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

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 Virginia, Medicare pays $849.51 for 52317 in the office and $294.96 when it’s performed in a hospital or facility.

$849.51Office (non-facility)
$294.96Hospital or facility
−2.2%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 Virginia
  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 Virginia 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. Virginia pays $849.51. The RVUs are the same everywhere; the geographic indexes change the dollars.

52317 in Virginia vs other payment areas
  1. Virginia · this page$849.51
  2. Los Angeles, CA · California$981.59+$132.08
  3. Washington, DC area · District of Columbia$994.07+$144.56
  4. Miami, FL · Florida$937.32+$87.81
  5. Chicago, IL · Illinois$909.83+$60.32
  6. Manhattan, NY · New York$999.74+$150.23
  7. Alaska · Alaska$1,005.30+$155.79

Other areas in Virginia 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 Virginia 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

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 52317 in Virginia
ComponentRVULocality factorAdjusted
Physician work6.54× 1.0006.5400
Practice expense18.61× 0.98318.2936
Malpractice0.85× 0.7060.6001
Total RVUs25.4337
Conversion factor× 33.4009

Office rate, Virginia$849.51

Office: (6.54 × 1 + 18.61 × 0.983 + 0.85 × 0.706) × $33.4009 = $849.51

Facility: (6.54 × 1 + 1.72 × 0.983 + 0.85 × 0.706) × $33.4009 = $294.96

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, Virginia
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 Virginia

52317 · Office / nonfacility

$849.51

Effective 2026-10-01

The base rate is $43.54 higher than on 2025-10-01, moving from $805.97 to $849.51 (5.4%).

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

    $805.97changed to$849.51

    • 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
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $863.56changed to$805.97

    • 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

    $849.46changed to$863.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $889.26changed to$849.46

    • 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
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755

  5. January 1, 2023

    RVU23A

    $928.52changed to$889.26

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 19.51 changed to 19.07
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $934.93changed to$928.52

    • 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

    $892.75changed to$934.93

    • 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
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $858.04changed to$892.75

    • 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
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $824.80changed to$858.04

    • 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

    $809.98changed to$824.80

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 15.45 changed to 15.75
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $800.16changed to$809.98

    • 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 0.983 changed to 0.985
    • Malpractice GPCI 0.824 changed to 0.866

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $802.64changed to$800.16

    • 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

    $798.65changed to$802.64

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $784.25changed to$798.65

    • 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 0.980 changed to 0.983
    • Malpractice GPCI 0.778 changed to 0.824

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $785.95changed to$784.25

    • 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 0.977 changed to 0.980
    • Malpractice GPCI 0.731 changed to 0.778

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $785.95

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$849.51$294.96RVU26D
2026-07-01$849.51$294.96RVU26C
2026-04-01$849.51$294.96RVU26B
2026-01-01$849.51$294.96RVU26A
2025-10-01$805.97$325.03RVU25D
2025-07-01$805.97$325.03RVU25C
2025-04-01$805.97$325.03RVU25B
2025-01-01$805.97$325.03RVU25A
2024-10-01$863.56$331.95RVU24D
2024-07-01$863.56$331.95RVU24C
2024-04-01$863.56$331.95RVU24B
2024-03-09$863.56$331.95RVU24AR
2024-01-01$849.46$326.53RVU24A
2023-10-01$889.26$337.06RVU23D
2023-07-01$889.26$337.06RVU23C
2023-04-01$889.26$337.06RVU23B
2023-01-01$889.26$337.06RVU23A
2022-10-01$928.52$344.54RVU22D
2022-07-01$928.52$344.54RVU22C
2022-04-01$928.52$344.54RVU22B
2022-01-01$928.52$344.54RVU22A
2021-10-01$934.93$347.15RVU21D
2021-07-01$934.93$347.15RVU21C
2021-04-01$934.93$347.15RVU21B
2021-01-01$934.93$347.15RVU21A
2020-10-01$892.75$358.78RVU20D
2020-07-01$892.75$358.78RVU20C
2020-04-01$892.75$358.78RVU20B
2020-01-01$892.75$358.78RVU20A
2019-10-01$858.04$358.43RVU19D
2019-07-01$858.04$358.43RVU19C
2019-04-01$858.04$358.43RVU19B
2019-01-01$858.04$358.43RVU19A
2018-10-01$824.80$359.45RVU18D
2018-07-01$824.80$359.45RVU18C
2018-04-01$824.80$359.45RVU18B
2018-01-01$824.80$359.45RVU18AR1
2017-10-01$809.98$356.08RVU17D
2017-07-01$809.98$356.08RVU17C
2017-04-01$809.98$356.08RVU17B
2017-01-01$809.98$356.08RVU17A
2016-10-01$800.16$352.47RVU16D
2016-07-01$800.16$352.47RVU16C
2016-04-01$800.16$352.47RVU16B
2016-01-01$800.16$352.47RVU16A
2015-10-01$802.64$353.69RVU15D
2015-07-01$802.64$353.69RVU15C
2015-04-01$798.65$351.93RVU15B
2015-01-01$798.65$351.93RVU15A
2014-10-01$784.25$347.17RVU14D
2014-07-01$784.25$347.17RVU14C
2014-04-01$784.25$347.17RVU14B
2014-01-01$784.25$347.17RVU14A
2013-10-01$785.95$332.55RVU13D
2013-07-01$785.95$332.55RVU13C
2013-04-01$785.95$332.55RVU13B
2013-01-01$785.95$332.55RVU13AR

Price 52317 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

  • Abbs Valley
  • Abingdon
  • Accomac
  • Adwolf
  • Afton
  • Alberta
  • Aldie
  • Allison Gap

Browse all communities in Virginia

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 VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

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