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Billing code 52325: Stone fragmentationMedicare rate & RVUs

Reports endoscopic ultrasonic fragmentation of a urinary calculus under cystoscopic visualization, typically for a bladder stone when fragmentation is performed rather than simple extraction.

CMS RVU26DEffective Oct 1, 2026109 payment localities52 Medicare services in 2024

Medicare pays $281.57 for 52325 nationally in a facility.

Medicare rate · 52325

Stone fragmentation

Swap in your local Medicare rate.

Work RVUs
6
Total RVUs
8.43
Global days
000

National rate · 2026

$281.57

Facility setting, before claim adjustments.

See every locality for 52325 → · 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.

On this page 10 sections
  1. Medicare rate
  2. What 52325 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 52325 covers

An urologist uses a cystoscope to visualize a urinary calculus and fragment it with an ultrasonic lithotripter; a bladder stone is a commonly associated example. The procedure is generally performed in an operating room or hospital outpatient setting. The service includes placement of a temporary ureteral catheter as part of the procedure.

Select this code when the documented approach is ultrasonic fragmentation under cystourethroscopy, rather than simple calculus removal, manipulation alone, or ureteroscopic treatment. The operative report should identify the stone location, endoscopic approach, ultrasonic fragmentation, and catheter placement when performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy-family pricing applies. A bilateral procedure reported with modifier 50 is paid at 150%. Medicare does not pay an assistant at surgery; 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.

Where 52325 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

52325 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$263.37
Alaska*Unavailable$373.66
ArizonaUnavailable$276.11
ArkansasUnavailable$261.16
AtlantaUnavailable$288.29
AustinUnavailable$282.20
BakersfieldUnavailable$280.48
Baltimore/Surr. CntysUnavailable$294.97
BeaumontUnavailable$274.76
BrazoriaUnavailable$276.95

52325 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
52325 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 52325 rate is calculated

Each of 52325’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 · 52325

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.00Practice expense 1.65Malpractice 0.78

8.4300 adjusted RVUs×$33.4009 conversion factor=$281.57

All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.

Payment rules and modifiers for 52325

The CMS indicators that decide how 52325 is paid alongside other services.

CMS payment indicators · 52325

Stone fragmentation

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

52325 without 50 · national facility

$281.57

Stone fragmentation

52325-50 · Bilateral: 150%

$422.36

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

52325 compared with similar codes

Compare codes

52325 vs 52317 vs 52318 vs 52320 vs 52353: national Medicare rates

Swap in your local Medicare rate.

  • 52325
    Stone fragmentation · 6 wRVU
    —
  • 52317
    Bladder stone removal · 6.54 wRVU
    $868.42
  • 52318
    Bladder stone removal · 8.95 wRVU
    —
  • 52320
    Ureteral stone removal · 4.57 wRVU
    —
  • 52353
    Stone lithotripsy · 7.31 wRVU
    —

How to choose

52317Bladder stone removal
52317 is used for bladder calculus treatment by litholapaxy, with the code’s size criterion distinguishing it. Choose 52325 when the documented method is ultrasonic fragmentation under cystourethroscopy.
52318Bladder stone removal
52318 is the larger-calculus litholapaxy code for bladder stones. It is not the choice when the documented service is ultrasonic fragmentation under cystourethroscopy.
52320Ureteral stone removal
52320 covers cystoscopic removal of a ureteral calculus. Use 52325 when ultrasonic fragmentation, rather than removal without fragmentation, is documented.
52353Stone lithotripsy
52353 describes lithotripsy performed through a ureteroscope. Distinguish it from 52325 by the documented endoscopic approach and treatment method.

Codes related to 52325

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

Codes related to 52325
CodeHow it relatesNational office range
Used instead
52317Bladder stone removalBladder stone treatment by litholapaxy for a calculus smaller than 2.5 cm.$767.01–$1,154.02
52318Bladder stone removalBladder stone treatment by litholapaxy for a calculus larger than 2.5 cm.No office rate
52320Ureteral stone removalCystoscopic removal of a ureteral calculus without the ultrasonic fragmentation method.No office rate
52330Stone manipulationCystoscopic manipulation of a ureteral calculus without removing it.$522.93–$777.96
52352UreteroscopyUreteroscopic stone removal when the approach is ureteroscopy rather than cystoscopic ultrasonic fragmentation.No office rate
52353Stone lithotripsyUreteroscopic lithotripsy when the stone is fragmented through a ureteroscope.No office rate

52325 billing questions

How does this differ from cystoscopic stone removal without fragmentation?

Use 52325 when the report supports ultrasonic fragmentation under cystourethroscopy. Code 52320 describes cystoscopic removal of a ureteral calculus without this fragmentation method.

Is the temporary ureteral catheter separately reported?

Temporary ureteral catheter placement is included in the service described by 52325; do not report it as a separate service solely for that placement.

How should bilateral treatment be reported?

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

Does the code have a postoperative global period?

It has a 0-day global period. Same-day preoperative and postoperative care is included.

Can an assistant surgeon or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this code. Co-surgeons and team surgery are not permitted.

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 52325PPRRVU2026_Oct_nonQPP.csv, line 6,139 (RVU26D)

Open CMS sourceHow we calculate rates

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