CPT code 52356: Ureteroscopic lithotripsy, with ureteral stent2026 Medicare rate & RVUs in North Dakota

Reports ureteroscopic or pyeloscopic fragmentation of a ureteral or kidney stone when an indwelling ureteral stent is also inserted during the procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality98.2K Medicare services in 2024

In North Dakota, Medicare pays $344.83 for 52356 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$344.83Hospital or facility

Check a contract rate as a % of Medicare · 52356 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 52356 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in North Dakota
  2. What 52356 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 52356 covers

A urologist advances an endoscope through the bladder into the ureter and, when needed, the kidney to locate and fragment a stone. The procedure is used for ureteral or renal calculi treated endoscopically, commonly in an operating room or ambulatory surgery setting. An indwelling ureteral stent is inserted during the same procedure to support drainage after treatment.

Report this code when the documented service includes both lithotripsy and stent insertion; the stent placement is included, rather than separately reported as a second procedure. The operative note should identify the treated side and stone location, document fragmentation, and confirm stent placement. 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, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, 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 North Dakota compares for 52356

Across 109 of 109 payment localities, the facility rate for 52356 runs from $338.45 in Nebraska to $484.62 in Alaska. North Dakota pays $344.83. The RVUs are the same everywhere; the geographic indexes change the dollars.

52356 in North Dakota vs other payment areas
  1. North Dakota · this page$344.83
  2. Los Angeles, CA · California$377.20+$32.37
  3. Washington, DC area · District of Columbia$395.53+$50.70
  4. Miami, FL · Florida$420.05+$75.22
  5. Chicago, IL · Illinois$411.37+$66.54
  6. Manhattan, NY · New York$413.13+$68.30
  7. Alaska · Alaska$484.62+$139.79

Other areas in North Dakota first, then benchmark localities. Bars start at $0.

Every other payment area

52356 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$341.48
ArkansasArkansas—$338.61
ArizonaArizona—$357.98
Bakersfield, CACalifornia—$363.47
Chico, CACalifornia—$360.46
El Centro, CACalifornia—$360.63
Fresno, CACalifornia—$360.46
Hanford, CACalifornia—$360.46

52356 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
52356 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 52356 in every payment locality

How the 52356 rate is calculated

Each of 52356’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 · 52356

RVUs × geographic indexes × conversion factor

Office or facility?

Work7.80

7.80 RVUs× 1.000 GPCI

Practice expense2.11

2.11 RVUs× 1.000 GPCI

Malpractice1.02

1.02 RVUs× 1.000 GPCI

Adjusted RVUs

10.9300

Conversion factor

$33.4009

Medicare rate

$365.07

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact North Dakota inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,155

Code
52356
Physician work
7.80
Practice expense
2.11
Malpractice
1.02

GPCI2026.csv

84

Locality
North Dakota
Physician work
1.000
Practice expense
1.000
Malpractice
0.406
Facility calculation for 52356 in North Dakota
ComponentRVULocality factorAdjusted
Physician work7.80× 1.0007.8000
Practice expense2.11× 1.0002.1100
Malpractice1.02× 0.4060.4141
Total RVUs10.3241
Conversion factor× 33.4009

Facility rate, North Dakota$344.83

Facility: (7.8 × 1 + 2.11 × 1 + 1.02 × 0.406) × $33.4009 = $344.83

Open 52356 in the RVU calculator

Payment rules and modifiers for 52356

The CMS indicators that decide how 52356 is paid alongside other services.

CMS payment indicators · 52356

Ureteroscopic lithotripsy, with ureteral stent

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures3Endoscopy family rules apply.
Bilateral (modifier 50)1Bilateral with modifier 50 pays 150% of the fee schedule amount.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 50 · payment effect

With and without the modifier

52356 without 50 · national facility

$365.07

Ureteroscopic lithotripsy, with ureteral stent

52356-50 · Bilateral: 150%

$547.61

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).

When to use modifier 50

How 52356 has changed in North Dakota

52356 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2014

    RVU14A

    No ratechanged toNo rate

    Held through RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D, RVU17A, RVU17B, RVU17C, RVU17D, RVU18AR1, RVU18B, RVU18C, RVU18D, RVU19A, RVU19B, RVU19C, RVU19D, RVU20A, RVU20B, RVU20C, RVU20D, RVU21A, RVU21B, RVU21C, RVU21D, RVU22A, RVU22B, RVU22C, RVU22D, RVU23A, RVU23B, RVU23C, RVU23D, RVU24A, RVU24AR, RVU24B, RVU24C, RVU24D, RVU25A, RVU25B, RVU25C, RVU25D, RVU26A, RVU26B, RVU26C, RVU26D.

  2. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$344.83RVU26D
2026-07-01Not available in this setting$344.83RVU26C
2026-04-01Not available in this setting$344.83RVU26B
2026-01-01Not available in this setting$344.83RVU26A
2025-10-01Not available in this setting$383.35RVU25D
2025-07-01Not available in this setting$383.35RVU25C
2025-04-01Not available in this setting$383.35RVU25B
2025-01-01Not available in this setting$383.35RVU25A
2024-10-01Not available in this setting$391.68RVU24D
2024-07-01Not available in this setting$391.68RVU24C
2024-04-01Not available in this setting$391.68RVU24B
2024-03-09Not available in this setting$391.68RVU24AR
2024-01-01Not available in this setting$385.29RVU24A
2023-10-01Not available in this setting$393.44RVU23D
2023-07-01Not available in this setting$393.44RVU23C
2023-04-01Not available in this setting$393.44RVU23B
2023-01-01Not available in this setting$393.44RVU23A
2022-10-01Not available in this setting$397.95RVU22D
2022-07-01Not available in this setting$397.95RVU22C
2022-04-01Not available in this setting$397.95RVU22B
2022-01-01Not available in this setting$397.95RVU22A
2021-10-01Not available in this setting$401.65RVU21D
2021-07-01Not available in this setting$401.65RVU21C
2021-04-01Not available in this setting$401.65RVU21B
2021-01-01Not available in this setting$401.65RVU21A
2020-10-01Not available in this setting$415.63RVU20D
2020-07-01Not available in this setting$415.63RVU20C
2020-04-01Not available in this setting$415.63RVU20B
2020-01-01Not available in this setting$415.63RVU20A
2019-10-01Not available in this setting$419.52RVU19D
2019-07-01Not available in this setting$419.52RVU19C
2019-04-01Not available in this setting$419.52RVU19B
2019-01-01Not available in this setting$419.52RVU19A
2018-10-01Not available in this setting$420.30RVU18D
2018-07-01Not available in this setting$420.30RVU18C
2018-04-01Not available in this setting$420.30RVU18B
2018-01-01Not available in this setting$420.30RVU18AR1
2017-10-01Not available in this setting$417.79RVU17D
2017-07-01Not available in this setting$417.79RVU17C
2017-04-01Not available in this setting$417.79RVU17B
2017-01-01Not available in this setting$417.79RVU17A
2016-10-01Not available in this setting$415.08RVU16D
2016-07-01Not available in this setting$415.08RVU16C
2016-04-01Not available in this setting$415.08RVU16B
2016-01-01Not available in this setting$415.08RVU16A
2015-10-01Not available in this setting$416.02RVU15D
2015-07-01Not available in this setting$416.02RVU15C
2015-04-01Not available in this setting$413.95RVU15B
2015-01-01Not available in this setting$413.95RVU15A
2014-10-01Not available in this setting$411.48RVU14D
2014-07-01Not available in this setting$411.48RVU14C
2014-04-01Not available in this setting$411.48RVU14B
2014-01-01Not available in this setting$411.48RVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 52356 for an earlier date of service

Where the North Dakota rate applies

North Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 406 cities and communities in North Dakota. Some span more than one payment area; confirm with the service ZIP.

  • Abercrombie
  • Adams
  • Alamo
  • Alexander
  • Alice
  • Almont
  • Alsen
  • Ambrose

Browse all communities in North Dakota

52356 billing questions

How is this different from 52353?

Both include ureteroscopic or pyeloscopic lithotripsy. Use 52356 when an indwelling ureteral stent is also inserted during the procedure; 52353 is the lithotripsy code without that included stent placement.

Can 52332 be reported separately for the stent?

No. Stent insertion is included in 52356 when performed as part of the lithotripsy procedure.

When does 52352 fit instead?

52352 is for ureteroscopic stone removal without lithotripsy. Use 52356 when the stone is fragmented and a stent is inserted.

How should bilateral treatment be reported?

For a bilateral procedure, report modifier 50; CMS pays 150%.

What should the operative note support?

Document the treated side and stone location, that lithotripsy was performed, and that an indwelling ureteral stent was inserted.

How does CMS price related endoscopies performed together?

CMS applies endoscopy-family pricing when related endoscopies are performed together. The payment reflects that family pricing rule.

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

Show the CMS file lines behind this rate
RVUs for 52356PPRRVU2026_Oct_nonQPP.csv, line 6,155 (RVU26D)
Geographic factors for North DakotaGPCI2026.csv, line 84 (RVU26D)

Open CMS sourceHow we calculate rates

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