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

In South Dakota, Medicare pays $442.73 for 52315 in the office and $227.63 when it’s performed in a hospital or facility.

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.

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 South Dakota 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. South Dakota pays $442.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52315 rates by state

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

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.

Payment rules and modifiers for 52315

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

What modifiers do to the payment

When to use modifier 51

Codes related to 52315

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

How 52315 has changed in South Dakota

Price 52315 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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