CPT code 52287: Bladder chemodenervation, cystoscopic injection2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports cystoscopic injection of a chemodenervation agent into the bladder for conditions such as overactive bladder or neurogenic detrusor overactivity.
In Hawaii, Guam, HI, Medicare pays $391.28 for 52287 in the office and $147.09 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 52287 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 52287 covers
A urologist typically performs this procedure by passing a cystoscope through the urethra and injecting a chemodenervation agent into the bladder wall. Common indications include overactive bladder with inadequate response or intolerance to medication and neurogenic detrusor overactivity. The code represents the cystoscopic injection service, not a biopsy or treatment of a bladder lesion. When the practice supplies onabotulinumtoxinA, the drug may be reported separately using the applicable drug code.
Report the service for the cystoscopic chemodenervation session; document the indication, agent and dose, injection sites, and procedure performed. 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 service. Medicare does not pay an assistant at surgery, and co-surgeon and team-surgery reporting are not permitted. The physician fee schedule has different practice-expense inputs for office and facility settings.
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 Hawaii, Guam, HI compares for 52287
Across 109 of 109 payment localities, the office rate for 52287 runs from $322.20 in Arkansas to $476.90 in San Benito County, CA. Hawaii, Guam, HI pays $391.28. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$391.28
- Los Angeles, CA · California$408.05+$16.77
- Washington, DC area · District of Columbia$414.63+$23.35
- Miami, FL · Florida$395.75+$4.47
- Chicago, IL · Illinois$384.29−$6.99
- Manhattan, NY · New York$418.54+$27.26
- Alaska · Alaska$425.33+$34.05
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $326.86 | $138.94 |
| ArkansasArkansas | $322.20 | $137.72 |
| ArizonaArizona | $354.07 | $145.96 |
| Bakersfield, CACalifornia | $383.64 | $148.25 |
| Chico, CACalifornia | $382.38 | $146.99 |
| El Centro, CACalifornia | $382.45 | $147.07 |
| Fresno, CACalifornia | $382.38 | $146.99 |
| Hanford, CACalifornia | $382.38 | $146.99 |
| Madera, CACalifornia | $382.38 | $146.99 |
| Merced, CACalifornia | $382.38 | $146.99 |
| Modesto, CACalifornia | $382.38 | $146.99 |
| Napa, CACalifornia | $441.20 | $158.13 |
| Oxnard, CACalifornia | $405.86 | $152.00 |
| Redding, CACalifornia | $382.38 | $146.99 |
| Rest of CaliforniaCalifornia | $382.38 | $146.99 |
| Riverside, CACalifornia | $387.04 | $151.65 |
| Sacramento, CACalifornia | $400.78 | $151.01 |
| Salinas, CACalifornia | $399.28 | $150.37 |
| San Diego, CACalifornia | $408.34 | $151.47 |
| Marin County, CACalifornia | $466.38 | $163.56 |
| San Francisco, CACalifornia | $465.89 | $163.07 |
| San Benito County, CACalifornia | $476.90 | $167.20 |
| Santa Clara County, CACalifornia | $474.90 | $165.21 |
| San Luis Obispo, CACalifornia | $392.92 | $148.30 |
| Santa Cruz, CACalifornia | $411.97 | $151.03 |
| Santa Maria, CACalifornia | $400.69 | $150.27 |
| Santa Rosa, CACalifornia | $416.10 | $152.36 |
| Stockton, CACalifornia | $382.38 | $146.99 |
| Vallejo, CACalifornia | $440.49 | $157.43 |
| Visalia, CACalifornia | $382.38 | $146.99 |
| Yuba City, CACalifornia | $382.38 | $146.99 |
| ColoradoColorado | $377.53 | $149.02 |
| ConnecticutConnecticut | $387.71 | $156.41 |
| DelawareDelaware | $359.86 | $147.67 |
| Fort Lauderdale, FLFlorida | $378.53 | $160.97 |
| Rest of FloridaFlorida | $360.17 | $154.85 |
| Atlanta, GAGeorgia | $370.86 | $152.65 |
| Rest of GeorgiaGeorgia | $340.02 | $148.44 |
| IowaIowa | $334.24 | $137.72 |
| IdahoIdaho | $336.55 | $138.97 |
| East St. Louis, ILIllinois | $358.69 | $161.10 |
| Rest of IllinoisIllinois | $350.49 | $154.41 |
| Suburban Chicago, ILIllinois | $382.17 | $161.61 |
| IndianaIndiana | $338.46 | $139.37 |
| KansasKansas | $333.08 | $138.93 |
| KentuckyKentucky | $335.30 | $144.37 |
| New Orleans, LALouisiana | $351.22 | $149.13 |
| Rest of LouisianaLouisiana | $334.94 | $144.87 |
| Metropolitan Boston, MAMassachusetts | $413.99 | $157.56 |
| Rest of MassachusettsMassachusetts | $375.48 | $149.33 |
| Baltimore area, MDMaryland | $386.70 | $156.26 |
| Rest of MarylandMaryland | $366.54 | $149.20 |
| Rest of MaineMaine | $338.69 | $141.11 |
| Southern Maine, MEMaine | $356.23 | $143.39 |
| Detroit, MIMichigan | $365.01 | $157.76 |
| Rest of MichiganMichigan | $344.26 | $148.18 |
| MinnesotaMinnesota | $360.73 | $139.74 |
| Metropolitan Kansas City, MOMissouri | $348.45 | $146.78 |
| Metropolitan St. Louis, MOMissouri | $352.00 | $147.54 |
| Rest of MissouriMissouri | $329.53 | $144.40 |
| MississippiMississippi | $325.91 | $140.99 |
| MontanaMontana | $363.71 | $148.94 |
| North CarolinaNorth Carolina | $342.13 | $141.75 |
| North DakotaNorth Dakota | $355.20 | $140.44 |
| NebraskaNebraska | $335.92 | $137.69 |
| New HampshireNew Hampshire | $371.99 | $148.42 |
| Northern New JerseyNew Jersey | $410.50 | $161.37 |
| Rest of New JerseyNew Jersey | $391.85 | $157.33 |
| New MexicoNew Mexico | $346.27 | $149.33 |
| NevadaNevada | $361.58 | $146.60 |
| NYC suburbs and Long Island, NYNew York | $429.05 | $173.69 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $394.73 | $159.56 |
| Queens, NYNew York | $421.37 | $167.52 |
| Rest of New YorkNew York | $347.21 | $143.18 |
| OhioOhio | $342.52 | $146.44 |
| OklahomaOklahoma | $334.30 | $142.51 |
| Portland, OROregon | $388.94 | $150.33 |
| Rest of OregonOregon | $358.49 | $144.58 |
| Metropolitan Philadelphia, PAPennsylvania | $378.44 | $154.86 |
| Rest of PennsylvaniaPennsylvania | $342.84 | $145.69 |
| Puerto RicoPuerto Rico | $366.22 | $149.09 |
| Rhode IslandRhode Island | $372.26 | $150.40 |
| South CarolinaSouth Carolina | $342.95 | $144.50 |
| South DakotaSouth Dakota | $354.20 | $139.43 |
| TennesseeTennessee | $334.78 | $139.55 |
| Austin, TXTexas | $376.53 | $149.30 |
| Beaumont, TXTexas | $340.65 | $145.21 |
| Brazoria, TXTexas | $359.20 | $146.37 |
| Dallas, TXTexas | $361.65 | $147.74 |
| Fort Worth, TXTexas | $359.39 | $147.63 |
| Galveston, TXTexas | $360.38 | $147.12 |
| Houston, TXTexas | $368.25 | $154.99 |
| Rest of TexasTexas | $349.84 | $146.02 |
| UtahUtah | $347.56 | $145.68 |
| VirginiaVirginia | $355.35 | $144.23 |
| Virgin Islands, VIUnited States Virgin Islands | $366.22 | $149.09 |
| VermontVermont | $354.19 | $141.57 |
| Rest of WashingtonWashington | $374.65 | $148.50 |
| King County, WAWashington | $421.97 | $158.45 |
| WisconsinWisconsin | $343.50 | $137.75 |
| West VirginiaWest Virginia | $337.81 | $151.18 |
| WyomingWyoming | $360.00 | $145.23 |
52287 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.
$322.20
$429.64
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 | $425.33 | 1 |
| AL | $326.86 | 1 |
| AR | $322.20 | 1 |
| AZ | $354.07 | 1 |
| CA | $382.38–$476.90 | 29 |
| CO | $377.53 | 1 |
| CT | $387.71 | 1 |
| DC | $414.63 | 1 |
| DE | $359.86 | 1 |
| FL | $360.17–$395.75 | 3 |
| GA | $340.02–$370.86 | 2 |
| GU | $391.28 | 1 |
| HI | $391.28 | 1 |
| IA | $334.24 | 1 |
| ID | $336.55 | 1 |
| IL | $350.49–$384.29 | 4 |
| IN | $338.46 | 1 |
| KS | $333.08 | 1 |
| KY | $335.30 | 1 |
| LA | $334.94–$351.22 | 2 |
| MA | $375.48–$413.99 | 2 |
| MD | $366.54–$414.63 | 3 |
| ME | $338.69–$356.23 | 2 |
| MI | $344.26–$365.01 | 2 |
| MN | $360.73 | 1 |
| MO | $329.53–$352.00 | 3 |
| MS | $325.91 | 1 |
| MT | $363.71 | 1 |
| NC | $342.13 | 1 |
| ND | $355.20 | 1 |
| NE | $335.92 | 1 |
| NH | $371.99 | 1 |
| NJ | $391.85–$410.50 | 2 |
| NM | $346.27 | 1 |
| NV | $361.58 | 1 |
| NY | $347.21–$429.05 | 5 |
| OH | $342.52 | 1 |
| OK | $334.30 | 1 |
| OR | $358.49–$388.94 | 2 |
| PA | $342.84–$378.44 | 2 |
| PR | $366.22 | 1 |
| RI | $372.26 | 1 |
| SC | $342.95 | 1 |
| SD | $354.20 | 1 |
| TN | $334.78 | 1 |
| TX | $340.65–$376.53 | 8 |
| UT | $347.56 | 1 |
| VA | $355.35–$414.63 | 2 |
| VI | $366.22 | 1 |
| VT | $354.19 | 1 |
| WA | $374.65–$421.97 | 2 |
| WI | $343.50 | 1 |
| WV | $337.81 | 1 |
| WY | $360.00 | 1 |
How the 52287 rate is calculated
Each of 52287’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 · 52287
RVUs × geographic indexes × conversion factor
Work3.12
3.12 RVUs× 1.000 GPCI
Practice expense7.34
7.34 RVUs× 1.000 GPCI
Malpractice0.43
0.43 RVUs× 1.000 GPCI
Adjusted RVUs
10.8900
Conversion factor
$33.4009
Medicare rate
$363.74
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,129
- Code
- 52287
- Physician work
- 3.12
- Practice expense
- 7.34
- Malpractice
- 0.43
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.12 | × 1.000 | 3.1200 |
| Practice expense | 7.34 | × 1.137 | 8.3456 |
| Malpractice | 0.43 | × 0.579 | 0.2490 |
| Total RVUs | 11.7145 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$391.28
Office: (3.12 × 1 + 7.34 × 1.137 + 0.43 × 0.579) × $33.4009 = $391.28
Facility: (3.12 × 1 + 0.91 × 1.137 + 0.43 × 0.579) × $33.4009 = $147.09
Payment rules and modifiers for 52287
The CMS indicators that decide how 52287 is paid alongside other services.
CMS payment indicators · 52287
Bladder chemodenervation, cystoscopic injection
| 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
52287 without 51 · national office
$363.74
Bladder chemodenervation, cystoscopic injection
52287-51 · Second procedure: 50%
$181.87
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 52287 has changed in Hawaii, Guam, HI
52287 · Office / nonfacility
$391.28
Effective 2026-10-01
The base rate is $6.98 higher than on 2025-10-01, moving from $384.30 to $391.28 (1.8%).
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
$384.30changed to$391.28
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 3.20 changed to 3.12
- Practice expense RVU 7.35 changed to 7.34
- Malpractice RVU 0.42 changed to 0.43
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$420.54changed to$384.30
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 8.01 changed to 7.35
- Malpractice RVU 0.41 changed to 0.42
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$413.67changed to$420.54
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$430.36changed to$413.67
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 8.06 changed to 8.01
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$445.15changed to$430.36
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 8.19 changed to 8.06
- Malpractice RVU 0.40 changed to 0.41
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$433.84changed to$445.15
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 7.82 changed to 8.19
- Malpractice RVU 0.39 changed to 0.40
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$401.04changed to$433.84
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 6.68 changed to 7.82
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$374.93changed to$401.04
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 6.09 changed to 6.68
- Malpractice RVU 0.36 changed to 0.39
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$346.66changed to$374.93
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 5.42 changed to 6.09
- Malpractice RVU 0.35 changed to 0.36
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$343.36changed to$346.66
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 5.32 changed to 5.42
- Malpractice RVU 0.36 changed to 0.35
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
$342.14changed to$343.36
- Conversion factor 35.8043 changed to 35.8887
- Practice expense RVU 5.27 changed to 5.32
- Work GPCI 1.003 changed to 1.002
- Practice expense GPCI 1.162 changed to 1.154
- Malpractice GPCI 0.618 changed to 0.616
Held through RVU17B, RVU17C, RVU17D.
January 1, 2016
RVU16A
$342.54changed to$342.14
- Conversion factor 35.9335 changed to 35.8043
- Practice expense RVU 5.25 changed to 5.27
Held through RVU16B, RVU16C, RVU16D.
July 1, 2015
RVU15C
$340.83changed to$342.54
- Conversion factor 35.7547 changed to 35.9335
Held through RVU15D.
January 1, 2015
RVU15A
$336.05changed to$340.83
- Conversion factor 35.8228 changed to 35.7547
- Practice expense RVU 5.15 changed to 5.25
- Malpractice RVU 0.32 changed to 0.36
- Work GPCI 1.002 changed to 1.003
- Practice expense GPCI 1.158 changed to 1.162
- Malpractice GPCI 0.659 changed to 0.618
Held through RVU15B.
January 1, 2014
RVU14A
$335.03changed to$336.05
- Conversion factor 34.0230 changed to 35.8228
- Practice expense RVU 5.56 changed to 5.15
- Malpractice RVU 0.33 changed to 0.32
- Work GPCI 1.000 changed to 1.002
- Practice expense GPCI 1.154 changed to 1.158
- Malpractice GPCI 0.700 changed to 0.659
Held through RVU14B, RVU14C, RVU14D.
October 1, 2013
RVU13D
No ratechanged to$335.03
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $391.28 | $147.09 | RVU26D |
| 2026-07-01 | $391.28 | $147.09 | RVU26C |
| 2026-04-01 | $391.28 | $147.09 | RVU26B |
| 2026-01-01 | $391.28 | $147.09 | RVU26A |
| 2025-10-01 | $384.30 | $163.91 | RVU25D |
| 2025-07-01 | $384.30 | $163.91 | RVU25C |
| 2025-04-01 | $384.30 | $163.91 | RVU25B |
| 2025-01-01 | $384.30 | $163.91 | RVU25A |
| 2024-10-01 | $420.54 | $166.96 | RVU24D |
| 2024-07-01 | $420.54 | $166.96 | RVU24C |
| 2024-04-01 | $420.54 | $166.96 | RVU24B |
| 2024-03-09 | $420.54 | $166.96 | RVU24AR |
| 2024-01-01 | $413.67 | $164.23 | RVU24A |
| 2023-10-01 | $430.36 | $169.78 | RVU23D |
| 2023-07-01 | $430.36 | $169.78 | RVU23C |
| 2023-04-01 | $430.36 | $169.78 | RVU23B |
| 2023-01-01 | $430.36 | $169.78 | RVU23A |
| 2022-10-01 | $445.15 | $173.40 | RVU22D |
| 2022-07-01 | $445.15 | $173.40 | RVU22C |
| 2022-04-01 | $445.15 | $173.40 | RVU22B |
| 2022-01-01 | $445.15 | $173.40 | RVU22A |
| 2021-10-01 | $433.84 | $174.61 | RVU21D |
| 2021-07-01 | $433.84 | $174.61 | RVU21C |
| 2021-04-01 | $433.84 | $174.61 | RVU21B |
| 2021-01-01 | $433.84 | $174.61 | RVU21A |
| 2020-10-01 | $401.04 | $178.92 | RVU20D |
| 2020-07-01 | $401.04 | $178.92 | RVU20C |
| 2020-04-01 | $401.04 | $178.92 | RVU20B |
| 2020-01-01 | $401.04 | $178.92 | RVU20A |
| 2019-10-01 | $374.93 | $178.34 | RVU19D |
| 2019-07-01 | $374.93 | $178.34 | RVU19C |
| 2019-04-01 | $374.93 | $178.34 | RVU19B |
| 2019-01-01 | $374.93 | $178.34 | RVU19A |
| 2018-10-01 | $346.66 | $178.75 | RVU18D |
| 2018-07-01 | $346.66 | $178.75 | RVU18C |
| 2018-04-01 | $346.66 | $178.75 | RVU18B |
| 2018-01-01 | $346.66 | $178.75 | RVU18AR1 |
| 2017-10-01 | $343.36 | $178.53 | RVU17D |
| 2017-07-01 | $343.36 | $178.53 | RVU17C |
| 2017-04-01 | $343.36 | $178.53 | RVU17B |
| 2017-01-01 | $343.36 | $178.53 | RVU17A |
| 2016-10-01 | $342.14 | $177.39 | RVU16D |
| 2016-07-01 | $342.14 | $177.39 | RVU16C |
| 2016-04-01 | $342.14 | $177.39 | RVU16B |
| 2016-01-01 | $342.14 | $177.39 | RVU16A |
| 2015-10-01 | $342.54 | $178.03 | RVU15D |
| 2015-07-01 | $342.54 | $178.03 | RVU15C |
| 2015-04-01 | $340.83 | $177.14 | RVU15B |
| 2015-01-01 | $340.83 | $177.14 | RVU15A |
| 2014-10-01 | $336.05 | $176.34 | RVU14D |
| 2014-07-01 | $336.05 | $176.34 | RVU14C |
| 2014-04-01 | $336.05 | $176.34 | RVU14B |
| 2014-01-01 | $336.05 | $176.34 | RVU14A |
| 2013-10-01 | $335.03 | $169.74 | RVU13D |
| 2013-07-01 | Rate data unavailable | Rate data unavailable | RVU13C |
| 2013-04-01 | Rate data unavailable | Rate data unavailable | RVU13B |
| 2013-01-01 | Rate data unavailable | Rate data unavailable | RVU13AR |
Where the Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
52287 billing questions
How is this different from cystoscopy with biopsy?
52287 reports injections intended to chemodenervate the bladder. A biopsy code is for sampling bladder tissue, not for the therapeutic injection.
Can the medication be reported separately?
When the practice supplies onabotulinumtoxinA, report the drug separately using the applicable drug code. The cystoscopic injection service is reported with 52287.
Should modifier 50 be appended?
No. The CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
What happens when another related endoscopy is performed at the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Documentation should identify each distinct service performed.
What documentation supports 52287?
Document the bladder condition being treated, the chemodenervation agent and dose, the cystoscopic injection procedure, and the sites treated.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this service. 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
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