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CPT code 52317: Bladder stone removal, small or simple calculus2026 Medicare rate & RVUs in Iowa

Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity.

CMS RVU26DEffective Oct 1, 2026One payment locality14.6K Medicare services in 2024

In Iowa, Medicare pays $798.47 for 52317 in the office and $282.28 when it’s performed in a hospital or facility.

$798.47Office (non-facility)
$282.28Hospital or facility
−8.1%vs the national office rate ($868.42)

Check a contract rate as a % of Medicare · 52317 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 52317 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Iowa
  2. What 52317 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 52317 covers

A urologist uses a cystoscope and appropriate instruments to break up a bladder calculus and remove the fragments through the urinary outlet. This service addresses stones within the bladder, such as a calculus found during evaluation of urinary symptoms or identified on imaging; it is not the ureteral-stone procedure. The operative record should describe the stone’s location, size and complexity, the method used to fragment it, and removal of the resulting material.

Select this code for a small or straightforward bladder stone procedure; the larger or more complex bladder-stone service is a separate sibling code. The service includes fragmentation and removal, rather than separate reporting for each fragment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this bladder procedure. Medicare 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 Iowa compares for 52317

Across 109 of 109 payment localities, the office rate for 52317 runs from $767.01 in Arkansas to $1,154.02 in San Benito County, CA. Iowa pays $798.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

52317 in Iowa vs other payment areas
  1. Iowa · this page$798.47
  2. Los Angeles, CA · California$981.59+$183.12
  3. Washington, DC area · District of Columbia$994.07+$195.60
  4. Miami, FL · Florida$937.32+$138.85
  5. Chicago, IL · Illinois$909.83+$111.36
  6. Manhattan, NY · New York$999.74+$201.27
  7. Alaska · Alaska$1,005.30+$206.83

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

Every other payment area

52317 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$778.40$284.78
ArkansasArkansas$767.01$282.41
ArizonaArizona$845.07$298.41
Bakersfield, CACalifornia$921.15$302.85
Chico, CACalifornia$918.64$300.34
El Centro, CACalifornia$918.78$300.48
Fresno, CACalifornia$918.64$300.34
Hanford, CACalifornia$918.64$300.34

52317 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.

$767.01

$1,036.33

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

View every state and territory as a table
52317 office rate range by state
State / territoryOffice rate rangeLocalities
AK$1,005.301
AL$778.401
AR$767.011
AZ$845.071
CA$918.64–$1,154.0229
CO$904.611
CT$926.621
DC$994.071
DE$859.191
FL$855.35–$937.323
GA$806.74–$884.732
GU$941.631
HI$941.631
IA$798.471
ID$803.731
IL$830.33–$909.834
IN$808.451
KS$794.671
KY$797.011
LA$795.75–$835.612
MA$899.10–$994.852
MD$875.74–$994.073
ME$807.96–$852.352
MI$818.01–$866.142
MN$866.461
MO$781.91–$838.643
MS$774.611
MT$868.371
NC$816.531
ND$851.561
NE$802.901
NH$890.361
NJ$937.10–$983.572
NM$822.541
NV$864.301
NY$828.91–$1,024.225
OH$814.571
OK$795.581
OR$857.50–$933.652
PA$815.89–$903.322
PR$874.841
RI$890.021
SC$816.921
SD$849.571
TN$798.711
TX$810.46–$901.688
UT$828.231
VA$849.51–$994.072
VI$874.841
VT$848.181
WA$897.42–$1,015.252
WI$822.671
WV$799.231
WY$861.041

See 52317 in every payment locality

How the 52317 rate is calculated

Each of 52317’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 · 52317

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.54

6.54 RVUs× 1.000 GPCI

Practice expense18.61

18.61 RVUs× 1.000 GPCI

Malpractice0.85

0.85 RVUs× 1.000 GPCI

Adjusted RVUs

26.0000

Conversion factor

$33.4009

Medicare rate

$868.42

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

The exact Iowa inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,136

Code
52317
Physician work
6.54
Practice expense
18.61
Malpractice
0.85

GPCI2026.csv

53

Locality
Iowa
Physician work
1.000
Practice expense
0.915
Malpractice
0.397
Office calculation for 52317 in Iowa
ComponentRVULocality factorAdjusted
Physician work6.54× 1.0006.5400
Practice expense18.61× 0.91517.0282
Malpractice0.85× 0.3970.3375
Total RVUs23.9056
Conversion factor× 33.4009

Office rate, Iowa$798.47

Office: (6.54 × 1 + 18.61 × 0.915 + 0.85 × 0.397) × $33.4009 = $798.47

Facility: (6.54 × 1 + 1.72 × 0.915 + 0.85 × 0.397) × $33.4009 = $282.28

Open 52317 in the RVU calculator

Payment rules and modifiers for 52317

The CMS indicators that decide how 52317 is paid alongside other services.

CMS payment indicators · 52317

Bladder stone removal, small or simple calculus

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

52317 without 51 · national office

$868.42

Bladder stone removal, small or simple calculus

52317-51 · Second procedure: 50%

$434.21

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 52317

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

Codes related to 52317
CodeHow it relatesOffice range, Iowa
Same family
52318Bladder stone removal, large or complicated stoneSibling code for a large or more complex bladder calculus procedure.No office rate
Used instead
52320Ureteral stone removal, without stone fragmentationFor endoscopic removal of a ureteral calculus rather than a bladder stone.No office rate
52325Stone fragmentation, ultrasonic lithotripsyFor endoscopic fragmentation of a ureteral calculus.No office rate
52352Ureteroscopy, stone removal or manipulationFor ureteroscopic removal of a calculus in the ureter or upper urinary tract.No office rate

How 52317 has changed in Iowa

52317 · Office / nonfacility

$798.47

Effective 2026-10-01

The base rate is $41.86 higher than on 2025-10-01, moving from $756.61 to $798.47 (5.5%).

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

    $756.61changed to$798.47

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 6.71 changed to 6.54
    • Practice expense RVU 17.86 changed to 18.61
    • Malpractice RVU 0.82 changed to 0.85
    • Practice expense GPCI 0.913 changed to 0.915
    • Malpractice GPCI 0.457 changed to 0.397

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $810.38changed to$756.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 18.91 changed to 17.86
    • Malpractice RVU 0.81 changed to 0.82

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $797.16changed to$810.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $827.26changed to$797.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 19.07 changed to 18.91
    • Malpractice RVU 0.79 changed to 0.81
    • Practice expense GPCI 0.910 changed to 0.913
    • Malpractice GPCI 0.441 changed to 0.457

  5. January 1, 2023

    RVU23A

    $856.20changed to$827.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 19.51 changed to 19.07
    • Practice expense GPCI 0.907 changed to 0.910
    • Malpractice GPCI 0.425 changed to 0.441

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $862.54changed to$856.20

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 19.50 changed to 19.51
    • Malpractice RVU 0.76 changed to 0.79

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $826.27changed to$862.54

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 17.48 changed to 19.50
    • Malpractice RVU 0.78 changed to 0.76
    • Malpractice GPCI 0.424 changed to 0.425

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $797.68changed to$826.27

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 16.66 changed to 17.48
    • Malpractice RVU 0.74 changed to 0.78
    • Malpractice GPCI 0.423 changed to 0.424

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $767.09changed to$797.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 15.75 changed to 16.66

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $753.12changed to$767.09

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 15.45 changed to 15.75
    • Practice expense GPCI 0.902 changed to 0.907
    • Malpractice GPCI 0.458 changed to 0.423

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $743.68changed to$753.12

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 15.28 changed to 15.45
    • Malpractice RVU 0.75 changed to 0.74
    • Practice expense GPCI 0.896 changed to 0.902
    • Malpractice GPCI 0.493 changed to 0.458

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $745.89changed to$743.68

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 15.26 changed to 15.28
    • Malpractice RVU 0.76 changed to 0.75

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $742.18changed to$745.89

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $730.23changed to$742.18

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 15.00 changed to 15.26
    • Malpractice RVU 0.62 changed to 0.76
    • Practice expense GPCI 0.892 changed to 0.896
    • Malpractice GPCI 0.475 changed to 0.493

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $729.98changed to$730.23

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 16.29 changed to 15.00
    • Malpractice RVU 0.65 changed to 0.62
    • Practice expense GPCI 0.887 changed to 0.892
    • Malpractice GPCI 0.456 changed to 0.475

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $729.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$798.47$282.28RVU26D
2026-07-01$798.47$282.28RVU26C
2026-04-01$798.47$282.28RVU26B
2026-01-01$798.47$282.28RVU26A
2025-10-01$756.61$310.38RVU25D
2025-07-01$756.61$310.38RVU25C
2025-04-01$756.61$310.38RVU25B
2025-01-01$756.61$310.38RVU25A
2024-10-01$810.38$317.13RVU24D
2024-07-01$810.38$317.13RVU24C
2024-04-01$810.38$317.13RVU24B
2024-03-09$810.38$317.13RVU24AR
2024-01-01$797.16$311.95RVU24A
2023-10-01$827.26$319.67RVU23D
2023-07-01$827.26$319.67RVU23C
2023-04-01$827.26$319.67RVU23B
2023-01-01$827.26$319.67RVU23A
2022-10-01$856.20$323.87RVU22D
2022-07-01$856.20$323.87RVU22C
2022-04-01$856.20$323.87RVU22B
2022-01-01$856.20$323.87RVU22A
2021-10-01$862.54$326.74RVU21D
2021-07-01$862.54$326.74RVU21C
2021-04-01$862.54$326.74RVU21B
2021-01-01$862.54$326.74RVU21A
2020-10-01$826.27$337.57RVU20D
2020-07-01$826.27$337.57RVU20C
2020-04-01$826.27$337.57RVU20B
2020-01-01$826.27$337.57RVU20A
2019-10-01$797.68$338.09RVU19D
2019-07-01$797.68$338.09RVU19C
2019-04-01$797.68$338.09RVU19B
2019-01-01$797.68$338.09RVU19A
2018-10-01$767.09$339.03RVU18D
2018-07-01$767.09$339.03RVU18C
2018-04-01$767.09$339.03RVU18B
2018-01-01$767.09$339.03RVU18AR1
2017-10-01$753.12$337.47RVU17D
2017-07-01$753.12$337.47RVU17C
2017-04-01$753.12$337.47RVU17B
2017-01-01$753.12$337.47RVU17A
2016-10-01$743.68$335.61RVU16D
2016-07-01$743.68$335.61RVU16C
2016-04-01$743.68$335.61RVU16B
2016-01-01$743.68$335.61RVU16A
2015-10-01$745.89$336.68RVU15D
2015-07-01$745.89$336.68RVU15C
2015-04-01$742.18$335.00RVU15B
2015-01-01$742.18$335.00RVU15A
2014-10-01$730.23$332.40RVU14D
2014-07-01$730.23$332.40RVU14C
2014-04-01$730.23$332.40RVU14B
2014-01-01$730.23$332.40RVU14A
2013-10-01$729.98$318.35RVU13D
2013-07-01$729.98$318.35RVU13C
2013-04-01$729.98$318.35RVU13B
2013-01-01$729.98$318.35RVU13AR

Price 52317 for an earlier date of service

Where the Iowa rate applies

Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.

  • Ackley
  • Ackworth
  • Adair
  • Adel
  • Afton
  • Agency
  • Ainsworth
  • Akron

Browse all communities in Iowa

52317 billing questions

How does this code differ from 52318?

This code is for a small or straightforward bladder stone procedure. Use 52318 when the bladder calculus is large or the procedure is more complex.

Can fragmentation and fragment removal be reported separately?

No. The bladder-stone service includes breaking up the calculus and removing its fragments; do not report separate units for individual fragments.

What documentation supports code selection?

Document the bladder location, stone size and complexity, fragmentation method, and removal of fragments. The operative note should make clear why the simple or small-calculus level fits.

Should modifier 50 be appended for stones on both sides?

No. Bilateral adjustment does not apply to this bladder procedure, and modifier 50 is inappropriate.

How does Medicare handle related endoscopies performed in the same session?

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

Can an assistant surgeon or co-surgeon be billed?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 52317PPRRVU2026_Oct_nonQPP.csv, line 6,136 (RVU26D)
Geographic factors for IowaGPCI2026.csv, line 53 (RVU26D)

Open CMS sourceHow we calculate rates

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