CPT code 52342: UPJ stricture treatment, without ureteroscopy2026 Medicare rate & RVUs in Wisconsin

In Wisconsin, Medicare pays $252.93 for 52342 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52342 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

What 52342 covers

A urologist uses cystoscopic access to treat a narrowing at the ureteropelvic junction, where the renal pelvis meets the ureter. Treatment may involve endoscopic incision or dilation of the narrowed area. The procedure is generally performed in an operating room or hospital outpatient setting when a UPJ stricture requires intervention; it is distinct from treatment directed at a ureteral or renal stricture.

Select this code when the treated site is the UPJ and the service does not include the ureteroscopic approach represented by 52345. The operative report should identify the stricture location and describe the treatment 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. For a bilateral procedure, 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 Wisconsin compares for 52342

Across 109 of 109 payment localities, the facility rate for 52342 runs from $252.29 in Arkansas to $360.20 in Alaska. Wisconsin pays $252.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52342 rates by state

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

See 52342 in every payment locality

How the 52342 rate is calculated

Each of 52342’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.

Payment rules and modifiers for 52342

The CMS indicators that decide how 52342 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52342

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

How 52342 has changed in Wisconsin

Price 52342 for an earlier date of service

Where the Wisconsin rate applies

Wisconsin is a Medicare payment area, not a city. Our Census mapping connects it to 807 cities and communities in Wisconsin. Some span more than one payment area; confirm with the service ZIP.

• Abbotsford
• Abrams
• Adams
• Adell
• Albany
• Algoma
• Allens Grove
• Allenton

Browse all communities in Wisconsin

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

Open CMS sourceHow we calculate rates