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CPT code 52287: Bladder chemodenervation, cystoscopic injection2026 Medicare rate & RVUs in Virginia

Reports cystoscopic injection of a chemodenervation agent into the bladder for conditions such as overactive bladder or neurogenic detrusor overactivity.

CMS RVU26DEffective Oct 1, 2026One payment locality84K Medicare services in 2024

In Virginia, Medicare pays $355.35 for 52287 in the office and $144.23 when it’s performed in a hospital or facility.

$355.35Office (non-facility)
$144.23Hospital or facility
−2.3%vs the national office rate ($363.74)

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.

We’ll open 52287 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 52287 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 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 Virginia 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. Virginia pays $355.35. The RVUs are the same everywhere; the geographic indexes change the dollars.

52287 in Virginia vs other payment areas
  1. Virginia · this page$355.35
  2. Los Angeles, CA · California$408.05+$52.70
  3. Washington, DC area · District of Columbia$414.63+$59.28
  4. Miami, FL · Florida$395.75+$40.40
  5. Chicago, IL · Illinois$384.29+$28.94
  6. Manhattan, NY · New York$418.54+$63.19
  7. Alaska · Alaska$425.33+$69.98

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

Every other payment area

52287 in every other Medicare payment locality
Payment localityOfficeFacility
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

52287 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.

$322.20

$429.64

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

View every state and territory as a table
52287 office rate range by state
State / territoryOffice rate rangeLocalities
AK$425.331
AL$326.861
AR$322.201
AZ$354.071
CA$382.38–$476.9029
CO$377.531
CT$387.711
DC$414.631
DE$359.861
FL$360.17–$395.753
GA$340.02–$370.862
GU$391.281
HI$391.281
IA$334.241
ID$336.551
IL$350.49–$384.294
IN$338.461
KS$333.081
KY$335.301
LA$334.94–$351.222
MA$375.48–$413.992
MD$366.54–$414.633
ME$338.69–$356.232
MI$344.26–$365.012
MN$360.731
MO$329.53–$352.003
MS$325.911
MT$363.711
NC$342.131
ND$355.201
NE$335.921
NH$371.991
NJ$391.85–$410.502
NM$346.271
NV$361.581
NY$347.21–$429.055
OH$342.521
OK$334.301
OR$358.49–$388.942
PA$342.84–$378.442
PR$366.221
RI$372.261
SC$342.951
SD$354.201
TN$334.781
TX$340.65–$376.538
UT$347.561
VA$355.35–$414.632
VI$366.221
VT$354.191
WA$374.65–$421.972
WI$343.501
WV$337.811
WY$360.001

See 52287 in every payment locality

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

Office or facility?

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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 52287 in Virginia
ComponentRVULocality factorAdjusted
Physician work3.12× 1.0003.1200
Practice expense7.34× 0.9837.2152
Malpractice0.43× 0.7060.3036
Total RVUs10.6388
Conversion factor× 33.4009

Office rate, Virginia$355.35

Office: (3.12 × 1 + 7.34 × 0.983 + 0.43 × 0.706) × $33.4009 = $355.35

Facility: (3.12 × 1 + 0.91 × 0.983 + 0.43 × 0.706) × $33.4009 = $144.23

Open 52287 in the RVU calculator

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

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

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%).

When to use modifier 51

Codes related to 52287

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

Codes related to 52287
CodeHow it relatesOffice range, Virginia
Often billed with
J0585OnabotulinumtoxinA, per 1 unitMay report the onabotulinumtoxinA drug separately when the practice supplies it.No office rate
52204Cystoscopic biopsy, bladder tissue samplingMay be considered for a separately indicated bladder biopsy during the same encounter.$347.63
52224Bladder lesion treatment, lesions under 0.5 cmMay be considered for distinct treatment of a bladder lesion during the same encounter.$744.99

How 52287 has changed in Virginia

52287 · Office / nonfacility

$355.35

Effective 2026-10-01

The base rate is $7.43 higher than on 2025-10-01, moving from $347.92 to $355.35 (2.1%).

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

    $347.92changed to$355.35

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $379.40changed to$347.92

    • 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.

  3. March 9, 2024

    RVU24AR

    $373.21changed to$379.40

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $390.31changed to$373.21

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.06 changed to 8.01
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $405.16changed to$390.31

    • 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
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $395.36changed to$405.16

    • 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.

  7. January 1, 2021

    RVU21A

    $367.11changed to$395.36

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 6.68 changed to 7.82
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $343.51changed to$367.11

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $319.03changed to$343.51

    • 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.

  10. January 1, 2018

    RVU18AR1

    $314.10changed to$319.03

    • 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
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $310.68changed to$314.10

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.27 changed to 5.32
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $311.09changed to$310.68

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 5.25 changed to 5.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $309.54changed to$311.09

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $304.35changed to$309.54

    • 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
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $301.90changed to$304.35

    • 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
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $301.90

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$355.35$144.23RVU26D
2026-07-01$355.35$144.23RVU26C
2026-04-01$355.35$144.23RVU26B
2026-01-01$355.35$144.23RVU26A
2025-10-01$347.92$159.17RVU25D
2025-07-01$347.92$159.17RVU25C
2025-04-01$347.92$159.17RVU25B
2025-01-01$347.92$159.17RVU25A
2024-10-01$379.40$162.24RVU24D
2024-07-01$379.40$162.24RVU24C
2024-04-01$379.40$162.24RVU24B
2024-03-09$379.40$162.24RVU24AR
2024-01-01$373.21$159.59RVU24A
2023-10-01$390.31$165.21RVU23D
2023-07-01$390.31$165.21RVU23C
2023-04-01$390.31$165.21RVU23B
2023-01-01$390.31$165.21RVU23A
2022-10-01$405.16$168.61RVU22D
2022-07-01$405.16$168.61RVU22C
2022-04-01$405.16$168.61RVU22B
2022-01-01$405.16$168.61RVU22A
2021-10-01$395.36$169.69RVU21D
2021-07-01$395.36$169.69RVU21C
2021-04-01$395.36$169.69RVU21B
2021-01-01$395.36$169.69RVU21A
2020-10-01$367.11$174.69RVU20D
2020-07-01$367.11$174.69RVU20C
2020-04-01$367.11$174.69RVU20B
2020-01-01$367.11$174.69RVU20A
2019-10-01$343.51$174.37RVU19D
2019-07-01$343.51$174.37RVU19C
2019-04-01$343.51$174.37RVU19B
2019-01-01$343.51$174.37RVU19A
2018-10-01$319.03$174.56RVU18D
2018-07-01$319.03$174.56RVU18C
2018-04-01$319.03$174.56RVU18B
2018-01-01$319.03$174.56RVU18AR1
2017-10-01$314.10$173.40RVU17D
2017-07-01$314.10$173.40RVU17C
2017-04-01$314.10$173.40RVU17B
2017-01-01$314.10$173.40RVU17A
2016-10-01$310.68$171.30RVU16D
2016-07-01$310.68$171.30RVU16C
2016-04-01$310.68$171.30RVU16B
2016-01-01$310.68$171.30RVU16A
2015-10-01$311.09$171.92RVU15D
2015-07-01$311.09$171.92RVU15C
2015-04-01$309.54$171.06RVU15B
2015-01-01$309.54$171.06RVU15A
2014-10-01$304.35$169.19RVU14D
2014-07-01$304.35$169.19RVU14C
2014-04-01$304.35$169.19RVU14B
2014-01-01$304.35$169.19RVU14A
2013-10-01$301.90$161.96RVU13D
2013-07-01$301.90$161.96RVU13C
2013-04-01$301.90$161.96RVU13B
2013-01-01$301.90$161.96RVU13AR

Price 52287 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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
RVUs for 52287PPRRVU2026_Oct_nonQPP.csv, line 6,129 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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