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Billing code 52327: Reflux injectionMedicare rate & RVUs

Cystoscopic injection of bulking material treats vesicoureteral reflux by supporting the ureteral opening into the bladder.

CMS RVU26DEffective Oct 1, 2026109 payment localities47 Medicare services in 2024

Medicare pays $225.12 for 52327 nationally in a facility.

Medicare rate · 52327

Reflux injection

Swap in your local Medicare rate.

Work RVUs
5.05
Total RVUs
6.74
Global days
000

National rate · 2026

$225.12

Facility setting, before claim adjustments.

See every locality for 52327 → · 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 52327 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 52327 covers

A urologist uses a cystoscope to inject bulking material beneath the lining near a ureteral opening, helping the opening close more effectively and limit urine flowing backward from the bladder toward the kidney. This endoscopic treatment is used for vesicoureteral reflux and is commonly performed in a facility operating room, including for pediatric patients. The operative report should identify the treated side and document the reflux treatment and injection performed.

Report the service for the cystoscopic injection itself; the cystoscopic access is part of the procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy family pricing applies. CMS 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.

Where 52327 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

52327 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$211.46
Alaska*Unavailable$302.14
ArizonaUnavailable$220.96
ArkansasUnavailable$209.81
AtlantaUnavailable$230.49
AustinUnavailable$225.06
BakersfieldUnavailable$223.34
Baltimore/Surr. CntysUnavailable$235.45
BeaumontUnavailable$220.45
BrazoriaUnavailable$221.45

52327 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
52327 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 52327 rate is calculated

Each of 52327’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 · 52327

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.05Practice expense 1.05Malpractice 0.64

6.7400 adjusted RVUs×$33.4009 conversion factor=$225.12

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

Payment rules and modifiers for 52327

The CMS indicators that decide how 52327 is paid alongside other services.

CMS payment indicators · 52327

Reflux injection

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

52327 without 50 · national facility

$225.12

Reflux injection

52327-50 · Bilateral: 150%

$337.68

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

52327 compared with similar codes

Compare codes

52327 vs 52300 vs 52332 vs 52352 vs 52354: national Medicare rates

Swap in your local Medicare rate.

  • 52327
    Reflux injection · 5.05 wRVU
    —
  • 52300
    Ureterocele treatment · 5.17 wRVU
    —
  • 52332
    Ureteral stent · 2.75 wRVU
    $372.75
  • 52352
    Ureteroscopy · 6.58 wRVU
    —
  • 52354
    Upper urinary tract biopsy · 7.8 wRVU
    —

How to choose

52300Ureterocele treatment
This code treats vesicoureteral reflux by injection. Code 52300 is used for cystoscopic incision or resection of a ureterocele.
52332Ureteral stent
Use 52327 for reflux treatment by injection; use 52332 when the service includes placement of an indwelling ureteral stent.
52352Ureteroscopy
Code 52352 addresses endoscopic ureteral stone removal, not injection treatment of vesicoureteral reflux.
52354Upper urinary tract biopsy
Code 52354 describes ureteroscopic biopsy; it is not the reflux injection service.

Codes related to 52327

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

Codes related to 52327
CodeHow it relatesNational office range
Used instead
50780Ureter reimplantationUreteral reimplantation is an open surgical option for correcting reflux.No office rate
Often billed with
52332Ureteral stentMay be performed during the same endoscopic session when a separate indication requires ureteral stent placement.$329.01–$496.12

52327 billing questions

What distinguishes this service from ureterocele treatment?

This code describes injection to treat vesicoureteral reflux. Ureterocele incision or resection is a different procedure, reported with a code such as 52300 or 52301.

Should the cystoscopy be billed separately?

No. Cystoscopic access is part of the injection service.

How is bilateral treatment reported?

Use modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.

What documentation supports reporting the service?

Document the reflux indication, treated side or sides, cystoscopic findings, and injection performed, including the material and injection site.

How does the 0-day global period affect same-day care?

Same-day preoperative and postoperative care is included in the procedure's global period.

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 52327PPRRVU2026_Oct_nonQPP.csv, line 6,140 (RVU26D)

Open CMS sourceHow we calculate rates

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