CPT code 52305: Cystourethroscopy, congenital urethral obstruction2026 Medicare rate & RVUs

Medicare pays $244.83 for 52305 nationally in a facility.

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 52305 covers

A urologist treats congenital posterior urethral valves or an obstructive posterior urethral membrane by working through a cystoscope passed into the urethra. The endoscopic intervention opens or removes the obstructing tissue to improve urine flow. This procedure is most often encountered in pediatric urology, including treatment of a child with urinary outflow obstruction identified during evaluation of the lower urinary tract. The operative report should identify the congenital obstruction and describe the treatment performed.

Report this code for treatment of the congenital urethral obstruction, not for incision of a ureterocele or removal of a bladder or urethral foreign body. The note should support the specific diagnosis, endoscopic approach, and intervention. CMS assigns 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 descriptor or anatomy. CMS payment rules also restrict assistant-at-surgery payment and do not permit co-surgeons or team surgery.

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.

Where 52305 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

52305 rates by state

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

How the 52305 rate is calculated

Each of 52305’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 52305

The CMS indicators that decide how 52305 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

52305 compared with similar codes

How to choose

52300Ureterocele treatmentEndoscopic incision or resection

This code treats congenital posterior urethral obstruction; 52300 is for cystoscopic incision of a ureterocele.

52301Ureterocele treatmentCystoscopic incision or resection

This code addresses congenital posterior urethral valves or membrane; 52301 is associated with ureterocele treatment.

52310Cystoscopic removalSimple urethral or bladder removal

Use 52310 for simple cystoscopic removal of a foreign body, calculus, or ureteral stent from the bladder or urethra, not congenital outlet obstruction.

52315Cystoscopic removalComplicated extraction

52315 covers complex cystoscopic removal of a foreign body, calculus, or ureteral stent; it is not treatment of congenital posterior urethral obstruction.

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