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CPT code 52640: Bladder neck treatment, contracture resection2026 Medicare rate & RVUs

Endoscopic treatment of scar narrowing at the bladder neck, reported when a contracture obstructs the outlet and requires operative correction.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.4K Medicare services in 2024

Medicare pays $302.28 for 52640 nationally in a facility.

Medicare rate · 52640

Bladder neck treatment, contracture resection

Office or facility?

Work RVUs
4.67
Total RVUs
9.05
Global days
090

National rate · 2026

$302.28

Facility setting, before claim adjustments.

See every locality for 52640 →Billed by an NP, PA or therapist? →

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

Your location

Medicare pays by the payment locality where the service is performed.

On this page 10 sections
  1. Medicare rate
  2. What 52640 covers
  3. By payment locality
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Similar codes
  8. Related codes
  9. Billing questions
  10. Sources

What 52640 covers

Code 52640 represents endoscopic operative treatment of a scarred, narrowed bladder neck, generally using a resectoscope to cut or remove contracture tissue and reopen the outlet. Urologists commonly treat this after prior prostate or bladder-neck surgery. The procedure is performed in an operating room, usually under anesthesia, when obstruction is attributable to the bladder-neck scar rather than recurrent prostate tissue or a urethral stricture.

Report 52640 for treatment of the contracture, not simply cystoscopic inspection. The operative report should identify the bladder-neck narrowing, the treatment performed, and relevant prior surgery. CMS assigns a 90-day global period, including the day-before preoperative visit and 90 days of related postoperative care. When other procedures subject to multiple-procedure payment are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted; co-surgeon and team-surgery billing 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.

Where 52640 pays more and less

The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.

109 of 109 payment localities

52640 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$277.90
AlaskaUnavailable$379.65
ArizonaUnavailable$295.52
ArkansasUnavailable$274.87
Atlanta, GAUnavailable$308.73
Austin, TXUnavailable$307.69
Bakersfield, CAUnavailable$309.69
Baltimore area, MDUnavailable$318.69
Beaumont, TXUnavailable$289.49
Brazoria, TXUnavailable$298.05

52640 rates by state

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

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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
52640 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

How the 52640 rate is calculated

Each of 52640’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 · 52640

RVUs × geographic indexes × conversion factor

Office or facility?

Work4.67

4.67 RVUs× 1.000 GPCI

Practice expense3.79

3.79 RVUs× 1.000 GPCI

Malpractice0.59

0.59 RVUs× 1.000 GPCI

Adjusted RVUs

9.0500

Conversion factor

$33.4009

Medicare rate

$302.28

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

Payment rules and modifiers for 52640

52640 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 52640

Bladder neck treatment, contracture resection

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
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.
Split (54/55/56)0.08/0.83/0.09Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 52640

Bladder neck treatment, contracture resection

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

52640 without 51 · national facility

$302.28

Bladder neck treatment, contracture resection

52640-51 · Second procedure: 50%

$151.14

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

52640 compared with similar codes

Compare codes · National

4 codes, side by side

Office or facility?

  • 52640

    Bladder neck treatment, contracture resection4.67 wRVU

    Not priced

  • 52630

    Prostate resection, residual or recurrent tissue6.39 wRVU

    Not priced

  • 52500

    Bladder neck resection, transurethral5.85 wRVU

    Not priced

  • 52276

    Urethral stricture treatment, direct-vision incision4.87 wRVU

    Not priced

How to choose

52630Prostate resectionResidual or recurrent tissue
Choose 52640 for contracture scar at the bladder neck; choose 52630 when recurrent or residual prostate tissue after prior resection is treated.
52500Bladder neck resectionTransurethral
52640 specifically addresses a bladder-neck contracture. 52500 is used for transurethral treatment of bladder-neck obstruction when the contracture-specific target is not documented.
52276Urethral stricture treatmentDirect-vision incision
52640 treats narrowing at the bladder neck. 52276 is for an internal urethrotomy targeting a urethral stricture.

Codes related to 52640

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

Codes related to 52640
CodeHow it relatesNational office range
Used instead
52630Prostate resection, residual or recurrent tissueTreats residual or recurrent prostate tissue after prior prostate resection, rather than bladder-neck contracture.No office rate
52601TURP, electrosurgical resectionUsed for transurethral prostate resection when the treatment target is obstructing prostate tissue.No office rate
52500Bladder neck resection, transurethralAddresses bladder-neck obstruction by transurethral resection, without specifying contracture as the target.No office rate
52276Urethral stricture treatment, direct-vision incisionTreats a urethral stricture by internal urethrotomy when the narrowing is in the urethra.No office rate

52640 billing questions

How is 52640 different from 52630?

52640 treats contracture scar at the bladder neck. Use 52630 when the operative target is residual or recurrent prostate tissue after prior prostate resection.

What documentation supports 52640?

Document the bladder-neck contracture, its obstructive findings, and the endoscopic treatment performed. Note relevant prior prostate or bladder-neck surgery when applicable.

Does the 90-day global include postoperative care?

Yes. The global includes the day-before preoperative visit and 90 days of related postoperative care.

Can modifier 50 be used?

No. The CMS bilateral adjustment does not apply to this code; modifier 50 is inappropriate.

Can an assistant or co-surgeon be billed?

Assistant-at-surgery payment is subject to a statutory restriction. Co-surgeons and team surgery are not permitted for this service.

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 52640PPRRVU2026_Oct_nonQPP.csv, line 6,167 (RVU26D)

Open CMS sourceHow we calculate rates

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