CPT code 52301: Ureterocele treatment, cystoscopic incision or resection2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $255.31 for 52301 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52301 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 52301 covers

A ureterocele is a ballooning of the ureter’s lower end where it enters the bladder. In an operating room or endoscopy suite, a urologist passes a cystoscope through the urethra and incises or resects the ureterocele to open the outlet. This is used for ureteroceles associated with impaired drainage, recurrent infection, or other urinary tract problems. The operative report should identify the ureterocele and describe the endoscopic treatment performed.

Report this code when the documented procedure meets its ureterocele-treatment criteria; distinguish it from a less extensive ureterocele incision code by the work recorded, not by diagnosis alone. The minor-procedure global period is zero days, with same-day preoperative and postoperative care included. When related endoscopies are performed together, endoscopy-family pricing applies. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment requires documentation of medical necessity; 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 52301

Across 109 of 109 payment localities, the facility rate for 52301 runs from $236.63 in Arkansas to $337.97 in Alaska. New Mexico pays $255.31. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52301 rates by state

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

See 52301 in every payment locality

How the 52301 rate is calculated

Each of 52301’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 52301

The CMS indicators that decide how 52301 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52301

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

How 52301 has changed in New Mexico

Price 52301 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