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

Reports endoscopic ultrasonic fragmentation of a urinary calculus under cystoscopic visualization, typically for a bladder stone when fragmentation is performed rather than simple extraction.

CMS RVU26DEffective Oct 1, 2026One payment locality52 Medicare services in 2024

In Vermont, Medicare pays $268.15 for 52325 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$268.15Hospital or facility

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.

We’ll open 52325 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Vermont
  2. What 52325 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 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 Vermont 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. Vermont pays $268.15. The RVUs are the same everywhere; the geographic indexes change the dollars.

52325 in Vermont vs other payment areas
  1. Vermont · this page$268.15
  2. Los Angeles, CA · California$291.12+$22.97
  3. Washington, DC area · District of Columbia$305.15+$37.00
  4. Miami, FL · Florida$323.66+$55.51
  5. Chicago, IL · Illinois$316.99+$48.84
  6. Manhattan, NY · New York$318.59+$50.44
  7. Alaska · Alaska$373.66+$105.51

Other areas in Vermont first, then benchmark localities. Bars start at $0.

Every other payment area

52325 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$263.37
ArkansasArkansas—$261.16
ArizonaArizona—$276.11
Bakersfield, CACalifornia—$280.48
Chico, CACalifornia—$278.18
El Centro, CACalifornia—$278.31
Fresno, CACalifornia—$278.18
Hanford, CACalifornia—$278.18

52325 rates by state

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

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Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

View every state and territory as a table
52325 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

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.

How the rate is built · 52325

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.00

6.00 RVUs× 1.000 GPCI

Practice expense1.65

1.65 RVUs× 1.000 GPCI

Malpractice0.78

0.78 RVUs× 1.000 GPCI

Adjusted RVUs

8.4300

Conversion factor

$33.4009

Medicare rate

$281.57

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Vermont inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,139

Code
52325
Physician work
6.00
Practice expense
1.65
Malpractice
0.78

GPCI2026.csv

105

Locality
Vermont
Physician work
1.000
Practice expense
0.990
Malpractice
0.506
Facility calculation for 52325 in Vermont
ComponentRVULocality factorAdjusted
Physician work6.00× 1.0006.0000
Practice expense1.65× 0.9901.6335
Malpractice0.78× 0.5060.3947
Total RVUs8.0282
Conversion factor× 33.4009

Facility rate, Vermont$268.15

Facility: (6 × 1 + 1.65 × 0.99 + 0.78 × 0.506) × $33.4009 = $268.15

Open 52325 in the RVU calculator

Payment rules and modifiers for 52325

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

CMS payment indicators · 52325

Stone fragmentation, ultrasonic lithotripsy

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)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
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 50 · payment effect

With and without the modifier

52325 without 50 · national facility

$281.57

Stone fragmentation, ultrasonic lithotripsy

52325-50 · Bilateral: 150%

$422.36

Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).

When to use modifier 50

How 52325 has changed in Vermont

52325 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$268.15RVU26D
2026-07-01Not available in this setting$268.15RVU26C
2026-04-01Not available in this setting$268.15RVU26B
2026-01-01Not available in this setting$268.15RVU26A
2025-10-01Not available in this setting$294.52RVU25D
2025-07-01Not available in this setting$294.52RVU25C
2025-04-01Not available in this setting$294.52RVU25B
2025-01-01Not available in this setting$294.52RVU25A
2024-10-01Not available in this setting$301.11RVU24D
2024-07-01Not available in this setting$301.11RVU24C
2024-04-01Not available in this setting$301.11RVU24B
2024-03-09Not available in this setting$301.11RVU24AR
2024-01-01Not available in this setting$296.19RVU24A
2023-10-01Not available in this setting$304.95RVU23D
2023-07-01Not available in this setting$304.95RVU23C
2023-04-01Not available in this setting$304.95RVU23B
2023-01-01Not available in this setting$304.95RVU23A
2022-10-01Not available in this setting$309.99RVU22D
2022-07-01Not available in this setting$309.99RVU22C
2022-04-01Not available in this setting$309.99RVU22B
2022-01-01Not available in this setting$309.99RVU22A
2021-10-01Not available in this setting$312.87RVU21D
2021-07-01Not available in this setting$312.87RVU21C
2021-04-01Not available in this setting$312.87RVU21B
2021-01-01Not available in this setting$312.87RVU21A
2020-10-01Not available in this setting$323.18RVU20D
2020-07-01Not available in this setting$323.18RVU20C
2020-04-01Not available in this setting$323.18RVU20B
2020-01-01Not available in this setting$323.18RVU20A
2019-10-01Not available in this setting$325.48RVU19D
2019-07-01Not available in this setting$325.48RVU19C
2019-04-01Not available in this setting$325.48RVU19B
2019-01-01Not available in this setting$325.48RVU19A
2018-10-01Not available in this setting$326.95RVU18D
2018-07-01Not available in this setting$326.95RVU18C
2018-04-01Not available in this setting$326.95RVU18B
2018-01-01Not available in this setting$326.95RVU18AR1
2017-10-01Not available in this setting$325.71RVU17D
2017-07-01Not available in this setting$325.71RVU17C
2017-04-01Not available in this setting$325.71RVU17B
2017-01-01Not available in this setting$325.71RVU17A
2016-10-01Not available in this setting$323.92RVU16D
2016-07-01Not available in this setting$323.92RVU16C
2016-04-01Not available in this setting$323.92RVU16B
2016-01-01Not available in this setting$323.92RVU16A
2015-10-01Not available in this setting$324.49RVU15D
2015-07-01Not available in this setting$324.49RVU15C
2015-04-01Not available in this setting$322.87RVU15B
2015-01-01Not available in this setting$322.87RVU15A
2014-10-01Not available in this setting$319.06RVU14D
2014-07-01Not available in this setting$319.06RVU14C
2014-04-01Not available in this setting$319.06RVU14B
2014-01-01Not available in this setting$319.06RVU14A
2013-10-01Not available in this settingRate data unavailableRVU13D
2013-07-01Not available in this settingRate data unavailableRVU13C
2013-04-01Not available in this settingRate data unavailableRVU13B
2013-01-01Not available in this settingRate data unavailableRVU13AR

Price 52325 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

  • Albany
  • Alburgh
  • Algiers
  • Arlington
  • Ascutney
  • Bakersfield
  • Barnet
  • Barre

Browse all communities in Vermont

52325 billing questions

How does this differ from cystoscopic stone removal without fragmentation?

Use 52325 when the report supports ultrasonic fragmentation under cystourethroscopy. Code 52320 describes cystoscopic removal of a ureteral calculus without this fragmentation method.

Is the temporary ureteral catheter separately reported?

Temporary ureteral catheter placement is included in the service described by 52325; do not report it as a separate service solely for that placement.

How should bilateral treatment be reported?

For a bilateral procedure, report modifier 50. CMS pays the bilateral procedure at 150%.

Does the code have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant surgeon or co-surgeon be reported?

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 52325PPRRVU2026_Oct_nonQPP.csv, line 6,139 (RVU26D)
Geographic factors for VermontGPCI2026.csv, line 105 (RVU26D)

Open CMS sourceHow we calculate rates

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