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Billing code 52341: Ureteral stricture treatmentMedicare rate & RVUs

Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage.

CMS RVU26DEffective Oct 1, 2026109 payment localities1.8K Medicare services in 2024

Medicare pays $250.51 for 52341 nationally in a facility.

Medicare rate · 52341

Ureteral stricture treatment

Swap in your local Medicare rate.

Work RVUs
5.22
Total RVUs
7.50
Global days
000

National rate · 2026

$250.51

Facility setting, before claim adjustments.

See every locality for 52341 → · 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 52341 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 52341 covers

A urologist uses a cystoscope passed through the urethra and bladder to reach and treat a narrowed ureter. Treatment may widen the stricture with a balloon or open it with an incision using an energy device. This service is performed in settings equipped for endoscopic urologic procedures, commonly a hospital or ambulatory surgery center, when a ureteral narrowing is being treated rather than only inspected.

Choose the code based on the stricture’s location and the approach documented. The operative report should identify the treated ureter and side, the stricture site, and the treatment performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. CMS applies endoscopy-family pricing when related endoscopies are performed together. For bilateral treatment, modifier 50 is paid at 150%. CMS 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 52341 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

52341 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$234.18
Alaska*Unavailable$331.30
ArizonaUnavailable$245.65
ArkansasUnavailable$232.19
AtlantaUnavailable$256.33
AustinUnavailable$251.48
BakersfieldUnavailable$250.39
Baltimore/Surr. CntysUnavailable$262.47
BeaumontUnavailable$244.07
BrazoriaUnavailable$246.56

52341 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
52341 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 52341 rate is calculated

Each of 52341’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 · 52341

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 5.22Practice expense 1.62Malpractice 0.66

7.5000 adjusted RVUs×$33.4009 conversion factor=$250.51

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

Payment rules and modifiers for 52341

The CMS indicators that decide how 52341 is paid alongside other services.

CMS payment indicators · 52341

Ureteral stricture treatment

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

52341 without 50 · national facility

$250.51

Ureteral stricture treatment

52341-50 · Bilateral: 150%

$375.77

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

52341 compared with similar codes

Compare codes

52341 vs 52342 vs 52343 vs 52344: national Medicare rates

Swap in your local Medicare rate.

  • 52341
    Ureteral stricture treatment · 5.22 wRVU
    —
  • 52342
    UPJ stricture treatment · 5.7 wRVU
    —
  • 52343
    Renal stricture treatment · 6.39 wRVU
    —
  • 52344
    Stricture treatment · 6.87 wRVU
    —

How to choose

52342UPJ stricture treatment
Use 52342 when the treated narrowing is at the ureteropelvic junction. Use 52341 for a ureteral stricture outside that junction.
52343Renal stricture treatment
52343 applies to an intrarenal stricture. Choose 52341 when the treated site is a ureteral stricture.
52344Stricture treatment
Both codes involve ureteral stricture treatment, but 52344 includes ureteroscopy. Base selection on the approach documented.

Codes related to 52341

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

Codes related to 52341
CodeHow it relatesNational office range
Same family
52342UPJ stricture treatmentTreats a stricture at the ureteropelvic junction rather than along the ureter.No office rate
52343Renal stricture treatmentTreats an intrarenal stricture; select by the documented stricture location.No office rate
52345UPJ stricture incisionUreteropelvic junction stricture treatment performed with ureteroscopy.No office rate
Used instead
52344Stricture treatmentUreteral stricture treatment performed with ureteroscopy.No office rate

52341 billing questions

How is this different from treatment of a ureteropelvic junction stricture?

Use 52341 for a ureteral stricture. Code 52342 is for a narrowing at the ureteropelvic junction, where the ureter meets the renal pelvis.

When would 52344 be considered instead?

52344 describes treatment of a ureteral stricture with ureteroscopy. Distinguish it from 52341 by the approach and instrumentation documented in the operative report.

How should bilateral treatment be reported?

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

Is same-day care included in the procedure payment?

Yes. The 0-day global period includes same-day preoperative and postoperative care.

What happens when related endoscopies are performed together?

CMS applies endoscopy-family pricing to related endoscopies performed together. Document each procedure and its distinct clinical purpose.

Can an assistant or co-surgeon be reported?

CMS 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 52341PPRRVU2026_Oct_nonQPP.csv, line 6,144 (RVU26D)

Open CMS sourceHow we calculate rates

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