CPT code 52346: Renal stricture treatment, with ureteroscopy or pyeloscopy2026 Medicare rate & RVUs in New Mexico
Urologists use this code to treat a narrowing within the kidney’s collecting system during ureteroscopy or pyeloscopy, such as by dilation or incision.
In New Mexico, Medicare pays $392.42 for 52346 in a facility. There’s no office rate.
Check a contract rate as a % of Medicare · 52346 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 52346 covers
A urologist passes an endoscope through the bladder and ureter into the kidney to treat a stricture within the intrarenal collecting system. Treatment may involve balloon dilation or incision with laser or electrocautery. A typical clinical problem is a narrowed infundibulum that obstructs drainage from part of the kidney. The procedure is generally performed in an operating room or other facility setting; Medicare’s 2024 utilization data show facility services for this code.
Report 52346 when the treated narrowing is intrarenal and ureteroscopy or pyeloscopy is used. Document the stricture’s location, the endoscopic approach, and the treatment performed. The code includes same-day preoperative and postoperative care and has a 0-day global period. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; 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 New Mexico compares for 52346
Across 109 of 109 payment localities, the facility rate for 52346 runs from $363.18 in Nebraska to $519.97 in Alaska. New Mexico pays $392.42. The RVUs are the same everywhere; the geographic indexes change the dollars.
- New Mexico · this page$392.42
- Los Angeles, CA · California$404.68+$12.26
- Washington, DC area · District of Columbia$424.13+$31.71
- Miami, FL · Florida$449.72+$57.30
- Chicago, IL · Illinois$440.51+$48.09
- Manhattan, NY · New York$442.77+$50.35
- Alaska · Alaska$519.97+$127.55
Other areas in New Mexico first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | — | $366.33 |
| ArkansasArkansas | — | $363.27 |
| ArizonaArizona | — | $383.91 |
| Bakersfield, CACalifornia | — | $389.94 |
| Chico, CACalifornia | — | $386.75 |
| El Centro, CACalifornia | — | $386.93 |
| Fresno, CACalifornia | — | $386.75 |
| Hanford, CACalifornia | — | $386.75 |
| Madera, CACalifornia | — | $386.75 |
| Merced, CACalifornia | — | $386.75 |
| Modesto, CACalifornia | — | $386.75 |
| Napa, CACalifornia | — | $415.43 |
| Oxnard, CACalifornia | — | $399.49 |
| Redding, CACalifornia | — | $386.75 |
| Rest of CaliforniaCalifornia | — | $386.75 |
| Riverside, CACalifornia | — | $398.47 |
| Sacramento, CACalifornia | — | $397.14 |
| Salinas, CACalifornia | — | $395.44 |
| San Diego, CACalifornia | — | $398.18 |
| Marin County, CACalifornia | — | $429.59 |
| San Francisco, CACalifornia | — | $428.36 |
| San Benito County, CACalifornia | — | $438.99 |
| Santa Clara County, CACalifornia | — | $433.97 |
| San Luis Obispo, CACalifornia | — | $390.01 |
| Santa Cruz, CACalifornia | — | $396.89 |
| Santa Maria, CACalifornia | — | $395.13 |
| Santa Rosa, CACalifornia | — | $400.39 |
| Stockton, CACalifornia | — | $386.75 |
| Vallejo, CACalifornia | — | $413.67 |
| Visalia, CACalifornia | — | $386.75 |
| Yuba City, CACalifornia | — | $386.75 |
| ColoradoColorado | — | $391.77 |
| ConnecticutConnecticut | — | $410.46 |
| DelawareDelaware | — | $388.30 |
| Fort Lauderdale, FLFlorida | — | $421.59 |
| Rest of FloridaFlorida | — | $406.27 |
| Atlanta, GAGeorgia | — | $400.76 |
| Rest of GeorgiaGeorgia | — | $390.20 |
| Hawaii, Guam, HIHawaii | — | $386.66 |
| IowaIowa | — | $363.26 |
| IdahoIdaho | — | $366.38 |
| East St. Louis, ILIllinois | — | $421.97 |
| Rest of IllinoisIllinois | — | $405.17 |
| Suburban Chicago, ILIllinois | — | $423.31 |
| IndianaIndiana | — | $367.38 |
| KansasKansas | — | $366.29 |
| KentuckyKentucky | — | $379.98 |
| New Orleans, LALouisiana | — | $391.89 |
| Rest of LouisianaLouisiana | — | $381.22 |
| Metropolitan Boston, MAMassachusetts | — | $413.66 |
| Rest of MassachusettsMassachusetts | — | $392.63 |
| Baltimore area, MDMaryland | — | $410.02 |
| Rest of MarylandMaryland | — | $392.21 |
| Rest of MaineMaine | — | $371.76 |
| Southern Maine, MEMaine | — | $377.47 |
| Detroit, MIMichigan | — | $413.55 |
| Rest of MichiganMichigan | — | $389.52 |
| MinnesotaMinnesota | — | $368.26 |
| Metropolitan Kansas City, MOMissouri | — | $386.00 |
| Metropolitan St. Louis, MOMissouri | — | $387.89 |
| Rest of MissouriMissouri | — | $380.06 |
| MississippiMississippi | — | $371.50 |
| MontanaMontana | — | $391.39 |
| North CarolinaNorth Carolina | — | $373.36 |
| North DakotaNorth Dakota | — | $370.03 |
| NebraskaNebraska | — | $363.18 |
| New HampshireNew Hampshire | — | $390.06 |
| Northern New JerseyNew Jersey | — | $423.66 |
| Rest of New JerseyNew Jersey | — | $413.12 |
| NevadaNevada | — | $385.51 |
| NYC suburbs and Long Island, NYNew York | — | $454.60 |
| Poughkeepsie and northern NYC suburbs, NYNew York | — | $418.82 |
| Queens, NYNew York | — | $439.09 |
| Rest of New YorkNew York | — | $376.95 |
| OhioOhio | — | $385.15 |
| OklahomaOklahoma | — | $375.30 |
| Portland, OROregon | — | $395.11 |
| Rest of OregonOregon | — | $380.44 |
| Metropolitan Philadelphia, PAPennsylvania | — | $406.56 |
| Rest of PennsylvaniaPennsylvania | — | $383.26 |
| Puerto RicoPuerto Rico | — | $391.75 |
| Rhode IslandRhode Island | — | $395.38 |
| South CarolinaSouth Carolina | — | $380.29 |
| South DakotaSouth Dakota | — | $367.51 |
| TennesseeTennessee | — | $367.86 |
| Austin, TXTexas | — | $392.30 |
| Beaumont, TXTexas | — | $382.07 |
| Brazoria, TXTexas | — | $385.08 |
| Dallas, TXTexas | — | $388.55 |
| Fort Worth, TXTexas | — | $388.26 |
| Galveston, TXTexas | — | $386.96 |
| Houston, TXTexas | — | $406.73 |
| Rest of TexasTexas | — | $384.09 |
| UtahUtah | — | $383.23 |
| VirginiaVirginia | — | $379.56 |
| Virgin Islands, VIUnited States Virgin Islands | — | $391.75 |
| VermontVermont | — | $372.88 |
| Rest of WashingtonWashington | — | $390.49 |
| King County, WAWashington | — | $416.05 |
| WisconsinWisconsin | — | $363.31 |
| West VirginiaWest Virginia | — | $397.07 |
| WyomingWyoming | — | $382.08 |
52346 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 52346 rate is calculated
Each of 52346’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 · 52346
RVUs × geographic indexes × conversion factor
Work8.37
8.37 RVUs× 1.000 GPCI
Practice expense2.27
2.27 RVUs× 1.000 GPCI
Malpractice1.08
1.08 RVUs× 1.000 GPCI
Adjusted RVUs
11.7200
Conversion factor
$33.4009
Medicare rate
$391.46
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact New Mexico inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,149
- Code
- 52346
- Physician work
- 8.37
- Practice expense
- 2.27
- Malpractice
- 1.08
GPCI2026.csv
77
- Locality
- New Mexico
- Physician work
- 1.000
- Practice expense
- 0.917
- Malpractice
- 1.201
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.37 | × 1.000 | 8.3700 |
| Practice expense | 2.27 | × 0.917 | 2.0816 |
| Malpractice | 1.08 | × 1.201 | 1.2971 |
| Total RVUs | 11.7487 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, New Mexico$392.42
Facility: (8.37 × 1 + 2.27 × 0.917 + 1.08 × 1.201) × $33.4009 = $392.42
Payment rules and modifiers for 52346
The CMS indicators that decide how 52346 is paid alongside other services.
CMS payment indicators · 52346
Renal stricture treatment, with ureteroscopy or pyeloscopy
| 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) | 0 | Not paid without supporting documentation. |
| 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
52346 without 50 · national facility
$391.46
Renal stricture treatment, with ureteroscopy or pyeloscopy
52346-50 · Bilateral: 150%
$587.19
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 52346 has changed in New Mexico
52346 · 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 | $392.42 | RVU26D |
| 2026-07-01 | Not available in this setting | $392.42 | RVU26C |
| 2026-04-01 | Not available in this setting | $392.42 | RVU26B |
| 2026-01-01 | Not available in this setting | $392.42 | RVU26A |
| 2025-10-01 | Not available in this setting | $422.31 | RVU25D |
| 2025-07-01 | Not available in this setting | $422.31 | RVU25C |
| 2025-04-01 | Not available in this setting | $422.31 | RVU25B |
| 2025-01-01 | Not available in this setting | $422.31 | RVU25A |
| 2024-10-01 | Not available in this setting | $432.75 | RVU24D |
| 2024-07-01 | Not available in this setting | $432.75 | RVU24C |
| 2024-04-01 | Not available in this setting | $432.75 | RVU24B |
| 2024-03-09 | Not available in this setting | $432.75 | RVU24AR |
| 2024-01-01 | Not available in this setting | $425.69 | RVU24A |
| 2023-10-01 | Not available in this setting | $435.08 | RVU23D |
| 2023-07-01 | Not available in this setting | $435.08 | RVU23C |
| 2023-04-01 | Not available in this setting | $435.08 | RVU23B |
| 2023-01-01 | Not available in this setting | $435.08 | RVU23A |
| 2022-10-01 | Not available in this setting | $440.84 | RVU22D |
| 2022-07-01 | Not available in this setting | $440.84 | RVU22C |
| 2022-04-01 | Not available in this setting | $440.84 | RVU22B |
| 2022-01-01 | Not available in this setting | $440.84 | RVU22A |
| 2021-10-01 | Not available in this setting | $444.40 | RVU21D |
| 2021-07-01 | Not available in this setting | $444.40 | RVU21C |
| 2021-04-01 | Not available in this setting | $444.40 | RVU21B |
| 2021-01-01 | Not available in this setting | $444.40 | RVU21A |
| 2020-10-01 | Not available in this setting | $460.26 | RVU20D |
| 2020-07-01 | Not available in this setting | $460.26 | RVU20C |
| 2020-04-01 | Not available in this setting | $460.26 | RVU20B |
| 2020-01-01 | Not available in this setting | $460.26 | RVU20A |
| 2019-10-01 | Not available in this setting | $464.43 | RVU19D |
| 2019-07-01 | Not available in this setting | $464.43 | RVU19C |
| 2019-04-01 | Not available in this setting | $464.43 | RVU19B |
| 2019-01-01 | Not available in this setting | $464.43 | RVU19A |
| 2018-10-01 | Not available in this setting | $465.46 | RVU18D |
| 2018-07-01 | Not available in this setting | $465.46 | RVU18C |
| 2018-04-01 | Not available in this setting | $465.46 | RVU18B |
| 2018-01-01 | Not available in this setting | $465.46 | RVU18AR1 |
| 2017-10-01 | Not available in this setting | $460.80 | RVU17D |
| 2017-07-01 | Not available in this setting | $460.80 | RVU17C |
| 2017-04-01 | Not available in this setting | $460.80 | RVU17B |
| 2017-01-01 | Not available in this setting | $460.80 | RVU17A |
| 2016-10-01 | Not available in this setting | $456.26 | RVU16D |
| 2016-07-01 | Not available in this setting | $456.26 | RVU16C |
| 2016-04-01 | Not available in this setting | $456.26 | RVU16B |
| 2016-01-01 | Not available in this setting | $456.26 | RVU16A |
| 2015-10-01 | Not available in this setting | $458.83 | RVU15D |
| 2015-07-01 | Not available in this setting | $458.83 | RVU15C |
| 2015-04-01 | Not available in this setting | $456.55 | RVU15B |
| 2015-01-01 | Not available in this setting | $456.55 | RVU15A |
| 2014-10-01 | Not available in this setting | $447.40 | RVU14D |
| 2014-07-01 | Not available in this setting | $447.40 | RVU14C |
| 2014-04-01 | Not available in this setting | $447.40 | RVU14B |
| 2014-01-01 | Not available in this setting | $447.40 | RVU14A |
| 2013-10-01 | Not available in this setting | $438.50 | RVU13D |
| 2013-07-01 | Not available in this setting | $438.50 | RVU13C |
| 2013-04-01 | Not available in this setting | $438.50 | RVU13B |
| 2013-01-01 | Not available in this setting | $438.50 | RVU13AR |
Where the New Mexico rate applies
New Mexico is a Medicare payment area, not a city. Our Census mapping connects it to 528 cities and communities in New Mexico. Some span more than one payment area; confirm with the service ZIP.
- Abeytas
- Abiquiu
- Acomita Lake
- Adelino
- Agua Fria
- Alamillo
- Alamo
- Alamogordo
52346 billing questions
How is 52346 different from 52343?
Both address an intrarenal stricture, but 52346 includes ureteroscopy and/or pyeloscopy. Choose 52343 when the procedure does not include that endoscopic approach.
When should 52344 or 52345 be used instead?
Those codes treat strictures in different locations: 52344 is for a ureteral stricture, and 52345 is for a ureteropelvic junction stricture. 52346 is for a stricture within the kidney.
Is diagnostic inspection separately reported with the treatment?
The code includes ureteroscopy and/or pyeloscopy with treatment of the intrarenal stricture. Document the inspection and treatment performed as part of that service.
How is 52346 handled when another related endoscopy is performed?
CMS endoscopy family pricing applies when related endoscopies are performed together. Report the procedures performed and document their distinct clinical purposes.
Can modifier 50 be used for bilateral treatment?
Yes. CMS pays bilateral procedures reported with modifier 50 at 150%.
What documentation supports assistant-at-surgery payment?
Document the medical necessity for the assistant’s participation. CMS pays an assistant at surgery for this code only when that necessity is documented.
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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