CPT code 52341: Ureteral stricture treatment, cystoscopic approach2026 Medicare rate & RVUs in Colorado

Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage.

CMS RVU26DEffective Oct 1, 2026One payment locality1.8K Medicare services in 2024

In Colorado, Medicare pays $251.23 for 52341 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$251.23Hospital or facility

Check a contract rate as a % of Medicare · 52341 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 52341 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Colorado
  2. What 52341 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 52341 covers

A urologist uses a cystoscope passed through the urethra and bladder to reach and treat a narrowed ureter. Treatment may widen the stricture with a balloon or open it with an incision using an energy device. This service is performed in settings equipped for endoscopic urologic procedures, commonly a hospital or ambulatory surgery center, when a ureteral narrowing is being treated rather than only inspected.

Choose the code based on the stricture’s location and the approach documented. The operative report should identify the treated ureter and side, the stricture site, and the treatment performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. CMS applies endoscopy-family pricing when related endoscopies are performed together. For bilateral treatment, modifier 50 is paid at 150%. 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 Colorado compares for 52341

Across 109 of 109 payment localities, the facility rate for 52341 runs from $232.19 in Arkansas to $331.30 in Alaska. Colorado pays $251.23. The RVUs are the same everywhere; the geographic indexes change the dollars.

52341 in Colorado vs other payment areas
  1. Colorado · this page$251.23
  2. Los Angeles, CA · California$260.15+$8.92
  3. Washington, DC area · District of Columbia$272.04+$20.81
  4. Miami, FL · Florida$286.43+$35.20
  5. Chicago, IL · Illinois$280.55+$29.32
  6. Manhattan, NY · New York$283.35+$32.12
  7. Alaska · Alaska$331.30+$80.07

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

Every other payment area

52341 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$234.18
ArkansasArkansas—$232.19
ArizonaArizona—$245.65
Bakersfield, CACalifornia—$250.39
Chico, CACalifornia—$248.44
El Centro, CACalifornia—$248.55
Fresno, CACalifornia—$248.44
Hanford, CACalifornia—$248.44

52341 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
52341 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 52341 in every payment locality

How the 52341 rate is calculated

Each of 52341’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 · 52341

RVUs × geographic indexes × conversion factor

Office or facility?

Work5.22

5.22 RVUs× 1.000 GPCI

Practice expense1.62

1.62 RVUs× 1.000 GPCI

Malpractice0.66

0.66 RVUs× 1.000 GPCI

Adjusted RVUs

7.5000

Conversion factor

$33.4009

Medicare rate

$250.51

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

The exact Colorado inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,144

Code
52341
Physician work
5.22
Practice expense
1.62
Malpractice
0.66

GPCI2026.csv

37

Locality
Colorado
Physician work
1.012
Practice expense
1.064
Malpractice
0.781
Facility calculation for 52341 in Colorado
ComponentRVULocality factorAdjusted
Physician work5.22× 1.0125.2826
Practice expense1.62× 1.0641.7237
Malpractice0.66× 0.7810.5155
Total RVUs7.5218
Conversion factor× 33.4009

Facility rate, Colorado$251.23

Facility: (5.22 × 1.012 + 1.62 × 1.064 + 0.66 × 0.781) × $33.4009 = $251.23

Open 52341 in the RVU calculator

Payment rules and modifiers for 52341

The CMS indicators that decide how 52341 is paid alongside other services.

CMS payment indicators · 52341

Ureteral stricture treatment, cystoscopic approach

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

52341 without 50 · national facility

$250.51

Ureteral stricture treatment, cystoscopic approach

52341-50 · Bilateral: 150%

$375.77

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 52341 has changed in Colorado

52341 · 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$251.23RVU26D
2026-07-01Not available in this setting$251.23RVU26C
2026-04-01Not available in this setting$251.23RVU26B
2026-01-01Not available in this setting$251.23RVU26A
2025-10-01Not available in this setting$274.33RVU25D
2025-07-01Not available in this setting$274.33RVU25C
2025-04-01Not available in this setting$274.33RVU25B
2025-01-01Not available in this setting$274.33RVU25A
2024-10-01Not available in this setting$280.75RVU24D
2024-07-01Not available in this setting$280.75RVU24C
2024-04-01Not available in this setting$280.75RVU24B
2024-03-09Not available in this setting$280.75RVU24AR
2024-01-01Not available in this setting$276.17RVU24A
2023-10-01Not available in this setting$281.60RVU23D
2023-07-01Not available in this setting$281.60RVU23C
2023-04-01Not available in this setting$281.60RVU23B
2023-01-01Not available in this setting$281.60RVU23A
2022-10-01Not available in this setting$283.11RVU22D
2022-07-01Not available in this setting$283.11RVU22C
2022-04-01Not available in this setting$283.11RVU22B
2022-01-01Not available in this setting$283.11RVU22A
2021-10-01Not available in this setting$285.56RVU21D
2021-07-01Not available in this setting$285.56RVU21C
2021-04-01Not available in this setting$285.56RVU21B
2021-01-01Not available in this setting$285.56RVU21A
2020-10-01Not available in this setting$296.09RVU20D
2020-07-01Not available in this setting$296.09RVU20C
2020-04-01Not available in this setting$296.09RVU20B
2020-01-01Not available in this setting$296.09RVU20A
2019-10-01Not available in this setting$298.25RVU19D
2019-07-01Not available in this setting$298.25RVU19C
2019-04-01Not available in this setting$298.25RVU19B
2019-01-01Not available in this setting$298.25RVU19A
2018-10-01Not available in this setting$299.39RVU18D
2018-07-01Not available in this setting$299.39RVU18C
2018-04-01Not available in this setting$299.39RVU18B
2018-01-01Not available in this setting$299.39RVU18AR1
2017-10-01Not available in this setting$298.01RVU17D
2017-07-01Not available in this setting$298.01RVU17C
2017-04-01Not available in this setting$298.01RVU17B
2017-01-01Not available in this setting$298.01RVU17A
2016-10-01Not available in this setting$296.05RVU16D
2016-07-01Not available in this setting$296.05RVU16C
2016-04-01Not available in this setting$296.05RVU16B
2016-01-01Not available in this setting$296.05RVU16A
2015-10-01Not available in this setting$296.37RVU15D
2015-07-01Not available in this setting$296.37RVU15C
2015-04-01Not available in this setting$294.89RVU15B
2015-01-01Not available in this setting$294.89RVU15A
2014-10-01Not available in this setting$289.39RVU14D
2014-07-01Not available in this setting$289.39RVU14C
2014-04-01Not available in this setting$289.39RVU14B
2014-01-01Not available in this setting$289.39RVU14A
2013-10-01Not available in this setting$282.16RVU13D
2013-07-01Not available in this setting$282.16RVU13C
2013-04-01Not available in this setting$282.16RVU13B
2013-01-01Not available in this setting$282.16RVU13AR

Price 52341 for an earlier date of service

Where the Colorado rate applies

Colorado is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in Colorado. Some span more than one payment area; confirm with the service ZIP.

  • Acres Green
  • Aetna Estates
  • Aguilar
  • Air Force Academy
  • Akron
  • Alamosa
  • Alamosa East
  • Allenspark

Browse all communities in Colorado

52341 billing questions

How is this different from treatment of a ureteropelvic junction stricture?

Use 52341 for a ureteral stricture. Code 52342 is for a narrowing at the ureteropelvic junction, where the ureter meets the renal pelvis.

When would 52344 be considered instead?

52344 describes treatment of a ureteral stricture with ureteroscopy. Distinguish it from 52341 by the approach and instrumentation documented in the operative report.

How should bilateral treatment be reported?

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

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

What happens when related endoscopies are performed together?

CMS applies endoscopy-family pricing to related endoscopies performed together. Document each procedure and its distinct clinical purpose.

Can an assistant or co-surgeon be reported?

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 52341PPRRVU2026_Oct_nonQPP.csv, line 6,144 (RVU26D)
Geographic factors for ColoradoGPCI2026.csv, line 37 (RVU26D)

Open CMS sourceHow we calculate rates

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