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Billing code 52352: UreteroscopyMedicare rate & RVUs

Report this service when a urologist uses ureteroscopy or pyeloscopy to remove or manipulate a urinary stone without lithotripsy.

CMS RVU26DEffective Oct 1, 2026109 payment localities19.8K Medicare services in 2024

Medicare pays $311.63 for 52352 nationally in a facility.

Medicare rate · 52352

Ureteroscopy

Swap in your local Medicare rate.

Work RVUs
6.58
Total RVUs
9.33
Global days
000

National rate · 2026

$311.63

Facility setting, before claim adjustments.

See every locality for 52352 → · 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 52352 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 52352 covers

A urologist passes an endoscope through the urethra and bladder into the ureter or renal collecting system to reach a calculus. The stone may be grasped, extracted, or manipulated with endoscopic instruments; this service is distinct from fragmenting a stone with lithotripsy. Ureteroscopic stone treatment is commonly performed in an operating room or ambulatory surgery setting for ureteral or kidney stones that can be reached endoscopically.

Report the service when the operative record supports ureteroscopic or pyeloscopic access and removal or manipulation of a calculus. Document the stone’s location and the work performed, including whether it was extracted or repositioned and whether lithotripsy was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 for a bilateral procedure is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 52352 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

52352 office and facility rates by payment locality
Payment localityOfficeFacility
AlabamaUnavailable$291.38
Alaska*Unavailable$412.90
ArizonaUnavailable$305.57
ArkansasUnavailable$288.91
AtlantaUnavailable$319.01
AustinUnavailable$312.51
BakersfieldUnavailable$310.80
Baltimore/Surr. CntysUnavailable$326.51
BeaumontUnavailable$303.90
BrazoriaUnavailable$306.57

52352 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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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
52352 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 52352 rate is calculated

Each of 52352’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 · 52352

RVUs × geographic indexes × conversion factor

Swap in your local Medicare rate.

Work 6.58Practice expense 1.90Malpractice 0.85

9.3300 adjusted RVUs×$33.4009 conversion factor=$311.63

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

Payment rules and modifiers for 52352

The CMS indicators that decide how 52352 is paid alongside other services.

CMS payment indicators · 52352

Ureteroscopy

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

52352 without 50 · national facility

$311.63

Ureteroscopy

52352-50 · Bilateral: 150%

$467.45

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

52352 compared with similar codes

Compare codes

52352 vs 52353 vs 52356 vs 52320 vs 52330: national Medicare rates

Swap in your local Medicare rate.

  • 52352
    Ureteroscopy · 6.58 wRVU
    —
  • 52353
    Stone lithotripsy · 7.31 wRVU
    —
  • 52356
    Ureteroscopic lithotripsy · 7.8 wRVU
    —
  • 52320
    Ureteral stone removal · 4.57 wRVU
    —
  • 52330
    Stone manipulation · 4.9 wRVU
    $590.19

How to choose

52353Stone lithotripsy
Choose 52353 when the stone is fragmented using lithotripsy during ureteroscopy or pyeloscopy; this code covers removal or manipulation without lithotripsy.
52356Ureteroscopic lithotripsy
Choose 52356 for ureteroscopic lithotripsy when an indwelling stent is also placed as part of the procedure. This code describes stone removal or manipulation without lithotripsy.
52320Ureteral stone removal
52320 describes cystoscopic removal of a ureteral calculus without the ureteroscopic or pyeloscopic access involved here.
52330Stone manipulation
52330 is for cystoscopic manipulation of a ureteral calculus without removal; this code involves ureteroscopy or pyeloscopy and may include extraction.

Codes related to 52352

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

Codes related to 52352
CodeHow it relatesNational office range
Same family
52351UreteroscopyDiagnostic ureteroscopy or pyeloscopy without the calculus treatment represented here.No office rate
52353Stone lithotripsyUreteroscopic or pyeloscopic calculus treatment using lithotripsy.No office rate
52356Ureteroscopic lithotripsyUreteroscopic lithotripsy with placement of an indwelling stent.No office rate
Used instead
52320Ureteral stone removalCystoscopic ureteral stone removal without ureteroscopic or pyeloscopic access.No office rate
52330Stone manipulationCystoscopic manipulation of a ureteral calculus without removal.$522.93–$777.96

52352 billing questions

When should I choose this code instead of 52353?

Use this code when ureteroscopy or pyeloscopy removes or manipulates a calculus without lithotripsy. When the stone is fragmented with lithotripsy, consider 52353 or, when an indwelling stent is also placed as part of the procedure, 52356.

How does this differ from 52320?

This service involves ureteroscopy or pyeloscopy to reach the stone. Code 52320 is for cystoscopic removal of a ureteral calculus without the ureteroscopic work represented by this code.

Can I report this with a related endoscopy on the same date?

When related endoscopies are performed together, CMS applies endoscopy-family pricing. The operative documentation should support each distinct service performed.

What documentation supports reporting this code?

Document ureteroscopic or pyeloscopic access, the calculus location, and whether the stone was removed or manipulated. State whether lithotripsy was performed, since that changes code selection.

How are bilateral procedures and assistant services handled?

CMS pays a bilateral procedure reported with modifier 50 at 150%. Medicare does not pay an assistant at surgery for this service, and 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 52352PPRRVU2026_Oct_nonQPP.csv, line 6,151 (RVU26D)

Open CMS sourceHow we calculate rates

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