CPT code 52345: UPJ stricture incision, ureteropelvic junction2026 Medicare rate & RVUs in Nebraska

In Nebraska, Medicare pays $321.33 for 52345 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52345 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 52345 covers

A urologist uses cystoscopy with ureteroscopy and/or pyeloscopy to reach a narrowed ureteropelvic junction and make an endoscopic incision to relieve the obstruction. This procedure, often described clinically as endopyelotomy, is performed in an operating room, generally for a UPJ narrowing that impedes urine drainage from the kidney into the ureter. The code is specific to the ureteropelvic junction, not a stricture farther down the ureter or within the renal pelvis.

Report the code when the operative record identifies the UPJ stricture and documents its endoscopic incision. Distinguish it from treatment of a UPJ stricture without incision and from incision at another urinary-tract site. 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. Bilateral reporting with modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeon and team-surgery payment 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 Nebraska compares for 52345

Across 109 of 109 payment localities, the facility rate for 52345 runs from $321.28 in Arkansas to $459.51 in Alaska. Nebraska pays $321.33. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52345 rates by state

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

See 52345 in every payment locality

How the 52345 rate is calculated

Each of 52345’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 52345

The CMS indicators that decide how 52345 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52345

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

How 52345 has changed in Nebraska

Price 52345 for an earlier date of service

Where the Nebraska rate applies

Nebraska is a Medicare payment area, not a city. Our Census mapping connects it to 593 cities and communities in Nebraska. Some span more than one payment area; confirm with the service ZIP.

• Abie
• Adams
• Agnew
• Ainsworth
• Albion
• Alda
• Alexandria
• Allen

Browse all communities in Nebraska

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