CPT code 52353: Stone lithotripsy, ureteroscopy or pyeloscopy2026 Medicare rate & RVUs in Vermont

In Vermont, Medicare pays $327.67 for 52353 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52353 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 52353 covers

A urologist passes an endoscope through the bladder into the ureter or kidney collecting system and uses laser or another energy source to break a stone into smaller pieces. The procedure is commonly performed in a hospital operating room or ambulatory surgery center for ureteral or renal calculi that require endoscopic fragmentation.

Report this code when the operative record supports both endoscopic access to the ureter or kidney and active stone fragmentation. Distinguish it from endoscopic stone removal without fragmentation and from diagnostic inspection alone. If an indwelling ureteral stent is inserted as part of the lithotripsy, code 52356 describes that combination. Medicare 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%. Medicare does not pay an assistant at surgery; 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 Vermont compares for 52353

Across 109 of 109 payment localities, the facility rate for 52353 runs from $318.98 in Arkansas to $456.28 in Alaska. Vermont pays $327.67. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52353 rates by state

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

See 52353 in every payment locality

How the 52353 rate is calculated

Each of 52353’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 52353

The CMS indicators that decide how 52353 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52353

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

How 52353 has changed in Vermont

Price 52353 for an earlier date of service

Where the Vermont rate applies

Vermont is a Medicare payment area, not a city. Our Census mapping connects it to 180 cities and communities in Vermont. Some span more than one payment area; confirm with the service ZIP.

• Albany
• Alburgh
• Algiers
• Arlington
• Ascutney
• Bakersfield
• Barnet
• Barre

Browse all communities in Vermont

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