CPT code 52352: Ureteroscopy, stone removal or manipulation2026 Medicare rate & RVUs in Puerto Rico

In Puerto Rico, Medicare pays $311.90 for 52352 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52352 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 52352 covers

A urologist passes an endoscope through the urethra and bladder into the ureter or renal collecting system to reach a calculus. The stone may be grasped, extracted, or manipulated with endoscopic instruments; this service is distinct from fragmenting a stone with lithotripsy. Ureteroscopic stone treatment is commonly performed in an operating room or ambulatory surgery setting for ureteral or kidney stones that can be reached endoscopically.

Report the service when the operative record supports ureteroscopic or pyeloscopic access and removal or manipulation of a calculus. Document the stone’s location and the work performed, including whether it was extracted or repositioned and whether lithotripsy was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 for a bilateral procedure is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 52352

Across 109 of 109 payment localities, the facility rate for 52352 runs from $288.91 in Arkansas to $412.90 in Alaska. Puerto Rico pays $311.90. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52352 rates by state

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

See 52352 in every payment locality

How the 52352 rate is calculated

Each of 52352’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 52352

The CMS indicators that decide how 52352 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52352

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

How 52352 has changed in Puerto Rico

Price 52352 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

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