CPT code 52341: Ureteral stricture treatment, cystoscopic approach2026 Medicare rate & RVUs in Puerto Rico
Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage.
In Puerto Rico, Medicare pays $250.77 for 52341 in a facility. There’s no office rate.
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.
On this page 11 sections
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 Puerto Rico 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. Puerto Rico pays $250.77. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Puerto Rico · this page$250.77
- Los Angeles, CA · California$260.15+$9.38
- Washington, DC area · District of Columbia$272.04+$21.27
- Miami, FL · Florida$286.43+$35.66
- Chicago, IL · Illinois$280.55+$29.78
- Manhattan, NY · New York$283.35+$32.58
- Alaska · Alaska$331.30+$80.53
Other areas in Puerto Rico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| 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 |
| Madera, CACalifornia | — | $248.44 |
| Merced, CACalifornia | — | $248.44 |
| Modesto, CACalifornia | — | $248.44 |
| Napa, CACalifornia | — | $267.85 |
| Oxnard, CACalifornia | — | $256.93 |
| Redding, CACalifornia | — | $248.44 |
| Rest of CaliforniaCalifornia | — | $248.44 |
| Riverside, CACalifornia | — | $255.60 |
| Sacramento, CACalifornia | — | $255.37 |
| Salinas, CACalifornia | — | $254.29 |
| San Diego, CACalifornia | — | $256.25 |
| Marin County, CACalifornia | — | $277.33 |
| San Francisco, CACalifornia | — | $276.58 |
| San Benito County, CACalifornia | — | $283.37 |
| Santa Clara County, CACalifornia | — | $280.31 |
| San Luis Obispo, CACalifornia | — | $250.76 |
| Santa Cruz, CACalifornia | — | $255.57 |
| Santa Maria, CACalifornia | — | $254.14 |
| Santa Rosa, CACalifornia | — | $257.85 |
| Stockton, CACalifornia | — | $248.44 |
| Vallejo, CACalifornia | — | $266.77 |
| Visalia, CACalifornia | — | $248.44 |
| Yuba City, CACalifornia | — | $248.44 |
| ColoradoColorado | — | $251.23 |
| ConnecticutConnecticut | — | $262.79 |
| DelawareDelaware | — | $248.50 |
| Fort Lauderdale, FLFlorida | — | $269.02 |
| Rest of FloridaFlorida | — | $259.21 |
| Atlanta, GAGeorgia | — | $256.33 |
| Rest of GeorgiaGeorgia | — | $248.90 |
| Hawaii, Guam, HIHawaii | — | $248.64 |
| IowaIowa | — | $232.61 |
| IdahoIdaho | — | $234.56 |
| East St. Louis, ILIllinois | — | $268.53 |
| Rest of IllinoisIllinois | — | $258.21 |
| Suburban Chicago, ILIllinois | — | $270.21 |
| IndianaIndiana | — | $235.23 |
| KansasKansas | — | $234.38 |
| KentuckyKentucky | — | $242.63 |
| New Orleans, LALouisiana | — | $250.31 |
| Rest of LouisianaLouisiana | — | $243.36 |
| Metropolitan Boston, MAMassachusetts | — | $265.73 |
| Rest of MassachusettsMassachusetts | — | $251.69 |
| Baltimore area, MDMaryland | — | $262.47 |
| Rest of MarylandMaryland | — | $251.09 |
| Rest of MaineMaine | — | $237.85 |
| Southern Maine, MEMaine | — | $241.89 |
| Detroit, MIMichigan | — | $263.74 |
| Rest of MichiganMichigan | — | $248.64 |
| MinnesotaMinnesota | — | $236.56 |
| Metropolitan Kansas City, MOMissouri | — | $246.70 |
| Metropolitan St. Louis, MOMissouri | — | $247.95 |
| Rest of MissouriMissouri | — | $242.47 |
| MississippiMississippi | — | $237.23 |
| MontanaMontana | — | $250.46 |
| North CarolinaNorth Carolina | — | $238.92 |
| North DakotaNorth Dakota | — | $237.41 |
| NebraskaNebraska | — | $232.63 |
| New HampshireNew Hampshire | — | $249.97 |
| Northern New JerseyNew Jersey | — | $271.65 |
| Rest of New JerseyNew Jersey | — | $264.60 |
| New MexicoNew Mexico | — | $250.45 |
| NevadaNevada | — | $246.88 |
| NYC suburbs and Long Island, NYNew York | — | $290.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $268.12 |
| Queens, NYNew York | — | $281.26 |
| Rest of New YorkNew York | — | $241.25 |
| OhioOhio | — | $245.98 |
| OklahomaOklahoma | — | $239.80 |
| Portland, OROregon | — | $253.66 |
| Rest of OregonOregon | — | $243.74 |
| Metropolitan Philadelphia, PAPennsylvania | — | $260.12 |
| Rest of PennsylvaniaPennsylvania | — | $244.86 |
| Rhode IslandRhode Island | — | $253.22 |
| South CarolinaSouth Carolina | — | $243.09 |
| South DakotaSouth Dakota | — | $235.87 |
| TennesseeTennessee | — | $235.38 |
| Austin, TXTexas | — | $251.48 |
| Beaumont, TXTexas | — | $244.07 |
| Brazoria, TXTexas | — | $246.56 |
| Dallas, TXTexas | — | $248.73 |
| Fort Worth, TXTexas | — | $248.47 |
| Galveston, TXTexas | — | $247.73 |
| Houston, TXTexas | — | $259.81 |
| Rest of TexasTexas | — | $245.61 |
| UtahUtah | — | $245.01 |
| VirginiaVirginia | — | $243.11 |
| Virgin Islands, VIUnited States Virgin Islands | — | $250.77 |
| VermontVermont | — | $239.08 |
| Rest of WashingtonWashington | — | $250.37 |
| King County, WAWashington | — | $267.47 |
| WisconsinWisconsin | — | $232.98 |
| West VirginiaWest Virginia | — | $252.92 |
| WyomingWyoming | — | $244.78 |
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
| 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 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
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 Puerto Rico 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
91
- Locality
- Puerto Rico
- Physician work
- 1.000
- Practice expense
- 1.011
- Malpractice
- 0.985
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.22 | × 1.000 | 5.2200 |
| Practice expense | 1.62 | × 1.011 | 1.6378 |
| Malpractice | 0.66 | × 0.985 | 0.6501 |
| Total RVUs | 7.5079 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Puerto Rico$250.77
Facility: (5.22 × 1 + 1.62 × 1.011 + 0.66 × 0.985) × $33.4009 = $250.77
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
| 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
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).
How 52341 has changed in Puerto Rico
52341 · 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 | $250.77 | RVU26D |
| 2026-07-01 | Not available in this setting | $250.77 | RVU26C |
| 2026-04-01 | Not available in this setting | $250.77 | RVU26B |
| 2026-01-01 | Not available in this setting | $250.77 | RVU26A |
| 2025-10-01 | Not available in this setting | $272.54 | RVU25D |
| 2025-07-01 | Not available in this setting | $272.54 | RVU25C |
| 2025-04-01 | Not available in this setting | $272.54 | RVU25B |
| 2025-01-01 | Not available in this setting | $272.54 | RVU25A |
| 2024-10-01 | Not available in this setting | $279.11 | RVU24D |
| 2024-07-01 | Not available in this setting | $279.11 | RVU24C |
| 2024-04-01 | Not available in this setting | $279.11 | RVU24B |
| 2024-03-09 | Not available in this setting | $279.11 | RVU24AR |
| 2024-01-01 | Not available in this setting | $274.55 | RVU24A |
| 2023-10-01 | Not available in this setting | $281.53 | RVU23D |
| 2023-07-01 | Not available in this setting | $281.26 | RVU23C |
| 2023-04-01 | Not available in this setting | $281.26 | RVU23B |
| 2023-01-01 | Not available in this setting | $281.26 | RVU23A |
| 2022-10-01 | Not available in this setting | $284.77 | RVU22D |
| 2022-07-01 | Not available in this setting | $284.77 | RVU22C |
| 2022-04-01 | Not available in this setting | $284.77 | RVU22B |
| 2022-01-01 | Not available in this setting | $284.77 | RVU22A |
| 2021-10-01 | Not available in this setting | $287.14 | RVU21D |
| 2021-07-01 | Not available in this setting | $287.14 | RVU21C |
| 2021-04-01 | Not available in this setting | $287.14 | RVU21B |
| 2021-01-01 | Not available in this setting | $287.14 | RVU21A |
| 2020-10-01 | Not available in this setting | $295.95 | RVU20D |
| 2020-07-01 | Not available in this setting | $295.95 | RVU20C |
| 2020-04-01 | Not available in this setting | $295.95 | RVU20B |
| 2020-01-01 | Not available in this setting | $295.95 | RVU20A |
| 2019-10-01 | Not available in this setting | $296.24 | RVU19D |
| 2019-07-01 | Not available in this setting | $296.24 | RVU19C |
| 2019-04-01 | Not available in this setting | $296.24 | RVU19B |
| 2019-01-01 | Not available in this setting | $296.24 | RVU19A |
| 2018-10-01 | Not available in this setting | $297.37 | RVU18D |
| 2018-07-01 | Not available in this setting | $297.37 | RVU18C |
| 2018-04-01 | Not available in this setting | $297.37 | RVU18B |
| 2018-01-01 | Not available in this setting | $297.37 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $275.87 | RVU17D |
| 2017-07-01 | Not available in this setting | $275.87 | RVU17C |
| 2017-04-01 | Not available in this setting | $275.87 | RVU17B |
| 2017-01-01 | Not available in this setting | $275.87 | RVU17A |
| 2016-10-01 | Not available in this setting | $254.39 | RVU16D |
| 2016-07-01 | Not available in this setting | $254.39 | RVU16C |
| 2016-04-01 | Not available in this setting | $254.39 | RVU16B |
| 2016-01-01 | Not available in this setting | $254.39 | RVU16A |
| 2015-10-01 | Not available in this setting | $254.95 | RVU15D |
| 2015-07-01 | Not available in this setting | $254.95 | RVU15C |
| 2015-04-01 | Not available in this setting | $253.68 | RVU15B |
| 2015-01-01 | Not available in this setting | $253.68 | RVU15A |
| 2014-10-01 | Not available in this setting | $251.54 | RVU14D |
| 2014-07-01 | Not available in this setting | $251.54 | RVU14C |
| 2014-04-01 | Not available in this setting | $251.54 | RVU14B |
| 2014-01-01 | Not available in this setting | $251.54 | RVU14A |
| 2013-10-01 | Not available in this setting | $243.64 | RVU13D |
| 2013-07-01 | Not available in this setting | $243.64 | RVU13C |
| 2013-04-01 | Not available in this setting | $243.64 | RVU13B |
| 2013-01-01 | Not available in this setting | $243.64 | RVU13AR |
Where the Puerto Rico rate applies
Puerto Rico is a Medicare payment area, not a city. Our Census mapping connects it to 292 cities and communities in Puerto Rico. Some span more than one payment area; confirm with the service ZIP.
- Aceitunas
- Adjuntas
- Aguada
- Aguadilla
- Aguas Buenas
- Aguas Claras
- Aguilita
- Aibonito
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
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