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

In South Dakota, Medicare pays $342.45 for 52356 in a facility. There’s no office rate.

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.

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 South 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. South Dakota pays $342.45. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

52356 rates by state

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

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.

Payment rules and modifiers for 52356

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

What modifiers do to the payment

When to use modifier 50

Codes related to 52356

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

How 52356 has changed in South Dakota

Price 52356 for an earlier date of service

Where the South Dakota rate applies

South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.

• Aberdeen
• Agar
• Agency Village
• Akaska
• Albee
• Alcester
• Alexandria
• Allen

Browse all communities in South Dakota

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