FeeBase
Log inGet started
Menu

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

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 Delaware, Medicare pays $452.99 for 52315 in the office and $240.47 when it’s performed in a hospital or facility.

$452.99Office (non-facility)
$240.47Hospital or facility
−1.0%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 Delaware
  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 Delaware 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. Delaware pays $452.99. The RVUs are the same everywhere; the geographic indexes change the dollars.

52315 in Delaware vs other payment areas
  1. Delaware · this page$452.99
  2. Los Angeles, CA · California$505.67+$52.68
  3. Washington, DC area · District of Columbia$516.59+$63.60
  4. Miami, FL · Florida$502.71+$49.72
  5. Chicago, IL · Illinois$489.09+$36.10
  6. Manhattan, NY · New York$524.62+$71.63
  7. Alaska · Alaska$549.50+$96.51

Other areas in Delaware 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 Delaware 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

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 52315 in Delaware
ComponentRVULocality factorAdjusted
Physician work5.07× 1.0055.0953
Practice expense7.96× 0.9887.8645
Malpractice0.67× 0.8990.6023
Total RVUs13.5622
Conversion factor× 33.4009

Office rate, Delaware$452.99

Office: (5.07 × 1.005 + 7.96 × 0.988 + 0.67 × 0.899) × $33.4009 = $452.99

Facility: (5.07 × 1.005 + 1.52 × 0.988 + 0.67 × 0.899) × $33.4009 = $240.47

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, Delaware
Same family
52310Cystoscopic removal, simple urethral or bladder removalSimpler removal of a foreign body, calculus, or ureteral stent from the urethra or bladder.$295.51
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.$859.19
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 Delaware

52315 · Office / nonfacility

$452.99

Effective 2026-10-01

The base rate is $17.50 higher than on 2025-10-01, moving from $435.49 to $452.99 (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

    $435.49changed to$452.99

    • 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 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $466.97changed to$435.49

    • 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

    $459.34changed to$466.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $477.95changed to$459.34

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 8.21 changed to 8.24
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949

  5. January 1, 2023

    RVU23A

    $493.58changed to$477.95

    • 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 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $495.89changed to$493.58

    • 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

    $486.56changed to$495.89

    • 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 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $463.30changed to$486.56

    • 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 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $437.48changed to$463.30

    • 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

    $432.86changed to$437.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 6.02 changed to 6.15
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $430.55changed to$432.86

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 5.95 changed to 6.02
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $432.10changed to$430.55

    • Conversion factor 35.9335 changed to 35.8043

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $429.95changed to$432.10

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $420.02changed to$429.95

    • 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 1.038 changed to 1.031
    • Malpractice GPCI 0.878 changed to 1.083

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $413.18changed to$420.02

    • 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 1.044 changed to 1.038
    • Malpractice GPCI 0.672 changed to 0.878

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $413.18

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$452.99$240.47RVU26D
2026-07-01$452.99$240.47RVU26C
2026-04-01$452.99$240.47RVU26B
2026-01-01$452.99$240.47RVU26A
2025-10-01$435.49$263.18RVU25D
2025-07-01$435.49$263.18RVU25C
2025-04-01$435.49$263.18RVU25B
2025-01-01$435.49$263.18RVU25A
2024-10-01$466.97$269.17RVU24D
2024-07-01$466.97$269.17RVU24C
2024-04-01$466.97$269.17RVU24B
2024-03-09$466.97$269.17RVU24AR
2024-01-01$459.34$264.77RVU24A
2023-10-01$477.95$272.52RVU23D
2023-07-01$477.95$272.52RVU23C
2023-04-01$477.95$272.52RVU23B
2023-01-01$477.95$272.52RVU23A
2022-10-01$493.58$276.07RVU22D
2022-07-01$493.58$276.07RVU22C
2022-04-01$493.58$276.07RVU22B
2022-01-01$493.58$276.07RVU22A
2021-10-01$495.89$278.72RVU21D
2021-07-01$495.89$278.72RVU21C
2021-04-01$495.89$278.72RVU21B
2021-01-01$495.89$278.72RVU21A
2020-10-01$486.56$288.69RVU20D
2020-07-01$486.56$288.69RVU20C
2020-04-01$486.56$288.69RVU20B
2020-01-01$486.56$288.69RVU20A
2019-10-01$463.30$291.43RVU19D
2019-07-01$463.30$291.43RVU19C
2019-04-01$463.30$291.43RVU19B
2019-01-01$463.30$291.43RVU19A
2018-10-01$437.48$292.21RVU18D
2018-07-01$437.48$292.21RVU18C
2018-04-01$437.48$292.21RVU18B
2018-01-01$437.48$292.21RVU18AR1
2017-10-01$432.86$291.23RVU17D
2017-07-01$432.86$291.23RVU17C
2017-04-01$432.86$291.23RVU17B
2017-01-01$432.86$291.23RVU17A
2016-10-01$430.55$289.53RVU16D
2016-07-01$430.55$289.53RVU16C
2016-04-01$430.55$289.53RVU16B
2016-01-01$430.55$289.53RVU16A
2015-10-01$432.10$290.58RVU15D
2015-07-01$432.10$290.58RVU15C
2015-04-01$429.95$289.13RVU15B
2015-01-01$429.95$289.13RVU15A
2014-10-01$420.02$282.07RVU14D
2014-07-01$420.02$282.07RVU14C
2014-04-01$420.02$282.07RVU14B
2014-01-01$420.02$282.07RVU14A
2013-10-01$413.18$268.97RVU13D
2013-07-01$413.18$268.97RVU13C
2013-04-01$413.18$268.97RVU13B
2013-01-01$413.18$268.97RVU13AR

Price 52315 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

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 DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 52315 pays in Delaware?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 52315 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist