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

In New Mexico, Medicare pays $245.10 for 52305 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52305 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 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.

How New Mexico compares for 52305

Across 109 of 109 payment localities, the facility rate for 52305 runs from $227.07 in Arkansas to $324.53 in Alaska. New Mexico pays $245.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52305 rates by state

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

See 52305 in every payment locality

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

How 52305 has changed in New Mexico

Price 52305 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