CPT code 52320: Ureteral stone removal, without stone fragmentation2026 Medicare rate & RVUs in North Carolina

In North Carolina, Medicare pays $206.47 for 52320 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52320 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 52320 covers

A urologist uses a cystoscope to access the bladder and ureteral opening, then passes instruments through the scope to retrieve a ureteral calculus. The service includes ureteral catheterization and is generally selected when the stone is removed intact with an extraction instrument, such as a basket, rather than broken apart. It is performed in an operating room or another setting equipped for endoscopic urologic treatment.

The operative note should identify the ureteral stone and document its retrieval, the approach, and whether fragmentation was performed. Report a code for fragmentation when the calculus is broken up, and distinguish this service from removal of a stone located in the bladder. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. Endoscopy family pricing applies when related endoscopies are performed together. For bilateral treatment reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is statutorily restricted; 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 52320

Across 109 of 109 payment localities, the facility rate for 52320 runs from $200.78 in Arkansas to $286.95 in Alaska. North Carolina pays $206.47. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52320 rates by state

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

See 52320 in every payment locality

How the 52320 rate is calculated

Each of 52320’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 52320

The CMS indicators that decide how 52320 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52320

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

How 52320 has changed in North Carolina

Price 52320 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