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CPT code 52310: Cystoscopic removal, simple urethral or bladder removal2026 Medicare rate & RVUs in Virginia

Reports simple cystoscopic removal of a foreign body, calculus, or ureteral stent located in the urethra or bladder.

CMS RVU26DEffective Oct 1, 2026One payment locality94.1K Medicare services in 2024

In Virginia, Medicare pays $291.75 for 52310 in the office and $130.54 when it’s performed in a hospital or facility.

$291.75Office (non-facility)
$130.54Hospital or facility
−2.3%vs the national office rate ($298.60)

Check a contract rate as a % of Medicare · 52310 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 52310 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 52310 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 52310 covers

A urologist typically performs this brief endoscopic service in an office, ambulatory surgery center, or hospital setting. Using a cystoscope, the physician removes a foreign body, small calculus, or ureteral stent from the urethra or bladder. A common use is removal of a ureteral stent that has reached the bladder. The service is limited to simple removal; a complicated removal belongs to the related higher-level code.

Choose the code from the documented site and complexity, and record the item removed and the work performed. 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 affects payment. The bilateral adjustment is inappropriate for this service. CMS does not pay an assistant at surgery, and 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 Virginia compares for 52310

Across 109 of 109 payment localities, the office rate for 52310 runs from $265.27 in Arkansas to $389.31 in San Benito County, CA. Virginia pays $291.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

52310 in Virginia vs other payment areas
  1. Virginia · this page$291.75
  2. Los Angeles, CA · California$334.01+$42.26
  3. Washington, DC area · District of Columbia$339.63+$47.88
  4. Miami, FL · Florida$324.99+$33.24
  5. Chicago, IL · Illinois$315.79+$24.04
  6. Manhattan, NY · New York$343.11+$51.36
  7. Alaska · Alaska$351.64+$59.89

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

Every other payment area

52310 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$269.00$125.50
ArkansasArkansas$265.27$124.39
ArizonaArizona$290.83$131.91
Bakersfield, CACalifornia$314.37$134.62
Chico, CACalifornia$313.31$133.56
El Centro, CACalifornia$313.37$133.62
Fresno, CACalifornia$313.31$133.56
Hanford, CACalifornia$313.31$133.56

52310 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

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

$265.27

$351.64

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
52310 office rate range by state
State / territoryOffice rate rangeLocalities
AK$351.641
AL$269.001
AR$265.271
AZ$290.831
CA$313.31–$389.3129
CO$309.551
CT$317.981
DC$339.631
DE$295.511
FL$296.07–$324.993
GA$279.85–$304.422
GU$320.271
HI$320.271
IA$274.771
ID$276.661
IL$288.40–$315.794
IN$278.181
KS$273.911
KY$275.931
LA$275.67–$288.732
MA$307.97–$338.882
MD$300.87–$339.633
ME$278.45–$292.412
MI$283.18–$300.032
MN$295.801
MO$271.37–$289.273
MS$268.351
MT$298.581
NC$281.191
ND$291.461
NE$276.111
NH$305.101
NJ$321.38–$336.402
NM$284.831
NV$296.791
NY$285.28–$351.635
OH$281.731
OK$275.051
OR$294.25–$318.642
PA$281.95–$310.572
PR$300.571
RI$305.481
SC$281.981
SD$290.621
TN$275.291
TX$280.19–$308.738
UT$285.671
VA$291.75–$339.632
VI$300.571
VT$290.711
WA$307.26–$345.262
WI$282.091
WV$278.231
WY$295.481

See 52310 in every payment locality

How the 52310 rate is calculated

Each of 52310’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 · 52310

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.74

2.74 RVUs× 1.000 GPCI

Practice expense5.84

5.84 RVUs× 1.000 GPCI

Malpractice0.36

0.36 RVUs× 1.000 GPCI

Adjusted RVUs

8.9400

Conversion factor

$33.4009

Medicare rate

$298.60

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,134

Code
52310
Physician work
2.74
Practice expense
5.84
Malpractice
0.36

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 52310 in Virginia
ComponentRVULocality factorAdjusted
Physician work2.74× 1.0002.7400
Practice expense5.84× 0.9835.7407
Malpractice0.36× 0.7060.2542
Total RVUs8.7349
Conversion factor× 33.4009

Office rate, Virginia$291.75

Office: (2.74 × 1 + 5.84 × 0.983 + 0.36 × 0.706) × $33.4009 = $291.75

Facility: (2.74 × 1 + 0.93 × 0.983 + 0.36 × 0.706) × $33.4009 = $130.54

Open 52310 in the RVU calculator

Payment rules and modifiers for 52310

The CMS indicators that decide how 52310 is paid alongside other services.

CMS payment indicators · 52310

Cystoscopic removal, simple urethral or bladder removal

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)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
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

52310 without 51 · national office

$298.60

Cystoscopic removal, simple urethral or bladder removal

52310-51 · Second procedure: 50%

$149.30

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

Codes related to 52310

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

Codes related to 52310
CodeHow it relatesOffice range, Virginia
Same family
52315Cystoscopic removal, complicated extractionRelated code for complicated removal of a foreign body, calculus, or stent.$446.49
Used instead
52320Ureteral stone removal, without stone fragmentationFor endoscopic removal of a ureteral calculus rather than a urethral or bladder item.No office rate
52317Bladder stone removal, small or simple calculusFor transurethral treatment of bladder stone(s) requiring cystolitholapaxy.$849.51
52352Ureteroscopy, stone removal or manipulationFor ureteroscopic removal of a calculus from the ureter or kidney.No office rate

How 52310 has changed in Virginia

52310 · Office / nonfacility

$291.75

Effective 2026-10-01

The base rate is $4.97 higher than on 2025-10-01, moving from $286.78 to $291.75 (1.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $286.78changed to$291.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.81 changed to 2.74
    • Practice expense RVU 5.88 changed to 5.84
    • Malpractice RVU 0.35 changed to 0.36
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $312.81changed to$286.78

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.42 changed to 5.88

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $307.70changed to$312.81

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $319.39changed to$307.70

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 6.39 changed to 6.42
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $329.89changed to$319.39

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 6.45 changed to 6.39
    • Malpractice RVU 0.34 changed to 0.35
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $318.43changed to$329.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 6.05 changed to 6.45
    • Malpractice RVU 0.33 changed to 0.34

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $295.31changed to$318.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.13 changed to 6.05
    • Malpractice RVU 0.32 changed to 0.33
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $273.42changed to$295.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.55 changed to 5.13
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $250.08changed to$273.42

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.91 changed to 4.55
    • Malpractice RVU 0.31 changed to 0.32

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $245.83changed to$250.08

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.82 changed to 3.91
    • Malpractice RVU 0.32 changed to 0.31
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $243.09changed to$245.83

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.78 changed to 3.82
    • Practice expense GPCI 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $243.26changed to$243.09

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.76 changed to 3.78

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $242.05changed to$243.26

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $237.66changed to$242.05

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.68 changed to 3.76
    • Malpractice RVU 0.28 changed to 0.32
    • Practice expense GPCI 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $234.78changed to$237.66

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 3.97 changed to 3.68
    • Malpractice RVU 0.29 changed to 0.28
    • Practice expense GPCI 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $234.78

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$291.75$130.54RVU26D
2026-07-01$291.75$130.54RVU26C
2026-04-01$291.75$130.54RVU26B
2026-01-01$291.75$130.54RVU26A
2025-10-01$286.78$142.91RVU25D
2025-07-01$286.78$142.91RVU25C
2025-04-01$286.78$142.91RVU25B
2025-01-01$286.78$142.91RVU25A
2024-10-01$312.81$145.76RVU24D
2024-07-01$312.81$145.76RVU24C
2024-04-01$312.81$145.76RVU24B
2024-03-09$312.81$145.76RVU24AR
2024-01-01$307.70$143.38RVU24A
2023-10-01$319.39$147.63RVU23D
2023-07-01$319.39$147.63RVU23C
2023-04-01$319.39$147.63RVU23B
2023-01-01$319.39$147.63RVU23A
2022-10-01$329.89$150.49RVU22D
2022-07-01$329.89$150.49RVU22C
2022-04-01$329.89$150.49RVU22B
2022-01-01$329.89$150.49RVU22A
2021-10-01$318.43$151.43RVU21D
2021-07-01$318.43$151.43RVU21C
2021-04-01$318.43$151.43RVU21B
2021-01-01$318.43$151.43RVU21A
2020-10-01$295.31$155.47RVU20D
2020-07-01$295.31$155.47RVU20C
2020-04-01$295.31$155.47RVU20B
2020-01-01$295.31$155.47RVU20A
2019-10-01$273.42$156.16RVU19D
2019-07-01$273.42$156.16RVU19C
2019-04-01$273.42$156.16RVU19B
2019-01-01$273.42$156.16RVU19A
2018-10-01$250.08$156.37RVU18D
2018-07-01$250.08$156.37RVU18C
2018-04-01$250.08$156.37RVU18B
2018-01-01$250.08$156.37RVU18AR1
2017-10-01$245.83$155.33RVU17D
2017-07-01$245.83$155.33RVU17C
2017-04-01$245.83$155.33RVU17B
2017-01-01$245.83$155.33RVU17A
2016-10-01$243.09$153.69RVU16D
2016-07-01$243.09$153.69RVU16C
2016-04-01$243.09$153.69RVU16B
2016-01-01$243.09$153.69RVU16A
2015-10-01$243.26$153.89RVU15D
2015-07-01$243.26$153.89RVU15C
2015-04-01$242.05$153.13RVU15B
2015-01-01$242.05$153.13RVU15A
2014-10-01$237.66$151.65RVU14D
2014-07-01$237.66$151.65RVU14C
2014-04-01$237.66$151.65RVU14B
2014-01-01$237.66$151.65RVU14A
2013-10-01$234.78$145.70RVU13D
2013-07-01$234.78$145.70RVU13C
2013-04-01$234.78$145.70RVU13B
2013-01-01$234.78$145.70RVU13AR

Price 52310 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

52310 billing questions

When should 52315 be used instead?

Use 52315 when the removal is documented as complicated. This code describes simple removal from the urethra or bladder.

Can this code be used to remove a ureteral stone?

This code covers removal from the urethra or bladder. For a ureteral calculus removed endoscopically, compare the procedure with 52320 or the applicable ureteroscopic stone-removal code.

Does removal of a ureteral stent qualify?

Yes, when the stent is removed from the urethra or bladder by cystoscopy. Document the stent removal and the work performed.

Can modifier 50 be reported?

No. CMS identifies the bilateral adjustment as inappropriate for this code.

What postoperative care is included?

The 0-day global period includes same-day preoperative and postoperative care.

How is payment affected when another related endoscopy is performed?

CMS endoscopy family pricing applies when related endoscopies are performed together, affecting payment for the combined session.

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 52310PPRRVU2026_Oct_nonQPP.csv, line 6,134 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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