CPT code 52343: Renal stricture treatment, without ureteroscopy or pyeloscopy2026 Medicare rate & RVUs in Connecticut

In Connecticut, Medicare pays $317.39 for 52343 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52343 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 52343 covers

This procedure opens a stricture within the kidney’s collecting system using instruments passed through the urethra and bladder. The urologist may dilate or incise the narrowed area, such as when it obstructs urine drainage. The code distinguishes treatment without ureteroscopy or pyeloscopy; when those scopes are used to treat the renal stricture, the corresponding code is 52346. These procedures are generally performed in a facility operating room.

Select the code based on the stricture’s documented anatomic site and the endoscopic approach. The operative report should identify the renal collecting-system narrowing and describe how it was treated, including whether ureteroscopy or pyeloscopy was used. 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 bilateral treatment, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery for this code; 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 Connecticut compares for 52343

Across 109 of 109 payment localities, the facility rate for 52343 runs from $280.62 in Arkansas to $401.05 in Alaska. Connecticut pays $317.39. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52343 rates by state

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

See 52343 in every payment locality

How the 52343 rate is calculated

Each of 52343’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 52343

The CMS indicators that decide how 52343 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52343

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

How 52343 has changed in Connecticut

Price 52343 for an earlier date of service

Where the Connecticut rate applies

Connecticut is a Medicare payment area, not a city. Our Census mapping connects it to 215 cities and communities in Connecticut. Some span more than one payment area; confirm with the service ZIP.

• Ansonia
• Ball Pond
• Baltic
• Bantam
• Bethel
• Bethlehem Village
• Bigelow Corners
• Blue Hills

Browse all communities in Connecticut

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