Held through RVU14B, RVU14C, RVU14D.
January 1, 2013
RVU13AR
Earliest loaded release: $265.69
Held through RVU13B, RVU13C, RVU13D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $312.78 | $169.30 | RVU26D |
| 2026-07-01 | $312.78 | $169.30 | RVU26C |
| 2026-04-01 | $312.78 | $169.30 | RVU26B |
| 2026-01-01 | $312.78 | $169.30 | RVU26A |
| 2025-10-01 | $308.34 | $184.91 | RVU25D |
| 2025-07-01 | $308.34 | $184.91 | RVU25C |
| 2025-04-01 | $308.34 | $184.91 | RVU25B |
| 2025-01-01 | $308.34 | $184.91 | RVU25A |
| 2024-10-01 | $334.39 | $188.11 | RVU24D |
| 2024-07-01 | $334.39 | $188.11 | RVU24C |
| 2024-04-01 | $334.39 | $188.11 | RVU24B |
| 2024-03-09 | $334.39 | $188.11 | RVU24AR |
| 2024-01-01 | $328.94 | $185.04 | RVU24A |
| 2023-10-01 | $337.60 | $187.61 | RVU23D |
| 2023-07-01 | $337.60 | $187.61 | RVU23C |
| 2023-04-01 | $337.60 | $187.61 | RVU23B |
| 2023-01-01 | $337.60 | $187.61 | RVU23A |
| 2022-10-01 | $343.83 | $188.31 | RVU22D |
| 2022-07-01 | $343.83 | $188.31 | RVU22C |
| 2022-04-01 | $343.83 | $188.31 | RVU22B |
| 2022-01-01 | $343.83 | $188.31 | RVU22A |
| 2021-10-01 | $334.77 | $190.47 | RVU21D |
| 2021-07-01 | $334.77 | $190.47 | RVU21C |
| 2021-04-01 | $334.77 | $190.47 | RVU21B |
| 2021-01-01 | $334.77 | $190.47 | RVU21A |
| 2020-10-01 | $319.73 | $198.81 | RVU20D |
| 2020-07-01 | $319.73 | $198.81 | RVU20C |
| 2020-04-01 | $319.73 | $198.81 | RVU20B |
| 2020-01-01 | $319.73 | $198.81 | RVU20A |
| 2019-10-01 | $302.30 | $202.08 | RVU19D |
| 2019-07-01 | $302.30 | $202.08 | RVU19C |
| 2019-04-01 | $302.30 | $202.08 | RVU19B |
| 2019-01-01 | $302.30 | $202.08 | RVU19A |
| 2018-10-01 | $281.53 | $202.44 | RVU18D |
| 2018-07-01 | $281.53 | $202.44 | RVU18C |
| 2018-04-01 | $281.53 | $202.44 | RVU18B |
| 2018-01-01 | $281.53 | $202.44 | RVU18AR1 |
| 2017-10-01 | $278.83 | $201.48 | RVU17D |
| 2017-07-01 | $278.83 | $201.48 | RVU17C |
| 2017-04-01 | $278.83 | $201.48 | RVU17B |
| 2017-01-01 | $278.83 | $201.48 | RVU17A |
| 2016-10-01 | $275.79 | $199.86 | RVU16D |
| 2016-07-01 | $275.79 | $199.86 | RVU16C |
| 2016-04-01 | $275.79 | $199.86 | RVU16B |
| 2016-01-01 | $275.79 | $199.86 | RVU16A |
| 2015-10-01 | $276.12 | $200.59 | RVU15D |
| 2015-07-01 | $276.12 | $200.59 | RVU15C |
| 2015-04-01 | $274.75 | $199.59 | RVU15B |
| 2015-01-01 | $274.75 | $199.59 | RVU15A |
| 2014-10-01 | $269.62 | $196.87 | RVU14D |
| 2014-07-01 | $269.62 | $196.87 | RVU14C |
| 2014-04-01 | $269.62 | $196.87 | RVU14B |
| 2014-01-01 | $269.62 | $196.87 | RVU14A |
| 2013-10-01 | $265.69 | $189.96 | RVU13D |
| 2013-07-01 | $265.69 | $189.96 | RVU13C |
| 2013-04-01 | $265.69 | $189.96 | RVU13B |
| 2013-01-01 | $265.69 | $189.96 | RVU13AR |
Where the Utah rate applies
Utah is a Medicare payment area, not a city. Our Census mapping connects it to 334 cities and communities in Utah. Some span more than one payment area; confirm with the service ZIP.
- Alpine
- Alta
- Altamont
- Alton
- Amalga
- American Fork
- Aneth
- Annabella
52285 billing questions
How does this differ from 52270?
52285 is the female urethral meatotomy service; 52270 is its male counterpart. Select based on the patient’s anatomy and the procedure documented.
Can this be reported for urethral dilation alone?
No. This code describes meatotomy with cystourethroscopy; dilation without the meatotomy is a different service.
Can diagnostic cystoscopy be billed separately?
The cystourethroscopic inspection is part of this operative service. Do not separately report a diagnostic cystoscopy for the same operative examination.
What documentation supports reporting this code?
Document female anatomy, the narrowed meatus, the clinical reason for treatment, and the incision or other meatotomy performed.
Which surgical modifiers are appropriate for multiple surgeons?
CMS does not permit assistant-at-surgery, co-surgeon, or team-surgery payment for this code. Modifier 50 is also inappropriate.
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
Fee sheets
Put 52285 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Build my fee sheet