CPT code 52355: Tumor resection, ureter or renal pelvis2026 Medicare rate & RVUs in Delaware

In Delaware, Medicare pays $406.54 for 52355 in a facility. There’s no office rate.

Check a contract rate as a % of Medicare · 52355 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 52355 covers

A urologist advances an endoscope through the bladder into the ureter or renal collecting system and removes a tumor endoscopically. The procedure is generally performed in an operating room or other procedural setting. It is distinct from inspecting the upper tract or taking a limited tissue sample: the operative work includes tumor resection. The specimen is typically sent for pathologic examination.

Select this service when the operative report supports endoscopic tumor removal in the ureter or renal collecting system; document the site and resection performed. This is a minor procedure with 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 a bilateral procedure, modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery, and 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 Delaware compares for 52355

Across 109 of 109 payment localities, the facility rate for 52355 runs from $380.28 in Nebraska to $544.64 in Alaska. Delaware pays $406.54. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52355 rates by state

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

See 52355 in every payment locality

How the 52355 rate is calculated

Each of 52355’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 52355

The CMS indicators that decide how 52355 is paid alongside other services.

What modifiers do to the payment

When to use modifier 50

Codes related to 52355

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

How 52355 has changed in Delaware

Price 52355 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

• Arden
• Ardencroft
• Ardentown
• Bear
• Bellefonte
• Bethany Beach
• Bethel
• Blades

Browse all communities in Delaware

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