CPT code 52354: Upper urinary tract biopsy, ureter or renal pelvis2026 Medicare rate & RVUs in New Mexico

In New Mexico, Medicare pays $367.30 for 52354 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52354 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 52354 covers

A urologist advances an endoscope through the bladder into the ureter and, when needed, the renal pelvis, then obtains tissue from a suspicious area. Common situations include evaluating an upper-tract filling defect or suspected urothelial lesion identified on imaging or during endoscopy. The procedure is generally performed in an operating room or outpatient surgical setting; the specimen is submitted for pathologic examination.

Select this code when the documented service includes biopsy of the ureter and/or renal pelvis, rather than inspection alone, stone treatment, or tumor excision. The operative report should identify the side and site examined, the abnormality sampled, and that tissue was obtained. This minor procedure has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy family pricing applies. For bilateral procedures reported with modifier 50, CMS pays at 150%. Assistant-at-surgery payment is restricted; 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 52354

Across 109 of 109 payment localities, the facility rate for 52354 runs from $339.69 in Nebraska to $486.04 in Alaska. New Mexico pays $367.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52354 rates by state

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

See 52354 in every payment locality

How the 52354 rate is calculated

Each of 52354’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 52354

The CMS indicators that decide how 52354 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52354

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

How 52354 has changed in New Mexico

Price 52354 for an earlier date of service

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

Browse all communities in New Mexico

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