CPT code 52327: Reflux injection, vesicoureteral reflux2026 Medicare rate & RVUs in Rhode Island
Cystoscopic injection of bulking material treats vesicoureteral reflux by supporting the ureteral opening into the bladder.
In Rhode Island, Medicare pays $227.18 for 52327 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 52327 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 52327 covers
A urologist uses a cystoscope to inject bulking material beneath the lining near a ureteral opening, helping the opening close more effectively and limit urine flowing backward from the bladder toward the kidney. This endoscopic treatment is used for vesicoureteral reflux and is commonly performed in a facility operating room, including for pediatric patients. The operative report should identify the treated side and document the reflux treatment and injection performed.
Report the service for the cystoscopic injection itself; the cystoscopic access is part of the procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy family pricing applies. CMS 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 Rhode Island compares for 52327
Across 109 of 109 payment localities, the facility rate for 52327 runs from $208.86 in Wisconsin to $302.14 in Alaska. Rhode Island pays $227.18. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Rhode Island · this page$227.18
- Los Angeles, CA · California$231.27+$4.09
- Washington, DC area · District of Columbia$242.89+$15.71
- Miami, FL · Florida$259.24+$32.06
- Chicago, IL · Illinois$254.16+$26.98
- Manhattan, NY · New York$254.13+$26.95
- Alaska · Alaska$302.14+$74.96
Other areas in Rhode Island first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $211.46 |
| ArkansasArkansas | — | $209.81 |
| ArizonaArizona | — | $220.96 |
| Bakersfield, CACalifornia | — | $223.34 |
| Chico, CACalifornia | — | $221.44 |
| El Centro, CACalifornia | — | $221.54 |
| Fresno, CACalifornia | — | $221.44 |
| Hanford, CACalifornia | — | $221.44 |
| Madera, CACalifornia | — | $221.44 |
| Merced, CACalifornia | — | $221.44 |
| Modesto, CACalifornia | — | $221.44 |
| Napa, CACalifornia | — | $236.38 |
| Oxnard, CACalifornia | — | $228.17 |
| Redding, CACalifornia | — | $221.44 |
| Rest of CaliforniaCalifornia | — | $221.44 |
| Riverside, CACalifornia | — | $228.38 |
| Sacramento, CACalifornia | — | $226.99 |
| Salinas, CACalifornia | — | $226.01 |
| San Diego, CACalifornia | — | $227.27 |
| Marin County, CACalifornia | — | $243.96 |
| San Francisco, CACalifornia | — | $243.23 |
| San Benito County, CACalifornia | — | $249.26 |
| Santa Clara County, CACalifornia | — | $246.29 |
| San Luis Obispo, CACalifornia | — | $222.95 |
| Santa Cruz, CACalifornia | — | $226.29 |
| Santa Maria, CACalifornia | — | $225.75 |
| Santa Rosa, CACalifornia | — | $228.26 |
| Stockton, CACalifornia | — | $221.44 |
| Vallejo, CACalifornia | — | $235.34 |
| Visalia, CACalifornia | — | $221.44 |
| Yuba City, CACalifornia | — | $221.44 |
| ColoradoColorado | — | $224.71 |
| ConnecticutConnecticut | — | $235.69 |
| DelawareDelaware | — | $223.39 |
| Fort Lauderdale, FLFlorida | — | $242.85 |
| Rest of FloridaFlorida | — | $234.33 |
| Atlanta, GAGeorgia | — | $230.49 |
| Rest of GeorgiaGeorgia | — | $225.44 |
| Hawaii, Guam, HIHawaii | — | $220.93 |
| IowaIowa | — | $209.25 |
| IdahoIdaho | — | $211.05 |
| East St. Louis, ILIllinois | — | $243.99 |
| Rest of IllinoisIllinois | — | $234.11 |
| Suburban Chicago, ILIllinois | — | $243.75 |
| IndianaIndiana | — | $211.57 |
| KansasKansas | — | $211.15 |
| KentuckyKentucky | — | $219.41 |
| New Orleans, LALouisiana | — | $225.96 |
| Rest of LouisianaLouisiana | — | $220.19 |
| Metropolitan Boston, MAMassachusetts | — | $236.49 |
| Rest of MassachusettsMassachusetts | — | $225.34 |
| Baltimore area, MDMaryland | — | $235.45 |
| Rest of MarylandMaryland | — | $225.48 |
| Rest of MaineMaine | — | $214.24 |
| Southern Maine, MEMaine | — | $216.92 |
| Detroit, MIMichigan | — | $238.56 |
| Rest of MichiganMichigan | — | $224.83 |
| MinnesotaMinnesota | — | $211.09 |
| Metropolitan Kansas City, MOMissouri | — | $222.49 |
| Metropolitan St. Louis, MOMissouri | — | $223.48 |
| Rest of MissouriMissouri | — | $219.73 |
| MississippiMississippi | — | $214.67 |
| MontanaMontana | — | $225.08 |
| North CarolinaNorth Carolina | — | $215.06 |
| North DakotaNorth Dakota | — | $212.42 |
| NebraskaNebraska | — | $209.13 |
| New HampshireNew Hampshire | — | $223.89 |
| Northern New JerseyNew Jersey | — | $242.81 |
| Rest of New JerseyNew Jersey | — | $237.17 |
| New MexicoNew Mexico | — | $226.51 |
| NevadaNevada | — | $221.59 |
| NYC suburbs and Long Island, NYNew York | — | $260.87 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $240.53 |
| Queens, NYNew York | — | $251.75 |
| Rest of New YorkNew York | — | $217.02 |
| OhioOhio | — | $222.24 |
| OklahomaOklahoma | — | $216.60 |
| Portland, OROregon | — | $226.24 |
| Rest of OregonOregon | — | $218.63 |
| Metropolitan Philadelphia, PAPennsylvania | — | $233.72 |
| Rest of PennsylvaniaPennsylvania | — | $221.07 |
| Puerto RicoPuerto Rico | — | $225.19 |
| South CarolinaSouth Carolina | — | $219.25 |
| South DakotaSouth Dakota | — | $210.93 |
| TennesseeTennessee | — | $212.03 |
| Austin, TXTexas | — | $225.06 |
| Beaumont, TXTexas | — | $220.45 |
| Brazoria, TXTexas | — | $221.45 |
| Dallas, TXTexas | — | $223.46 |
| Fort Worth, TXTexas | — | $223.39 |
| Galveston, TXTexas | — | $222.55 |
| Houston, TXTexas | — | $234.26 |
| Rest of TexasTexas | — | $221.26 |
| UtahUtah | — | $220.84 |
| VirginiaVirginia | — | $218.24 |
| Virgin Islands, VIUnited States Virgin Islands | — | $225.19 |
| VermontVermont | — | $214.21 |
| Rest of WashingtonWashington | — | $224.06 |
| King County, WAWashington | — | $237.60 |
| WisconsinWisconsin | — | $208.86 |
| West VirginiaWest Virginia | — | $229.74 |
| WyomingWyoming | — | $219.56 |
52327 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
How the 52327 rate is calculated
Each of 52327’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 · 52327
RVUs × geographic indexes × conversion factor
Work5.05
5.05 RVUs× 1.000 GPCI
Practice expense1.05
1.05 RVUs× 1.000 GPCI
Malpractice0.64
0.64 RVUs× 1.000 GPCI
Adjusted RVUs
6.7400
Conversion factor
$33.4009
Medicare rate
$225.12
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Rhode Island inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,140
- Code
- 52327
- Physician work
- 5.05
- Practice expense
- 1.05
- Malpractice
- 0.64
GPCI2026.csv
92
- Locality
- Rhode Island
- Physician work
- 1.019
- Practice expense
- 1.033
- Malpractice
- 0.892
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.05 | × 1.019 | 5.1459 |
| Practice expense | 1.05 | × 1.033 | 1.0846 |
| Malpractice | 0.64 | × 0.892 | 0.5709 |
| Total RVUs | 6.8015 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Rhode Island$227.18
Facility: (5.05 × 1.019 + 1.05 × 1.033 + 0.64 × 0.892) × $33.4009 = $227.18
Payment rules and modifiers for 52327
The CMS indicators that decide how 52327 is paid alongside other services.
CMS payment indicators · 52327
Reflux injection, vesicoureteral reflux
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
52327 without 50 · national facility
$225.12
Reflux injection, vesicoureteral reflux
52327-50 · Bilateral: 150%
$337.68
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).
How 52327 has changed in Rhode Island
52327 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
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
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $227.18 | RVU26D |
| 2026-07-01 | Not available in this setting | $227.18 | RVU26C |
| 2026-04-01 | Not available in this setting | $227.18 | RVU26B |
| 2026-01-01 | Not available in this setting | $227.18 | RVU26A |
| 2025-10-01 | Not available in this setting | $251.56 | RVU25D |
| 2025-07-01 | Not available in this setting | $251.56 | RVU25C |
| 2025-04-01 | Not available in this setting | $251.56 | RVU25B |
| 2025-01-01 | Not available in this setting | $251.56 | RVU25A |
| 2024-10-01 | Not available in this setting | $257.21 | RVU24D |
| 2024-07-01 | Not available in this setting | $257.21 | RVU24C |
| 2024-04-01 | Not available in this setting | $257.21 | RVU24B |
| 2024-03-09 | Not available in this setting | $257.21 | RVU24AR |
| 2024-01-01 | Not available in this setting | $253.01 | RVU24A |
| 2023-10-01 | Not available in this setting | $261.15 | RVU23D |
| 2023-07-01 | Not available in this setting | $261.15 | RVU23C |
| 2023-04-01 | Not available in this setting | $261.15 | RVU23B |
| 2023-01-01 | Not available in this setting | $261.15 | RVU23A |
| 2022-10-01 | Not available in this setting | $270.69 | RVU22D |
| 2022-07-01 | Not available in this setting | $270.69 | RVU22C |
| 2022-04-01 | Not available in this setting | $270.69 | RVU22B |
| 2022-01-01 | Not available in this setting | $270.69 | RVU22A |
| 2021-10-01 | Not available in this setting | $273.00 | RVU21D |
| 2021-07-01 | Not available in this setting | $273.00 | RVU21C |
| 2021-04-01 | Not available in this setting | $273.00 | RVU21B |
| 2021-01-01 | Not available in this setting | $273.00 | RVU21A |
| 2020-10-01 | Not available in this setting | $281.35 | RVU20D |
| 2020-07-01 | Not available in this setting | $281.35 | RVU20C |
| 2020-04-01 | Not available in this setting | $281.35 | RVU20B |
| 2020-01-01 | Not available in this setting | $281.35 | RVU20A |
| 2019-10-01 | Not available in this setting | $281.85 | RVU19D |
| 2019-07-01 | Not available in this setting | $281.85 | RVU19C |
| 2019-04-01 | Not available in this setting | $281.85 | RVU19B |
| 2019-01-01 | Not available in this setting | $281.85 | RVU19A |
| 2018-10-01 | Not available in this setting | $282.68 | RVU18D |
| 2018-07-01 | Not available in this setting | $282.68 | RVU18C |
| 2018-04-01 | Not available in this setting | $282.68 | RVU18B |
| 2018-01-01 | Not available in this setting | $282.68 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $277.94 | RVU17D |
| 2017-07-01 | Not available in this setting | $277.94 | RVU17C |
| 2017-04-01 | Not available in this setting | $277.94 | RVU17B |
| 2017-01-01 | Not available in this setting | $277.94 | RVU17A |
| 2016-10-01 | Not available in this setting | $272.79 | RVU16D |
| 2016-07-01 | Not available in this setting | $272.79 | RVU16C |
| 2016-04-01 | Not available in this setting | $272.79 | RVU16B |
| 2016-01-01 | Not available in this setting | $272.79 | RVU16A |
| 2015-10-01 | Not available in this setting | $273.78 | RVU15D |
| 2015-07-01 | Not available in this setting | $273.78 | RVU15C |
| 2015-04-01 | Not available in this setting | $272.42 | RVU15B |
| 2015-01-01 | Not available in this setting | $272.42 | RVU15A |
| 2014-10-01 | Not available in this setting | $273.85 | RVU14D |
| 2014-07-01 | Not available in this setting | $273.85 | RVU14C |
| 2014-04-01 | Not available in this setting | $273.85 | RVU14B |
| 2014-01-01 | Not available in this setting | $273.85 | RVU14A |
| 2013-10-01 | Not available in this setting | Rate data unavailable | RVU13D |
| 2013-07-01 | Not available in this setting | Rate data unavailable | RVU13C |
| 2013-04-01 | Not available in this setting | Rate data unavailable | RVU13B |
| 2013-01-01 | Not available in this setting | Rate data unavailable | RVU13AR |
Where the Rhode Island rate applies
Rhode Island is a Medicare payment area, not a city. Our Census mapping connects it to 36 cities and communities in Rhode Island. Some span more than one payment area; confirm with the service ZIP.
- Ashaway
- Bradford
- Carolina
- Central Falls
- Charlestown
- Chepachet
- Clayville
- Cranston
52327 billing questions
What distinguishes this service from ureterocele treatment?
This code describes injection to treat vesicoureteral reflux. Ureterocele incision or resection is a different procedure, reported with a code such as 52300 or 52301.
Should the cystoscopy be billed separately?
No. Cystoscopic access is part of the injection service.
How is bilateral treatment reported?
Use modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
What documentation supports reporting the service?
Document the reflux indication, treated side or sides, cystoscopic findings, and injection performed, including the material and injection site.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's global period.
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
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