CPT code 52300: Ureterocele treatment, endoscopic incision or resection2026 Medicare rate & RVUs in Mississippi

Reports cystoscopic incision or resection of a ureterocele, typically to open the ureteral outlet and improve urine drainage.

CMS RVU26DEffective Oct 1, 2026One payment locality171 Medicare services in 2024

In Mississippi, Medicare pays $234.12 for 52300 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$234.12Hospital or facility

Check a contract rate as a % of Medicare · 52300 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 52300 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Mississippi
  2. What 52300 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 52300 covers

A urologist uses a cystoscope to incise or resect a ureterocele, a pouch-like enlargement of the ureter’s opening into the bladder. The endoscopic treatment opens the ureterocele to improve drainage, such as when it contributes to urinary obstruction, hydronephrosis, or recurrent infection. The procedure is commonly performed in a hospital or ambulatory surgery setting; the code includes ureteral catheterization when performed as part of the service.

Report the code when the operative note supports incision or resection of a ureterocele, rather than stone treatment, stricture treatment, or stent work alone. Document the ureterocele’s location, the indication, and the treatment performed. The code has a 0-day global period, so same-day preoperative and postoperative care is included. CMS prices it as bilateral, and modifier 50 does not increase payment. Endoscopy family pricing applies when related endoscopies are performed together. An assistant at surgery is paid only when medical necessity is documented; co-surgeons and team surgery 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 52300

Across 109 of 109 payment localities, the facility rate for 52300 runs from $229.08 in Arkansas to $327.02 in Alaska. Mississippi pays $234.12. The RVUs are the same everywhere; the geographic indexes change the dollars.

52300 in Mississippi vs other payment areas
  1. Mississippi · this page$234.12
  2. Los Angeles, CA · California$256.44+$22.32
  3. Washington, DC area · District of Columbia$268.32+$34.20
  4. Miami, FL · Florida$283.02+$48.90
  5. Chicago, IL · Illinois$277.19+$43.07
  6. Manhattan, NY · New York$279.63+$45.51
  7. Alaska · Alaska$327.02+$92.90

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

Every other payment area

52300 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$231.04
ArkansasArkansas—$229.08
ArizonaArizona—$242.37
Bakersfield, CACalifornia—$246.86
Chico, CACalifornia—$244.91
El Centro, CACalifornia—$245.02
Fresno, CACalifornia—$244.91
Hanford, CACalifornia—$244.91

52300 rates by state

Office rate range in each state. Select a state to see its payment localities.

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
52300 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 52300 in every payment locality

How the 52300 rate is calculated

Each of 52300’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 · 52300

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.17

5.17 RVUs× 1.000 GPCI

Practice expense1.57

1.57 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

7.4000

Conversion factor

$33.4009

Medicare rate

$247.17

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

6,131

Code
52300
Physician work
5.17
Practice expense
1.57
Malpractice
0.66

GPCI2026.csv

67

Locality
Mississippi
Physician work
1.000
Practice expense
0.861
Malpractice
0.739
Facility calculation for 52300 in Mississippi
ComponentRVULocality factorAdjusted
Physician work5.17× 1.0005.1700
Practice expense1.57× 0.8611.3518
Malpractice0.66× 0.7390.4877
Total RVUs7.0095
Conversion factor× 33.4009

Facility rate, Mississippi$234.12

Facility: (5.17 × 1 + 1.57 × 0.861 + 0.66 × 0.739) × $33.4009 = $234.12

Open 52300 in the RVU calculator

Payment rules and modifiers for 52300

The CMS indicators that decide how 52300 is paid alongside other services.

CMS payment indicators · 52300

Ureterocele treatment, endoscopic incision or resection

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)2Already bilateral by definition: paid once at 100%.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
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

52300 without 51 · national facility

$247.17

Ureterocele treatment, endoscopic incision or resection

52300-51 · Second procedure: 50%

$123.59

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 52300 has changed in Mississippi

52300 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$234.12RVU26D
2026-07-01Not available in this setting$234.12RVU26C
2026-04-01Not available in this setting$234.12RVU26B
2026-01-01Not available in this setting$234.12RVU26A
2025-10-01Not available in this setting$252.40RVU25D
2025-07-01Not available in this setting$252.40RVU25C
2025-04-01Not available in this setting$252.40RVU25B
2025-01-01Not available in this setting$252.40RVU25A
2024-10-01Not available in this setting$258.30RVU24D
2024-07-01Not available in this setting$258.30RVU24C
2024-04-01Not available in this setting$258.30RVU24B
2024-03-09Not available in this setting$258.30RVU24AR
2024-01-01Not available in this setting$254.08RVU24A
2023-10-01Not available in this setting$259.75RVU23D
2023-07-01Not available in this setting$259.75RVU23C
2023-04-01Not available in this setting$259.75RVU23B
2023-01-01Not available in this setting$259.75RVU23A
2022-10-01Not available in this setting$261.33RVU22D
2022-07-01Not available in this setting$261.33RVU22C
2022-04-01Not available in this setting$261.33RVU22B
2022-01-01Not available in this setting$261.33RVU22A
2021-10-01Not available in this setting$264.03RVU21D
2021-07-01Not available in this setting$264.03RVU21C
2021-04-01Not available in this setting$264.03RVU21B
2021-01-01Not available in this setting$264.03RVU21A
2020-10-01Not available in this setting$269.28RVU20D
2020-07-01Not available in this setting$269.28RVU20C
2020-04-01Not available in this setting$269.28RVU20B
2020-01-01Not available in this setting$269.28RVU20A
2019-10-01Not available in this setting$268.03RVU19D
2019-07-01Not available in this setting$268.03RVU19C
2019-04-01Not available in this setting$268.03RVU19B
2019-01-01Not available in this setting$268.03RVU19A
2018-10-01Not available in this setting$269.44RVU18D
2018-07-01Not available in this setting$269.44RVU18C
2018-04-01Not available in this setting$269.44RVU18B
2018-01-01Not available in this setting$269.44RVU18AR1
2017-10-01Not available in this setting$270.02RVU17D
2017-07-01Not available in this setting$270.02RVU17C
2017-04-01Not available in this setting$270.02RVU17B
2017-01-01Not available in this setting$270.02RVU17A
2016-10-01Not available in this setting$270.77RVU16D
2016-07-01Not available in this setting$270.77RVU16C
2016-04-01Not available in this setting$270.77RVU16B
2016-01-01Not available in this setting$270.77RVU16A
2015-10-01Not available in this setting$271.44RVU15D
2015-07-01Not available in this setting$271.44RVU15C
2015-04-01Not available in this setting$270.08RVU15B
2015-01-01Not available in this setting$270.08RVU15A
2014-10-01Not available in this setting$271.32RVU14D
2014-07-01Not available in this setting$271.32RVU14C
2014-04-01Not available in this setting$271.32RVU14B
2014-01-01Not available in this setting$271.32RVU14A
2013-10-01Not available in this setting$265.53RVU13D
2013-07-01Not available in this setting$265.53RVU13C
2013-04-01Not available in this setting$265.53RVU13B
2013-01-01Not available in this setting$265.53RVU13AR

Price 52300 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

52300 billing questions

When should this code be chosen over a ureteral stricture code?

Use this code for endoscopic incision or resection of a ureterocele. A ureteral stricture code describes treatment directed at a narrowed ureteral segment.

Is ureteral catheterization included?

Yes. Ureteral catheterization is included in the service when performed as part of the ureterocele procedure.

Can a separately placed ureteral stent be reported?

A temporary catheterization is not the same as placement of an indwelling stent. If a stent is inserted, document that distinct work and review applicable coding edits before reporting an additional code.

Should modifier 50 be appended for treatment on both sides?

CMS prices this code as bilateral, and modifier 50 does not increase payment.

What global-period care is included?

The 0-day global period includes same-day preoperative and postoperative care. Care on later dates is outside that same-day package.

What supports payment for an assistant at surgery?

The record must document medical necessity for the assistant. CMS does not permit co-surgeons or team surgery for this code.

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 52300PPRRVU2026_Oct_nonQPP.csv, line 6,131 (RVU26D)
Geographic factors for MississippiGPCI2026.csv, line 67 (RVU26D)

Open CMS sourceHow we calculate rates

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