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CPT code 52330: Stone manipulation, without stone removal2026 Medicare rate & RVUs in Washington, DC area

Cystoscopic manipulation repositions a ureteral stone without extracting it, such as moving a stone back toward the kidney before shock-wave treatment.

CMS RVU26DEffective Oct 1, 2026One payment locality1.9K Medicare services in 2024

In Washington, DC area, Medicare pays $673.61 for 52330 in the office and $250.64 when it’s performed in a hospital or facility.

$673.61Office (non-facility)
$250.64Hospital or facility
+14.1%vs the national office rate ($590.19)

Check a contract rate as a % of Medicare · 52330 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 52330 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 52330 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 52330 covers

A urologist passes a cystoscope through the urethra into the bladder and manipulates a ureteral calculus without extracting it. A classic use is moving a ureteral stone back toward the kidney before planned extracorporeal shock-wave treatment; this service is the endoscopic manipulation, not the later fragmentation or removal. It is most often performed in an operating room or ambulatory surgery center, though office services also occur.

Report 52330 when the operative note supports cystoscopic manipulation of a ureteral stone and no stone extraction. Document the stone’s location, the manipulation performed, and whether treatment was unilateral or bilateral. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral procedures, modifier 50 is paid at 150%. When related endoscopies are performed together, CMS applies endoscopy-family pricing. CMS 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 Washington, DC area compares for 52330

Across 109 of 109 payment localities, the office rate for 52330 runs from $522.93 in Arkansas to $777.96 in San Benito County, CA. Washington, DC area pays $673.61. The RVUs are the same everywhere; the geographic indexes change the dollars.

52330 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$673.61
  2. Los Angeles, CA · California$664.21−$9.40
  3. Miami, FL · Florida$638.50−$35.11
  4. Chicago, IL · Illinois$620.19−$53.42
  5. Manhattan, NY · New York$678.55+$4.94
  6. Alaska · Alaska$689.11+$15.50
  7. Alabama · Alabama$530.48−$143.13

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

52330 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$522.93$214.50
ArizonaArizona$574.63$226.70
Bakersfield, CACalifornia$624.17$230.64
Chico, CACalifornia$622.33$228.80
El Centro, CACalifornia$622.43$228.90
Fresno, CACalifornia$622.33$228.80
Hanford, CACalifornia$622.33$228.80
Madera, CACalifornia$622.33$228.80

52330 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$522.93

$700.15

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
52330 office rate range by state
State / territoryOffice rate rangeLocalities
AK$689.111
AL$530.481
AR$522.931
AZ$574.631
CA$622.33–$777.9629
CO$613.601
CT$629.061
DC$673.611
DE$584.051
FL$582.75–$638.503
GA$550.34–$601.342
GU$637.071
HI$637.071
IA$543.211
ID$546.811
IL$566.55–$620.194
IN$549.921
KS$540.961
KY$543.391
LA$542.65–$569.072
MA$610.12–$673.362
MD$595.00–$673.613
ME$549.90–$578.902
MI$557.56–$590.202
MN$587.381
MO$533.65–$570.763
MS$528.381
MT$590.151
NC$555.531
ND$577.891
NE$546.061
NH$604.241
NJ$636.08–$666.842
NM$560.671
NV$587.141
NY$563.75–$695.125
OH$555.051
OK$542.151
OR$582.42–$632.562
PA$555.78–$613.782
PR$594.351
RI$604.461
SC$556.251
SD$576.441
TN$543.681
TX$552.20–$611.708
UT$563.731
VA$577.21–$673.612
VI$594.351
VT$575.911
WA$608.88–$686.712
WI$558.821
WV$545.961
WY$584.811

See 52330 in every payment locality

How the 52330 rate is calculated

Each of 52330’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 · 52330

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.90

4.90 RVUs× 1.000 GPCI

Practice expense12.15

12.15 RVUs× 1.000 GPCI

Malpractice0.62

0.62 RVUs× 1.000 GPCI

Adjusted RVUs

17.6700

Conversion factor

$33.4009

Medicare rate

$590.19

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,141

Code
52330
Physician work
4.90
Practice expense
12.15
Malpractice
0.62

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 52330 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work4.90× 1.0545.1646
Practice expense12.15× 1.17814.3127
Malpractice0.62× 1.1130.6901
Total RVUs20.1674
Conversion factor× 33.4009

Office rate, Washington, DC area$673.61

Office: (4.9 × 1.054 + 12.15 × 1.178 + 0.62 × 1.113) × $33.4009 = $673.61

Facility: (4.9 × 1.054 + 1.4 × 1.178 + 0.62 × 1.113) × $33.4009 = $250.64

Open 52330 in the RVU calculator

Payment rules and modifiers for 52330

The CMS indicators that decide how 52330 is paid alongside other services.

CMS payment indicators · 52330

Stone manipulation, without stone removal

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

52330 without 50 · national office

$590.19

Stone manipulation, without stone removal

52330-50 · Bilateral: 150%

$885.29

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

Codes related to 52330

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

Codes related to 52330
CodeHow it relatesOffice range, Washington, DC area
Used instead
52320Ureteral stone removal, without stone fragmentationUsed when cystoscopy removes a ureteral stone rather than merely manipulating it.No office rate
52325Stone fragmentation, ultrasonic lithotripsyEndoscopic fragmentation is performed instead of manipulation without removal.No office rate
52352Ureteroscopy, stone removal or manipulationUreteroscopic stone extraction is a different approach when the stone is removed.No office rate
Often billed with
52332Ureteral stent, indwelling stent placementA ureteral stent may be placed during the same session when indicated.$426.93

How 52330 has changed in Washington, DC area

52330 · Office / nonfacility

$673.61

Effective 2026-10-01

The base rate is $30.17 higher than on 2025-10-01, moving from $643.44 to $673.61 (4.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

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

  1. January 1, 2026

    RVU26A

    $643.44changed to$673.61

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 5.03 changed to 4.90
    • Practice expense RVU 11.63 changed to 12.15
    • Malpractice RVU 0.61 changed to 0.62
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $692.71changed to$643.44

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 12.40 changed to 11.63

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $681.41changed to$692.71

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $717.61changed to$681.41

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 12.47 changed to 12.40
    • Malpractice RVU 0.59 changed to 0.61
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168

  5. January 1, 2023

    RVU23A

    $753.99changed to$717.61

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 12.71 changed to 12.47
    • Malpractice RVU 0.60 changed to 0.59
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $749.43changed to$753.99

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 12.47 changed to 12.71
    • Malpractice RVU 0.59 changed to 0.60

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $700.53changed to$749.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 10.98 changed to 12.47
    • Malpractice RVU 0.57 changed to 0.59
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $643.49changed to$700.53

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 9.88 changed to 10.98
    • Malpractice RVU 0.55 changed to 0.57
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $590.75changed to$643.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 8.67 changed to 9.88
    • Malpractice RVU 0.56 changed to 0.55

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $582.32changed to$590.75

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 8.50 changed to 8.67
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $577.36changed to$582.32

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 8.40 changed to 8.50
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $578.11changed to$577.36

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 8.38 changed to 8.40
    • Malpractice RVU 0.55 changed to 0.56

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $575.24changed to$578.11

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $563.86changed to$575.24

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 8.23 changed to 8.38
    • Malpractice RVU 0.47 changed to 0.55
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $561.53changed to$563.86

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 8.91 changed to 8.23
    • Malpractice RVU 0.49 changed to 0.47
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $561.53

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$673.61$250.64RVU26D
2026-07-01$673.61$250.64RVU26C
2026-04-01$673.61$250.64RVU26B
2026-01-01$673.61$250.64RVU26A
2025-10-01$643.44$278.69RVU25D
2025-07-01$643.44$278.69RVU25C
2025-04-01$643.44$278.69RVU25B
2025-01-01$643.44$278.69RVU25A
2024-10-01$692.71$284.82RVU24D
2024-07-01$692.71$284.82RVU24C
2024-04-01$692.71$284.82RVU24B
2024-03-09$692.71$284.82RVU24AR
2024-01-01$681.41$280.17RVU24A
2023-10-01$717.61$289.36RVU23D
2023-07-01$717.61$289.36RVU23C
2023-04-01$717.61$289.36RVU23B
2023-01-01$717.61$289.36RVU23A
2022-10-01$753.99$295.88RVU22D
2022-07-01$753.99$295.88RVU22C
2022-04-01$753.99$295.88RVU22B
2022-01-01$753.99$295.88RVU22A
2021-10-01$749.43$298.32RVU21D
2021-07-01$749.43$298.32RVU21C
2021-04-01$749.43$298.32RVU21B
2021-01-01$749.43$298.32RVU21A
2020-10-01$700.53$304.83RVU20D
2020-07-01$700.53$304.83RVU20C
2020-04-01$700.53$304.83RVU20B
2020-01-01$700.53$304.83RVU20A
2019-10-01$643.49$303.45RVU19D
2019-07-01$643.49$303.45RVU19C
2019-04-01$643.49$303.45RVU19B
2019-01-01$643.49$303.45RVU19A
2018-10-01$590.75$304.88RVU18D
2018-07-01$590.75$304.88RVU18C
2018-04-01$590.75$304.88RVU18B
2018-01-01$590.75$304.88RVU18AR1
2017-10-01$582.32$303.38RVU17D
2017-07-01$582.32$303.38RVU17C
2017-04-01$582.32$303.38RVU17B
2017-01-01$582.32$303.38RVU17A
2016-10-01$577.36$301.66RVU16D
2016-07-01$577.36$301.66RVU16C
2016-04-01$577.36$301.66RVU16B
2016-01-01$577.36$301.66RVU16A
2015-10-01$578.11$302.29RVU15D
2015-07-01$578.11$302.29RVU15C
2015-04-01$575.24$300.79RVU15B
2015-01-01$575.24$300.79RVU15A
2014-10-01$563.86$295.60RVU14D
2014-07-01$563.86$295.60RVU14C
2014-04-01$563.86$295.60RVU14B
2014-01-01$563.86$295.60RVU14A
2013-10-01$561.53$283.55RVU13D
2013-07-01$561.53$283.55RVU13C
2013-04-01$561.53$283.55RVU13B
2013-01-01$561.53$283.55RVU13AR

Price 52330 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

  • Washington

Browse all communities in District of Columbia

52330 billing questions

How does 52330 differ from stone removal?

52330 describes manipulating a ureteral stone without extracting it. Use a removal code when the stone is retrieved, and a fragmentation code when it is broken up endoscopically.

Can a ureteral stent be reported with 52330?

A stent may be placed during the same session when clinically performed. Document the stent placement separately; CMS endoscopy-family pricing applies when related endoscopies are performed together.

What documentation supports 52330?

The operative note should identify the ureteral stone and side, describe the cystoscopic manipulation, and make clear that the stone was not removed.

How is bilateral 52330 paid?

CMS recognizes bilateral reporting with modifier 50 and pays the procedure at 150%.

Are assistant or co-surgeon services payable?

CMS 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 52330PPRRVU2026_Oct_nonQPP.csv, line 6,141 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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