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CPT code 52315: Cystoscopic removal, complicated extraction2026 Medicare rate & RVUs in Connecticut

Report complicated cystourethroscopic extraction of a foreign body, calculus, or ureteral stent located in the urethra or bladder.

CMS RVU26DEffective Oct 1, 2026One payment locality4.8K Medicare services in 2024

In Connecticut, Medicare pays $486.15 for 52315 in the office and $254.49 when it’s performed in a hospital or facility.

$486.15Office (non-facility)
$254.49Hospital or facility
+6.2%vs the national office rate ($457.59)

Check a contract rate as a % of Medicare · 52315 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 52315 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Connecticut
  2. What 52315 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 52315 covers

A urologist uses a cystoscope passed through the urethra to remove a foreign body, calculus, or ureteral stent from the urethra or bladder. The complicated service may involve difficult retrieval, such as extracting an encrusted stent or an object that cannot be removed with straightforward grasping. It is performed in settings such as an office procedure room or a hospital or ambulatory surgery facility, depending on the patient and procedure.

Choose this code rather than the simpler removal code when the operative note supports a complicated extraction; the diagnosis alone does not establish the level. Document the object or stent location, the removal technique, and the circumstances that made retrieval complicated. 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. Medicare does not pay for an assistant at surgery, and co-surgeon and team-surgery billing 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 Connecticut compares for 52315

Across 109 of 109 payment localities, the office rate for 52315 runs from $409.25 in Arkansas to $583.35 in San Benito County, CA. Connecticut pays $486.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

52315 in Connecticut vs other payment areas
  1. Connecticut · this page$486.15
  2. Los Angeles, CA · California$505.67+$19.52
  3. Washington, DC area · District of Columbia$516.59+$30.44
  4. Miami, FL · Florida$502.71+$16.56
  5. Chicago, IL · Illinois$489.09+$2.94
  6. Manhattan, NY · New York$524.62+$38.47
  7. Alaska · Alaska$549.50+$63.35

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

Every other payment area

52315 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$414.65$226.43
ArkansasArkansas$409.25$224.48
ArizonaArizona$446.13$237.69
Bakersfield, CACalifornia$477.58$241.83
Chico, CACalifornia$475.61$239.86
El Centro, CACalifornia$475.72$239.97
Fresno, CACalifornia$475.61$239.86
Hanford, CACalifornia$475.61$239.86

52315 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.

$409.25

$549.50

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

View every state and territory as a table
52315 office rate range by state
State / territoryOffice rate rangeLocalities
AK$549.501
AL$414.651
AR$409.251
AZ$446.131
CA$475.61–$583.3529
CO$471.741
CT$486.151
DC$516.591
DE$452.991
FL$457.15–$502.713
GA$433.17–$466.852
GU$484.601
HI$484.601
IA$421.501
ID$424.531
IL$447.06–$489.094
IN$426.681
KS$420.971
KY$426.181
LA$426.08–$444.952
MA$469.85–$513.652
MD$460.64–$516.593
ME$427.86–$446.942
MI$437.35–$463.642
MN$449.551
MO$420.32–$444.883
MS$414.801
MT$457.551
NC$431.701
ND$444.301
NE$423.201
NH$465.701
NJ$491.00–$512.322
NM$440.021
NV$454.121
NY$437.65–$537.865
OH$434.641
OK$424.151
OR$449.88–$484.082
PA$434.56–$475.862
PR$460.181
RI$467.171
SC$434.031
SD$442.731
TN$423.041
TX$432.08–$470.808
UT$439.361
VA$446.49–$516.592
VI$460.181
VT$443.881
WA$468.54–$522.322
WI$430.941
WV$432.411
WY$451.771

See 52315 in every payment locality

How the 52315 rate is calculated

Each of 52315’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 · 52315

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.07

5.07 RVUs× 1.000 GPCI

Practice expense7.96

7.96 RVUs× 1.000 GPCI

Malpractice0.67

0.67 RVUs× 1.000 GPCI

Adjusted RVUs

13.7000

Conversion factor

$33.4009

Medicare rate

$457.59

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

The exact Connecticut inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,135

Code
52315
Physician work
5.07
Practice expense
7.96
Malpractice
0.67

GPCI2026.csv

38

Locality
Connecticut
Physician work
1.020
Practice expense
1.077
Malpractice
1.210
Office calculation for 52315 in Connecticut
ComponentRVULocality factorAdjusted
Physician work5.07× 1.0205.1714
Practice expense7.96× 1.0778.5729
Malpractice0.67× 1.2100.8107
Total RVUs14.5550
Conversion factor× 33.4009

Office rate, Connecticut$486.15

Office: (5.07 × 1.02 + 7.96 × 1.077 + 0.67 × 1.21) × $33.4009 = $486.15

Facility: (5.07 × 1.02 + 1.52 × 1.077 + 0.67 × 1.21) × $33.4009 = $254.49

Open 52315 in the RVU calculator

Payment rules and modifiers for 52315

The CMS indicators that decide how 52315 is paid alongside other services.

CMS payment indicators · 52315

Cystoscopic removal, complicated extraction

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

52315 without 51 · national office

$457.59

Cystoscopic removal, complicated extraction

52315-51 · Second procedure: 50%

$228.80

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 52315

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

Codes related to 52315
CodeHow it relatesOffice range, Connecticut
Same family
52310Cystoscopic removal, simple urethral or bladder removalSimpler removal of a foreign body, calculus, or ureteral stent from the urethra or bladder.$317.98
Used instead
52317Bladder stone removal, small or simple calculusBladder calculus treatment by litholapaxy when the stone is fragmented rather than extracted as a foreign body.$926.62
52318Bladder stone removal, large or complicated stoneMore extensive bladder calculus litholapaxy when fragmentation is performed.No office rate
52352Ureteroscopy, stone removal or manipulationUreteroscopic stone removal for a calculus in the ureter rather than the bladder or urethra.No office rate

How 52315 has changed in Connecticut

52315 · Office / nonfacility

$486.15

Effective 2026-10-01

The base rate is $18.62 higher than on 2025-10-01, moving from $467.53 to $486.15 (4.0%).

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

    $467.53changed to$486.15

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.20 changed to 5.07
    • Practice expense RVU 7.68 changed to 7.96
    • Malpractice RVU 0.63 changed to 0.67
    • Work GPCI 1.022 changed to 1.020
    • Practice expense GPCI 1.091 changed to 1.077
    • Malpractice GPCI 1.207 changed to 1.210

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $501.87changed to$467.53

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 8.24 changed to 7.68
    • Malpractice RVU 0.64 changed to 0.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $493.68changed to$501.87

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $511.30changed to$493.68

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.21 changed to 8.24
    • Work GPCI 1.030 changed to 1.022
    • Practice expense GPCI 1.102 changed to 1.091
    • Malpractice GPCI 1.070 changed to 1.207

  5. January 1, 2023

    RVU23A

    $525.86changed to$511.30

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 8.28 changed to 8.21
    • Malpractice RVU 0.62 changed to 0.64
    • Work GPCI 1.037 changed to 1.030
    • Practice expense GPCI 1.114 changed to 1.102
    • Malpractice GPCI 0.934 changed to 1.070

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $528.27changed to$525.86

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 8.23 changed to 8.28

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $517.25changed to$528.27

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 7.48 changed to 8.23
    • Malpractice RVU 0.60 changed to 0.62
    • Work GPCI 1.029 changed to 1.037
    • Practice expense GPCI 1.113 changed to 1.114
    • Malpractice GPCI 1.094 changed to 0.934

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $491.69changed to$517.25

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 6.84 changed to 7.48
    • Malpractice RVU 0.58 changed to 0.60
    • Work GPCI 1.021 changed to 1.029
    • Practice expense GPCI 1.112 changed to 1.113
    • Malpractice GPCI 1.255 changed to 1.094

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $463.53changed to$491.69

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 6.15 changed to 6.84

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $458.14changed to$463.53

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.02 changed to 6.15
    • Work GPCI 1.023 changed to 1.021
    • Practice expense GPCI 1.117 changed to 1.112
    • Malpractice GPCI 1.244 changed to 1.255

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $455.05changed to$458.14

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.95 changed to 6.02
    • Work GPCI 1.024 changed to 1.023
    • Practice expense GPCI 1.121 changed to 1.117
    • Malpractice GPCI 1.232 changed to 1.244

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $456.69changed to$455.05

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $454.42changed to$456.69

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $444.64changed to$454.42

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 5.82 changed to 5.95
    • Malpractice RVU 0.48 changed to 0.58
    • Practice expense GPCI 1.116 changed to 1.121
    • Malpractice GPCI 1.234 changed to 1.232

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $438.96changed to$444.64

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 6.27 changed to 5.82
    • Malpractice RVU 0.50 changed to 0.48
    • Practice expense GPCI 1.110 changed to 1.116
    • Malpractice GPCI 1.235 changed to 1.234

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $438.96

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$486.15$254.49RVU26D
2026-07-01$486.15$254.49RVU26C
2026-04-01$486.15$254.49RVU26B
2026-01-01$486.15$254.49RVU26A
2025-10-01$467.53$278.02RVU25D
2025-07-01$467.53$278.02RVU25C
2025-04-01$467.53$278.02RVU25B
2025-01-01$467.53$278.02RVU25A
2024-10-01$501.87$284.33RVU24D
2024-07-01$501.87$284.33RVU24C
2024-04-01$501.87$284.33RVU24B
2024-03-09$501.87$284.33RVU24AR
2024-01-01$493.68$279.69RVU24A
2023-10-01$511.30$286.49RVU23D
2023-07-01$511.30$286.49RVU23C
2023-04-01$511.30$286.49RVU23B
2023-01-01$511.30$286.49RVU23A
2022-10-01$525.86$288.76RVU22D
2022-07-01$525.86$288.76RVU22C
2022-04-01$525.86$288.76RVU22B
2022-01-01$525.86$288.76RVU22A
2021-10-01$528.27$291.55RVU21D
2021-07-01$528.27$291.55RVU21C
2021-04-01$528.27$291.55RVU21B
2021-01-01$528.27$291.55RVU21A
2020-10-01$517.25$301.55RVU20D
2020-07-01$517.25$301.55RVU20C
2020-04-01$517.25$301.55RVU20B
2020-01-01$517.25$301.55RVU20A
2019-10-01$491.69$304.13RVU19D
2019-07-01$491.69$304.13RVU19C
2019-04-01$491.69$304.13RVU19B
2019-01-01$491.69$304.13RVU19A
2018-10-01$463.53$305.00RVU18D
2018-07-01$463.53$305.00RVU18C
2018-04-01$463.53$305.00RVU18B
2018-01-01$463.53$305.00RVU18AR1
2017-10-01$458.14$303.80RVU17D
2017-07-01$458.14$303.80RVU17C
2017-04-01$458.14$303.80RVU17B
2017-01-01$458.14$303.80RVU17A
2016-10-01$455.05$301.73RVU16D
2016-07-01$455.05$301.73RVU16C
2016-04-01$455.05$301.73RVU16B
2016-01-01$455.05$301.73RVU16A
2015-10-01$456.69$302.81RVU15D
2015-07-01$456.69$302.81RVU15C
2015-04-01$454.42$301.31RVU15B
2015-01-01$454.42$301.31RVU15A
2014-10-01$444.64$296.32RVU14D
2014-07-01$444.64$296.32RVU14C
2014-04-01$444.64$296.32RVU14B
2014-01-01$444.64$296.32RVU14A
2013-10-01$438.96$285.64RVU13D
2013-07-01$438.96$285.64RVU13C
2013-04-01$438.96$285.64RVU13B
2013-01-01$438.96$285.64RVU13AR

Price 52315 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

  • Ansonia
  • Ball Pond
  • Baltic
  • Bantam
  • Bethel
  • Bethlehem Village
  • Bigelow Corners
  • Blue Hills

Browse all communities in Connecticut

52315 billing questions

How does this differ from 52310?

52315 is for complicated removal of a foreign body, calculus, or ureteral stent from the urethra or bladder. Use 52310 for the corresponding simpler removal when the documented work supports that level.

Does an encrusted stent automatically qualify as complicated?

No. The operative documentation should describe the extraction difficulty and work performed; the presence of an encrusted stent by itself does not establish the code level.

Can this code be used for a ureteral stone removed with a ureteroscope?

No. This code concerns removal from the urethra or bladder. Ureteroscopic stone extraction is represented by a different procedure code, such as 52352, when its service is performed.

Should modifier 50 be appended for bilateral work?

No. Modifier 50 is inappropriate for this service.

How are related endoscopies priced when performed together?

CMS applies endoscopy family pricing when related endoscopies are performed together. The same-day preoperative and postoperative care is included in this code's 0-day global period.

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 52315PPRRVU2026_Oct_nonQPP.csv, line 6,135 (RVU26D)
Geographic factors for ConnecticutGPCI2026.csv, line 38 (RVU26D)

Open CMS sourceHow we calculate rates

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