CPT code 52318: Bladder stone removal, large or complicated stone2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $395.06 for 52318 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52318 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 52318 covers

During this urologic procedure, the physician passes a cystoscope through the urethra into the bladder, fragments a bladder calculus, and evacuates the pieces. It is used for a large stone (>2.5 cm) or when treatment is complicated. A urologist typically performs it in a hospital outpatient department or ambulatory surgery center, with selected cases in an office setting.

Choose this level from the operative report: document the bladder location, stone size when measured, method of fragmentation and removal, and what made treatment complicated when size alone does not support the level. The related simple or small-stone service is 52317. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies occur in the same session, endoscopy-family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is barred, 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 North Carolina compares for 52318

Across 109 of 109 payment localities, the facility rate for 52318 runs from $384.15 in Wisconsin to $551.22 in Alaska. North Carolina pays $395.06. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52318 rates by state

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

See 52318 in every payment locality

How the 52318 rate is calculated

Each of 52318’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 52318

The CMS indicators that decide how 52318 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 52318

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

How 52318 has changed in North Carolina

Price 52318 for an earlier date of service

Where the North Carolina rate applies

North Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 785 cities and communities in North Carolina. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Advance
• Ahoskie
• Alamance
• Albemarle
• Alexis
• Alliance
• Altamahaw

Browse all communities in North Carolina

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