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

In New Mexico, Medicare pays $247.25 for 52300 in a facility. There’s no office rate.

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.

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 New Mexico 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. New Mexico pays $247.25. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52300 rates by state

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

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.

Payment rules and modifiers for 52300

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

What modifiers do to the payment

When to use modifier 51

Codes related to 52300

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

How 52300 has changed in New Mexico

Price 52300 for an earlier date of service

Where the New Mexico rate applies

New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.

• Abeytas
• Abiquiu
• Acomita Lake
• Adelino
• Agua Fria
• Alamillo
• Alamo
• Alamogordo

Browse all communities in New Mexico

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

Open CMS sourceHow we calculate rates