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

In Tennessee, Medicare pays $798.71 for 52317 in the office and $285.91 when it’s performed in a hospital or facility.

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.

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 Tennessee 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. Tennessee pays $798.71. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52317 rates by state

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

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.

Payment rules and modifiers for 52317

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

What modifiers do to the payment

When to use modifier 51

Codes related to 52317

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

How 52317 has changed in Tennessee

Price 52317 for an earlier date of service

Where the Tennessee rate applies

Tennessee is a Medicare payment area, not a city. Our Census mapping connects it to 504 cities and communities in Tennessee. Some span more than one payment area; confirm with the service ZIP.

• Adams
• Adamsville
• Alamo
• Alcoa
• Alexandria
• Algood
• Allardt
• Altamont

Browse all communities in Tennessee

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