CPT code 52344: Stricture treatment, ureteral stricture, ureteroscopic2026 Medicare rate & RVUs in Puerto Rico

Reports endoscopic treatment of a ureteral narrowing when a ureteroscope or pyeloscope is used to visualize and treat the stricture.

CMS RVU26DEffective Oct 1, 2026One payment locality3.1K Medicare services in 2024

In Puerto Rico, Medicare pays $324.93 for 52344 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$324.93Hospital or facility

Check a contract rate as a % of Medicare · 52344 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 52344 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Puerto Rico
  2. What 52344 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 52344 covers

A urologist uses cystoscopy to access the ureter, then advances a ureteroscope or pyeloscope to directly visualize a ureteral stricture. Treatment may include dilation or an endoscopic incision, such as with a laser or electrocautery. The procedure is typically performed in a surgical facility for a narrowing that obstructs or impedes urine flow; the operative note should identify the stricture site and describe the endoscopic treatment performed.

Select this code when the treated narrowing is in the ureter and ureteroscopy and/or pyeloscopy is part of the procedure. Document the scope used, the location and laterality of the stricture, and the treatment method. 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 procedures, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid; 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 52344

Across 109 of 109 payment localities, the facility rate for 52344 runs from $301.01 in Arkansas to $430.30 in Alaska. Puerto Rico pays $324.93. The RVUs are the same everywhere; the geographic indexes change the dollars.

52344 in Puerto Rico vs other payment areas
  1. Puerto Rico · this page$324.93
  2. Los Angeles, CA · California$336.06+$11.13
  3. Washington, DC area · District of Columbia$352.06+$27.13
  4. Miami, FL · Florida$372.79+$47.86
  5. Chicago, IL · Illinois$365.09+$40.16
  6. Manhattan, NY · New York$367.37+$42.44
  7. Alaska · Alaska$430.30+$105.37

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

Every other payment area

52344 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$303.57
ArkansasArkansas—$301.01
ArizonaArizona—$318.35
Bakersfield, CACalifornia—$323.68
Chico, CACalifornia—$321.05
El Centro, CACalifornia—$321.20
Fresno, CACalifornia—$321.05
Hanford, CACalifornia—$321.05

52344 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
52344 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 52344 in every payment locality

How the 52344 rate is calculated

Each of 52344’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 · 52344

RVUs × geographic indexes × conversion factor

Office or facility?

Work6.87

6.87 RVUs× 1.000 GPCI

Practice expense1.96

1.96 RVUs× 1.000 GPCI

Malpractice0.89

0.89 RVUs× 1.000 GPCI

Adjusted RVUs

9.7200

Conversion factor

$33.4009

Medicare rate

$324.66

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

6,147

Code
52344
Physician work
6.87
Practice expense
1.96
Malpractice
0.89

GPCI2026.csv

91

Locality
Puerto Rico
Physician work
1.000
Practice expense
1.011
Malpractice
0.985
Facility calculation for 52344 in Puerto Rico
ComponentRVULocality factorAdjusted
Physician work6.87× 1.0006.8700
Practice expense1.96× 1.0111.9816
Malpractice0.89× 0.9850.8767
Total RVUs9.7282
Conversion factor× 33.4009

Facility rate, Puerto Rico$324.93

Facility: (6.87 × 1 + 1.96 × 1.011 + 0.89 × 0.985) × $33.4009 = $324.93

Open 52344 in the RVU calculator

Payment rules and modifiers for 52344

The CMS indicators that decide how 52344 is paid alongside other services.

CMS payment indicators · 52344

Stricture treatment, ureteral stricture, ureteroscopic

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

52344 without 50 · national facility

$324.66

Stricture treatment, ureteral stricture, ureteroscopic

52344-50 · Bilateral: 150%

$486.99

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 52344 has changed in Puerto Rico

52344 · 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$324.93RVU26D
2026-07-01Not available in this setting$324.93RVU26C
2026-04-01Not available in this setting$324.93RVU26B
2026-01-01Not available in this setting$324.93RVU26A
2025-10-01Not available in this setting$354.39RVU25D
2025-07-01Not available in this setting$354.39RVU25C
2025-04-01Not available in this setting$354.39RVU25B
2025-01-01Not available in this setting$354.39RVU25A
2024-10-01Not available in this setting$362.67RVU24D
2024-07-01Not available in this setting$362.67RVU24C
2024-04-01Not available in this setting$362.67RVU24B
2024-03-09Not available in this setting$362.67RVU24AR
2024-01-01Not available in this setting$356.75RVU24A
2023-10-01Not available in this setting$364.62RVU23D
2023-07-01Not available in this setting$364.29RVU23C
2023-04-01Not available in this setting$364.29RVU23B
2023-01-01Not available in this setting$364.29RVU23A
2022-10-01Not available in this setting$371.00RVU22D
2022-07-01Not available in this setting$371.00RVU22C
2022-04-01Not available in this setting$371.00RVU22B
2022-01-01Not available in this setting$371.00RVU22A
2021-10-01Not available in this setting$372.71RVU21D
2021-07-01Not available in this setting$372.71RVU21C
2021-04-01Not available in this setting$372.71RVU21B
2021-01-01Not available in this setting$372.71RVU21A
2020-10-01Not available in this setting$384.10RVU20D
2020-07-01Not available in this setting$384.10RVU20C
2020-04-01Not available in this setting$384.10RVU20B
2020-01-01Not available in this setting$384.10RVU20A
2019-10-01Not available in this setting$385.70RVU19D
2019-07-01Not available in this setting$385.70RVU19C
2019-04-01Not available in this setting$385.70RVU19B
2019-01-01Not available in this setting$385.70RVU19A
2018-10-01Not available in this setting$387.09RVU18D
2018-07-01Not available in this setting$387.09RVU18C
2018-04-01Not available in this setting$387.09RVU18B
2018-01-01Not available in this setting$387.09RVU18AR1
2017-10-01Not available in this setting$359.16RVU17D
2017-07-01Not available in this setting$359.16RVU17C
2017-04-01Not available in this setting$359.16RVU17B
2017-01-01Not available in this setting$359.16RVU17A
2016-10-01Not available in this setting$331.74RVU16D
2016-07-01Not available in this setting$331.74RVU16C
2016-04-01Not available in this setting$331.74RVU16B
2016-01-01Not available in this setting$331.74RVU16A
2015-10-01Not available in this setting$332.69RVU15D
2015-07-01Not available in this setting$332.69RVU15C
2015-04-01Not available in this setting$331.03RVU15B
2015-01-01Not available in this setting$331.03RVU15A
2014-10-01Not available in this setting$328.27RVU14D
2014-07-01Not available in this setting$328.27RVU14C
2014-04-01Not available in this setting$328.27RVU14B
2014-01-01Not available in this setting$328.27RVU14A
2013-10-01Not available in this setting$320.36RVU13D
2013-07-01Not available in this setting$320.36RVU13C
2013-04-01Not available in this setting$320.36RVU13B
2013-01-01Not available in this setting$320.36RVU13AR

Price 52344 for an earlier date of service

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

Browse all communities in Puerto Rico

52344 billing questions

How is this different from 52341?

Use 52344 when the ureteral stricture is treated with ureteroscopy and/or pyeloscopy. Code 52341 represents ureteral stricture treatment without that ureteroscopic or pyeloscopic component.

Which code applies to a ureteropelvic junction stricture?

For treatment of a stricture at the ureteropelvic junction with ureteroscopy and/or pyeloscopy, consider 52345 rather than 52344. The documented stricture site determines the choice.

What should the operative note document?

Document the ureteral stricture's location and laterality, the use of ureteroscopy and/or pyeloscopy, and the treatment performed, such as dilation or incision.

How are related endoscopies priced when performed together?

CMS endoscopy family pricing applies when related endoscopies are performed together. The claim should reflect the procedures actually performed and documented.

Can modifier 50 be used for bilateral treatment?

Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.

Is assistant-at-surgery payment available?

No. CMS lists a statutory restriction on assistant-at-surgery payment for this code.

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 52344PPRRVU2026_Oct_nonQPP.csv, line 6,147 (RVU26D)
Geographic factors for Puerto RicoGPCI2026.csv, line 91 (RVU26D)

Open CMS sourceHow we calculate rates

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