CPT code 52325: Stone fragmentation, ultrasonic lithotripsy2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $279.28 for 52325 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52325 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 52325 covers

An urologist uses a cystoscope to visualize a urinary calculus and fragment it with an ultrasonic lithotripter; a bladder stone is a commonly associated example. The procedure is generally performed in an operating room or hospital outpatient setting. The service includes placement of a temporary ureteral catheter as part of the procedure.

Select this code when the documented approach is ultrasonic fragmentation under cystourethroscopy, rather than simple calculus removal, manipulation alone, or ureteroscopic treatment. The operative report should identify the stone location, endoscopic approach, ultrasonic fragmentation, and catheter placement when performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. A bilateral procedure reported with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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 Delaware compares for 52325

Across 109 of 109 payment localities, the facility rate for 52325 runs from $261.12 in Nebraska to $373.66 in Alaska. Delaware pays $279.28. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52325 rates by state

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

See 52325 in every payment locality

How the 52325 rate is calculated

Each of 52325’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 52325

The CMS indicators that decide how 52325 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52325

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

How 52325 has changed in Delaware

Price 52325 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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