$327.54
Choose 52276 for direct-vision incision of a urethral stricture. Choose 52281 for cystourethroscopic calibration and/or dilation.
On this page
CMS RVU26D · Effective 2026-10-01
52276 in Chicago
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$261.68
Base rate per service
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
Urology procedure
About 52276: Direct vision internal urethrotomy
Reports endoscopic incision of a urethral stricture under direct vision, typically when a urologist treats scar-related narrowing of the urethral lumen.
A urologist passes a cystourethroscope through the urethra and directly visualizes a scarred, narrowed segment before incising it to open the lumen. This procedure is commonly performed in a hospital outpatient department or ambulatory surgery center for urethral stricture disease; the operative report should identify the stricture and describe the incision performed.
Select 52276 when the surgeon treats the narrowing by incision under direct vision, rather than by dilation alone or a meatotomy for narrowing at the urethral opening. Document the stricture location, endoscopic findings, and technique. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate; assistant-at-surgery payment is restricted, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52276
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Endoscopy family pricing applies when related endoscopies are performed together.
- Bilateral procedures
- Bilateral adjustment does not apply; the descriptor or anatomy makes modifier 50 inappropriate.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU4.87 · 70%
- Practice expense (office) RVU1.50 · 21%
- Malpractice RVU0.62 · 9%
6.4K
Medicare services in 2024 · #1713 by national volume
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.
52276 compared with similar codes
Office rates for Chicago, from the same CMS release.
$2,713.18
52276 identifies direct-vision internal incision; 52284 represents a distinct mechanical approach to treating urethral narrowing. Base selection on the documented technique.
$420.55
52270 is a urethral meatotomy procedure. Use 52276 when the operative service is incision of a urethral stricture under direct vision.
The same code, a different location
How does Chicago compare?
52276 across payment areas
Same release and payment basis · bars start at $0
Chicago · This locality
Unavailable
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Illinois appear first, followed by selected cross-country examples. The chart compares amounts, not distance.
The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.
Compare all 108 other payment areas
Manhattan
New York · 52276
Office
Unavailable
Facility
$264.13
No comparable office rate is available.
Alaska*
Alaska · 52276
Office
Unavailable
Facility
$308.76
No comparable office rate is available.
Alabama
Alabama · 52276
Office
Unavailable
Facility
$218.22
No comparable office rate is available.
Arkansas
Arkansas · 52276
Office
Unavailable
Facility
$216.36
No comparable office rate is available.
Arizona
Arizona · 52276
Office
Unavailable
Facility
$228.94
No comparable office rate is available.
Bakersfield
California · 52276
Office
Unavailable
Facility
$233.28
No comparable office rate is available.
Chico
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
El Centro
California · 52276
Office
Unavailable
Facility
$231.54
No comparable office rate is available.
Fresno
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Hanford-Corcoran
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Madera
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Merced
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Modesto
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Napa
California · 52276
Office
Unavailable
Facility
$249.46
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52276
Office
Unavailable
Facility
$239.34
No comparable office rate is available.
Redding
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Rest Of California
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52276
Office
Unavailable
Facility
$238.17
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52276
Office
Unavailable
Facility
$237.89
No comparable office rate is available.
Salinas
California · 52276
Office
Unavailable
Facility
$236.87
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52276
Office
Unavailable
Facility
$238.69
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52276
Office
Unavailable
Facility
$258.26
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52276
Office
Unavailable
Facility
$257.56
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52276
Office
Unavailable
Facility
$263.90
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52276
Office
Unavailable
Facility
$261.02
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52276
Office
Unavailable
Facility
$233.59
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52276
Office
Unavailable
Facility
$238.05
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52276
Office
Unavailable
Facility
$236.73
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52276
Office
Unavailable
Facility
$240.17
No comparable office rate is available.
Stockton
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Vallejo
California · 52276
Office
Unavailable
Facility
$248.45
No comparable office rate is available.
Visalia
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Yuba City
California · 52276
Office
Unavailable
Facility
$231.44
No comparable office rate is available.
Colorado
Colorado · 52276
Office
Unavailable
Facility
$234.10
No comparable office rate is available.
Connecticut
Connecticut · 52276
Office
Unavailable
Facility
$244.93
No comparable office rate is available.
Delaware
Delaware · 52276
Office
Unavailable
Facility
$231.59
No comparable office rate is available.
Fort Lauderdale
Florida · 52276
Office
Unavailable
Facility
$250.86
No comparable office rate is available.
Rest Of Florida
Florida · 52276
Office
Unavailable
Facility
$241.68
No comparable office rate is available.
Atlanta
Georgia · 52276
Office
Unavailable
Facility
$238.92
No comparable office rate is available.
Rest Of Georgia
Georgia · 52276
Office
Unavailable
Facility
$232.04
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52276
Office
Unavailable
Facility
$231.62
No comparable office rate is available.
Iowa
Iowa · 52276
Office
Unavailable
Facility
$216.73
No comparable office rate is available.
Idaho
Idaho · 52276
Office
Unavailable
Facility
$218.55
No comparable office rate is available.
Indiana
Indiana · 52276
Office
Unavailable
Facility
$219.17
No comparable office rate is available.
Kansas
Kansas · 52276
Office
Unavailable
Facility
$218.39
No comparable office rate is available.
Kentucky
Kentucky · 52276
Office
Unavailable
Facility
$226.15
No comparable office rate is available.
New Orleans
Louisiana · 52276
Office
Unavailable
Facility
$233.33
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52276
Office
Unavailable
Facility
$226.84
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52276
Office
Unavailable
Facility
$247.58
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52276
Office
Unavailable
Facility
$234.53
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52276
Office
Unavailable
Facility
$244.64
No comparable office rate is available.
Rest Of Maryland
Maryland · 52276
Office
Unavailable
Facility
$234.00
No comparable office rate is available.
Rest Of Maine
Maine · 52276
Office
Unavailable
Facility
$221.64
No comparable office rate is available.
Southern Maine
Maine · 52276
Office
Unavailable
Facility
$225.38
No comparable office rate is available.
Detroit
Michigan · 52276
Office
Unavailable
Facility
$245.92
No comparable office rate is available.
Rest Of Michigan
Michigan · 52276
Office
Unavailable
Facility
$231.78
No comparable office rate is available.
Minnesota
Minnesota · 52276
Office
Unavailable
Facility
$220.35
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52276
Office
Unavailable
Facility
$229.94
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52276
Office
Unavailable
Facility
$231.11
No comparable office rate is available.
Rest Of Missouri
Missouri · 52276
Office
Unavailable
Facility
$226.02
No comparable office rate is available.
Mississippi
Mississippi · 52276
Office
Unavailable
Facility
$221.10
No comparable office rate is available.
Montana**
Montana · 52276
Office
Unavailable
Facility
$233.43
No comparable office rate is available.
North Carolina
North Carolina · 52276
Office
Unavailable
Facility
$222.64
No comparable office rate is available.
North Dakota**
North Dakota · 52276
Office
Unavailable
Facility
$221.17
No comparable office rate is available.
Nebraska
Nebraska · 52276
Office
Unavailable
Facility
$216.73
No comparable office rate is available.
New Hampshire
New Hampshire · 52276
Office
Unavailable
Facility
$232.94
No comparable office rate is available.
Northern Nj
New Jersey · 52276
Office
Unavailable
Facility
$253.14
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52276
Office
Unavailable
Facility
$246.60
No comparable office rate is available.
New Mexico
New Mexico · 52276
Office
Unavailable
Facility
$233.48
No comparable office rate is available.
Nevada**
Nevada · 52276
Office
Unavailable
Facility
$230.06
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52276
Office
Unavailable
Facility
$271.10
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52276
Office
Unavailable
Facility
$249.90
No comparable office rate is available.
Queens
New York · 52276
Office
Unavailable
Facility
$262.15
No comparable office rate is available.
Rest Of New York
New York · 52276
Office
Unavailable
Facility
$224.82
No comparable office rate is available.
Ohio
Ohio · 52276
Office
Unavailable
Facility
$229.28
No comparable office rate is available.
Oklahoma
Oklahoma · 52276
Office
Unavailable
Facility
$223.49
No comparable office rate is available.
Portland
Oregon · 52276
Office
Unavailable
Facility
$236.33
No comparable office rate is available.
Rest Of Oregon
Oregon · 52276
Office
Unavailable
Facility
$227.12
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52276
Office
Unavailable
Facility
$242.45
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52276
Office
Unavailable
Facility
$228.23
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52276
Office
Unavailable
Facility
$233.71
No comparable office rate is available.
Rhode Island
Rhode Island · 52276
Office
Unavailable
Facility
$235.98
No comparable office rate is available.
South Carolina
South Carolina · 52276
Office
Unavailable
Facility
$226.56
No comparable office rate is available.
South Dakota**
South Dakota · 52276
Office
Unavailable
Facility
$219.72
No comparable office rate is available.
Tennessee
Tennessee · 52276
Office
Unavailable
Facility
$219.33
No comparable office rate is available.
Austin
Texas · 52276
Office
Unavailable
Facility
$234.34
No comparable office rate is available.
Beaumont
Texas · 52276
Office
Unavailable
Facility
$227.49
No comparable office rate is available.
Brazoria
Texas · 52276
Office
Unavailable
Facility
$229.77
No comparable office rate is available.
Dallas
Texas · 52276
Office
Unavailable
Facility
$231.80
No comparable office rate is available.
Fort Worth
Texas · 52276
Office
Unavailable
Facility
$231.56
No comparable office rate is available.
Galveston
Texas · 52276
Office
Unavailable
Facility
$230.86
No comparable office rate is available.
Houston
Texas · 52276
Office
Unavailable
Facility
$242.21
No comparable office rate is available.
Rest Of Texas
Texas · 52276
Office
Unavailable
Facility
$228.91
No comparable office rate is available.
Utah
Utah · 52276
Office
Unavailable
Facility
$228.35
No comparable office rate is available.
Virginia
Virginia · 52276
Office
Unavailable
Facility
$226.53
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52276
Office
Unavailable
Facility
$233.71
No comparable office rate is available.
Vermont
Vermont · 52276
Office
Unavailable
Facility
$222.74
No comparable office rate is available.
Rest Of Washington
Washington · 52276
Office
Unavailable
Facility
$233.29
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52276
Office
Unavailable
Facility
$249.19
No comparable office rate is available.
Wisconsin
Wisconsin · 52276
Office
Unavailable
Facility
$217.04
No comparable office rate is available.
West Virginia
West Virginia · 52276
Office
Unavailable
Facility
$235.83
No comparable office rate is available.
Wyoming**
Wyoming · 52276
Office
Unavailable
Facility
$228.09
No comparable office rate is available.
See how rates vary across the country
52276 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | No published base rate | 1 |
| AL | No published base rate | 1 |
| AR | No published base rate | 1 |
| AZ | No published base rate | 1 |
| CA | No published base rate | 29 |
| CO | No published base rate | 1 |
| CT | No published base rate | 1 |
| DC | No published base rate | 1 |
| DE | No published base rate | 1 |
| FL | No published base rate | 3 |
| GA | No published base rate | 2 |
| GU | No published base rate | 1 |
| HI | No published base rate | 1 |
| IA | No published base rate | 1 |
| ID | No published base rate | 1 |
| IL | No published base rate | 4 |
| IN | No published base rate | 1 |
| KS | No published base rate | 1 |
| KY | No published base rate | 1 |
| LA | No published base rate | 2 |
| MA | No published base rate | 2 |
| MD | No published base rate | 3 |
| ME | No published base rate | 2 |
| MI | No published base rate | 2 |
| MN | No published base rate | 1 |
| MO | No published base rate | 3 |
| MS | No published base rate | 1 |
| MT | No published base rate | 1 |
| NC | No published base rate | 1 |
| ND | No published base rate | 1 |
| NE | No published base rate | 1 |
| NH | No published base rate | 1 |
| NJ | No published base rate | 2 |
| NM | No published base rate | 1 |
| NV | No published base rate | 1 |
| NY | No published base rate | 5 |
| OH | No published base rate | 1 |
| OK | No published base rate | 1 |
| OR | No published base rate | 2 |
| PA | No published base rate | 2 |
| PR | No published base rate | 1 |
| RI | No published base rate | 1 |
| SC | No published base rate | 1 |
| SD | No published base rate | 1 |
| TN | No published base rate | 1 |
| TX | No published base rate | 8 |
| UT | No published base rate | 1 |
| VA | No published base rate | 2 |
| VI | No published base rate | 1 |
| VT | No published base rate | 1 |
| WA | No published base rate | 2 |
| WI | No published base rate | 1 |
| WV | No published base rate | 1 |
| WY | No published base rate | 1 |
Where does this rate apply?
Chicago is a Medicare payment area. Our Census mapping connects it to 137 cities and communities in Illinois, including the examples shown here.
Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.
- 52276 in Chicago
Multiple payment areas
- 52276 in Alsip
- 52276 in Arlington Heights
- 52276 in Barrington
Multiple payment areas
- 52276 in Barrington Hills
Multiple payment areas
- 52276 in Bartlett
Multiple payment areas
- 52276 in Bedford Park
- 52276 in Bellwood
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 52276 in Chicago. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$287.85
$261.68 × 110% = $287.85
A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.
Working with a whole code list?
Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.
How this local rate is calculated
Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 52276 in Chicago.
PPRRVU2026_Oct_nonQPP.csv
6,122
- Code
- 52276
- Physician work
- 4.87
- Practice expense
- 1.50
- Malpractice
- 0.62
GPCI2026.csv
48
- Locality
- Chicago
- Physician work
- 1.007
- Practice expense
- 1.005
- Malpractice
- 2.295
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.87 | × 1.007 | 4.9041 |
| Practice expense | 1.50 | × 1.005 | 1.5075 |
| Malpractice | 0.62 | × 2.295 | 1.4229 |
| Total RVUs | 7.8345 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Chicago$261.68
Open 52276 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.87 | 1.007 |
| Practice expense | 1.5 | 1.005 |
| Malpractice | 0.62 | 2.295 |
(4.87 × 1.007 + 1.5 × 1.005 + 0.62 × 2.295) × $33.4009 = $261.68
The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.
How this rate has changed
52276 · Office / nonfacility
Rate unavailable
Effective 2026-10-01
A rate is unavailable in one of these releases, so a change cannot be calculated.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
Explore release dates and calculate this code in an earlier period →
Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.
Inspect every release and its CMS source
| Effective from | Office / nonfacility | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | Not available in this setting | $261.68 | RVU26D |
| 2026-07-01 | Not available in this setting | $261.68 | RVU26C |
| 2026-04-01 | Not available in this setting | $261.68 | RVU26B |
| 2026-01-01 | Not available in this setting | $261.68 | RVU26A |
| 2025-10-01 | Not available in this setting | $276.49 | RVU25D |
| 2025-07-01 | Not available in this setting | $276.49 | RVU25C |
| 2025-04-01 | Not available in this setting | $276.49 | RVU25B |
| 2025-01-01 | Not available in this setting | $276.49 | RVU25A |
52276 billing questions
When is 52276 preferable to 52281?
Use 52276 when the surgeon incises the urethral stricture under direct vision. Code 52281 is for cystourethroscopic calibration and/or dilation of a stricture or stenosis.
How does 52276 differ from 52284?
Both address urethral narrowing, but 52276 describes direct-vision internal incision. Review the operative technique to determine whether the service fits 52284’s distinct mechanical treatment approach.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inapplicable because the descriptor or anatomy makes modifier 50 inappropriate.
What same-day care is included?
The 0-day global period includes preoperative and postoperative care on the procedure date. Related endoscopies performed together are subject to CMS endoscopy-family pricing.
Can an assistant or co-surgeon be paid?
CMS restricts assistant-at-surgery payment 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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,11952265,,Cystoscopy and treatment,A,,2.87,7.05,,1.03,,0.42,10.34,4.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12052270,,Cystoscopy & revise urethra,A,,3.28,8.26,,1.14,,0.43,11.97,4.85,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12152275,,Cystoscopy & revise urethra,A,,4.57,10.39,,1.41,,0.58,15.54,6.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12252276,,Cystoscopy and treatment,A,,4.87,1.50,NA,1.50,,0.62,6.99,6.99,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12352277,,Cystoscopy and treatment,A,,6.01,1.74,NA,1.74,,0.79,8.54,8.54,0,000,0.00,0.00,0.00,3,0,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12452281,,Cystoscopy and treatment,A,,2.68,6.25,,1.05,,0.36,9.29,4.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12552282,,Cystoscopy implant stent,A,,6.23,1.81,NA,1.81,,0.85,8.89,8.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563