No office rate
This code treats congenital posterior urethral obstruction; 52300 is for cystoscopic incision of a ureterocele.
On this page
CMS RVU26D · Effective 2026-10-01
52305 in Delaware
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$242.86
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
About 52305: Congenital posterior urethral valve treatment
Cystourethroscopic treatment of congenital posterior urethral valves or an obstructive posterior urethral membrane, typically performed to relieve urinary outflow obstruction.
A urologist treats congenital posterior urethral valves or an obstructive posterior urethral membrane by working through a cystoscope passed into the urethra. The endoscopic intervention opens or removes the obstructing tissue to improve urine flow. This procedure is most often encountered in pediatric urology, including treatment of a child with urinary outflow obstruction identified during evaluation of the lower urinary tract. The operative report should identify the congenital obstruction and describe the treatment performed.
Report this code for treatment of the congenital urethral obstruction, not for incision of a ureterocele or removal of a bladder or urethral foreign body. The note should support the specific diagnosis, endoscopic approach, and intervention. 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. Modifier 50 is inappropriate for this descriptor or anatomy. CMS payment rules also restrict assistant-at-surgery payment and do not permit co-surgeons or team surgery.
CMS billing rules for 52305
- 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 RVU5.17 · 71%
- Practice expense (office) RVU1.50 · 20%
- Malpractice RVU0.66 · 9%
164
Medicare services in 2024 · #4495 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.
52305 compared with similar codes
Office rates for Delaware, from the same CMS release.
No office rate
This code addresses congenital posterior urethral valves or membrane; 52301 is associated with ureterocele treatment.
$295.51
Use 52310 for simple cystoscopic removal of a foreign body, calculus, or ureteral stent from the bladder or urethra, not congenital outlet obstruction.
$452.99
52315 covers complex cystoscopic removal of a foreign body, calculus, or ureteral stent; it is not treatment of congenital posterior urethral obstruction.
The same code, a different location
How does Delaware compare?
52305 across payment areas
Same release and payment basis · bars start at $0
Delaware · This locality
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.
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.
Other payment areas listed in Delaware 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
Alabama
Alabama · 52305
Office
Unavailable
Facility
$229.00
No comparable office rate is available.
Arkansas
Arkansas · 52305
Office
Unavailable
Facility
$227.07
No comparable office rate is available.
Arizona
Arizona · 52305
Office
Unavailable
Facility
$240.10
No comparable office rate is available.
Bakersfield
California · 52305
Office
Unavailable
Facility
$244.30
No comparable office rate is available.
Chico
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
El Centro
California · 52305
Office
Unavailable
Facility
$242.46
No comparable office rate is available.
Fresno
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Hanford-Corcoran
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Madera
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Merced
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Modesto
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Napa
California · 52305
Office
Unavailable
Facility
$260.79
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52305
Office
Unavailable
Facility
$250.47
No comparable office rate is available.
Redding
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Rest Of California
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52305
Office
Unavailable
Facility
$249.51
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52305
Office
Unavailable
Facility
$248.98
No comparable office rate is available.
Salinas
California · 52305
Office
Unavailable
Facility
$247.92
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52305
Office
Unavailable
Facility
$249.73
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52305
Office
Unavailable
Facility
$269.85
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52305
Office
Unavailable
Facility
$269.10
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52305
Office
Unavailable
Facility
$275.74
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52305
Office
Unavailable
Facility
$272.68
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52305
Office
Unavailable
Facility
$244.50
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52305
Office
Unavailable
Facility
$249.00
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52305
Office
Unavailable
Facility
$247.75
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52305
Office
Unavailable
Facility
$251.20
No comparable office rate is available.
Stockton
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Vallejo
California · 52305
Office
Unavailable
Facility
$259.71
No comparable office rate is available.
Visalia
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Yuba City
California · 52305
Office
Unavailable
Facility
$242.35
No comparable office rate is available.
Colorado
Colorado · 52305
Office
Unavailable
Facility
$245.28
No comparable office rate is available.
Connecticut
Connecticut · 52305
Office
Unavailable
Facility
$256.77
No comparable office rate is available.
Fort Lauderdale
Florida · 52305
Office
Unavailable
Facility
$263.29
No comparable office rate is available.
Rest Of Florida
Florida · 52305
Office
Unavailable
Facility
$253.71
No comparable office rate is available.
Atlanta
Georgia · 52305
Office
Unavailable
Facility
$250.58
No comparable office rate is available.
Rest Of Georgia
Georgia · 52305
Office
Unavailable
Facility
$243.65
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52305
Office
Unavailable
Facility
$242.41
No comparable office rate is available.
Iowa
Iowa · 52305
Office
Unavailable
Facility
$227.28
No comparable office rate is available.
Idaho
Idaho · 52305
Office
Unavailable
Facility
$229.20
No comparable office rate is available.
East St. Louis
Illinois · 52305
Office
Unavailable
Facility
$263.17
No comparable office rate is available.
Rest Of Illinois
Illinois · 52305
Office
Unavailable
Facility
$252.88
No comparable office rate is available.
Suburban Chicago
Illinois · 52305
Office
Unavailable
Facility
$264.41
No comparable office rate is available.
Indiana
Indiana · 52305
Office
Unavailable
Facility
$229.84
No comparable office rate is available.
Kansas
Kansas · 52305
Office
Unavailable
Facility
$229.08
No comparable office rate is available.
Kentucky
Kentucky · 52305
Office
Unavailable
Facility
$237.39
No comparable office rate is available.
New Orleans
Louisiana · 52305
Office
Unavailable
Facility
$244.87
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52305
Office
Unavailable
Facility
$238.14
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52305
Office
Unavailable
Facility
$259.20
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52305
Office
Unavailable
Facility
$245.77
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52305
Office
Unavailable
Facility
$256.47
No comparable office rate is available.
Rest Of Maryland
Maryland · 52305
Office
Unavailable
Facility
$245.35
No comparable office rate is available.
Rest Of Maine
Maine · 52305
Office
Unavailable
Facility
$232.49
No comparable office rate is available.
Southern Maine
Maine · 52305
Office
Unavailable
Facility
$236.24
No comparable office rate is available.
Detroit
Michigan · 52305
Office
Unavailable
Facility
$258.20
No comparable office rate is available.
Rest Of Michigan
Michigan · 52305
Office
Unavailable
Facility
$243.31
No comparable office rate is available.
Minnesota
Minnesota · 52305
Office
Unavailable
Facility
$230.76
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52305
Office
Unavailable
Facility
$241.27
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52305
Office
Unavailable
Facility
$242.47
No comparable office rate is available.
Rest Of Missouri
Missouri · 52305
Office
Unavailable
Facility
$237.34
No comparable office rate is available.
Mississippi
Mississippi · 52305
Office
Unavailable
Facility
$232.11
No comparable office rate is available.
Montana**
Montana · 52305
Office
Unavailable
Facility
$244.78
No comparable office rate is available.
North Carolina
North Carolina · 52305
Office
Unavailable
Facility
$233.51
No comparable office rate is available.
North Dakota**
North Dakota · 52305
Office
Unavailable
Facility
$231.73
No comparable office rate is available.
Nebraska
Nebraska · 52305
Office
Unavailable
Facility
$227.26
No comparable office rate is available.
New Hampshire
New Hampshire · 52305
Office
Unavailable
Facility
$244.13
No comparable office rate is available.
Northern Nj
New Jersey · 52305
Office
Unavailable
Facility
$265.22
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52305
Office
Unavailable
Facility
$258.48
No comparable office rate is available.
New Mexico
New Mexico · 52305
Office
Unavailable
Facility
$245.10
No comparable office rate is available.
Nevada**
Nevada · 52305
Office
Unavailable
Facility
$241.20
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52305
Office
Unavailable
Facility
$284.24
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52305
Office
Unavailable
Facility
$261.99
No comparable office rate is available.
Queens
New York · 52305
Office
Unavailable
Facility
$274.74
No comparable office rate is available.
Rest Of New York
New York · 52305
Office
Unavailable
Facility
$235.78
No comparable office rate is available.
Ohio
Ohio · 52305
Office
Unavailable
Facility
$240.65
No comparable office rate is available.
Oklahoma
Oklahoma · 52305
Office
Unavailable
Facility
$234.55
No comparable office rate is available.
Portland
Oregon · 52305
Office
Unavailable
Facility
$247.51
No comparable office rate is available.
Rest Of Oregon
Oregon · 52305
Office
Unavailable
Facility
$238.08
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52305
Office
Unavailable
Facility
$254.25
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52305
Office
Unavailable
Facility
$239.51
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52305
Office
Unavailable
Facility
$245.05
No comparable office rate is available.
Rhode Island
Rhode Island · 52305
Office
Unavailable
Facility
$247.38
No comparable office rate is available.
South Carolina
South Carolina · 52305
Office
Unavailable
Facility
$237.71
No comparable office rate is available.
South Dakota**
South Dakota · 52305
Office
Unavailable
Facility
$230.19
No comparable office rate is available.
Tennessee
Tennessee · 52305
Office
Unavailable
Facility
$230.06
No comparable office rate is available.
Austin
Texas · 52305
Office
Unavailable
Facility
$245.57
No comparable office rate is available.
Beaumont
Texas · 52305
Office
Unavailable
Facility
$238.75
No comparable office rate is available.
Brazoria
Texas · 52305
Office
Unavailable
Facility
$240.91
No comparable office rate is available.
Dallas
Texas · 52305
Office
Unavailable
Facility
$243.05
No comparable office rate is available.
Fort Worth
Texas · 52305
Office
Unavailable
Facility
$242.84
No comparable office rate is available.
Galveston
Texas · 52305
Office
Unavailable
Facility
$242.07
No comparable office rate is available.
Houston
Texas · 52305
Office
Unavailable
Facility
$254.15
No comparable office rate is available.
Rest Of Texas
Texas · 52305
Office
Unavailable
Facility
$240.14
No comparable office rate is available.
Utah
Utah · 52305
Office
Unavailable
Facility
$239.57
No comparable office rate is available.
Virginia
Virginia · 52305
Office
Unavailable
Facility
$237.50
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52305
Office
Unavailable
Facility
$245.05
No comparable office rate is available.
Vermont
Vermont · 52305
Office
Unavailable
Facility
$233.44
No comparable office rate is available.
Rest Of Washington
Washington · 52305
Office
Unavailable
Facility
$244.46
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52305
Office
Unavailable
Facility
$260.80
No comparable office rate is available.
Wisconsin
Wisconsin · 52305
Office
Unavailable
Facility
$227.47
No comparable office rate is available.
West Virginia
West Virginia · 52305
Office
Unavailable
Facility
$247.77
No comparable office rate is available.
Wyoming**
Wyoming · 52305
Office
Unavailable
Facility
$239.10
No comparable office rate is available.
See how rates vary across the country
52305 · 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?
Delaware is a Medicare payment area. Our Census mapping connects it to 79 cities and communities in Delaware, 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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 52305 in Delaware. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$267.15
$242.86 × 110% = $267.15
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 52305 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,133
- Code
- 52305
- Physician work
- 5.17
- Practice expense
- 1.50
- Malpractice
- 0.66
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.17 | × 1.005 | 5.1958 |
| Practice expense | 1.50 | × 0.988 | 1.4820 |
| Malpractice | 0.66 | × 0.899 | 0.5933 |
| Total RVUs | 7.2712 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$242.86
Open 52305 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.17 | 1.005 |
| Practice expense | 1.5 | 0.988 |
| Malpractice | 0.66 | 0.899 |
(5.17 × 1.005 + 1.5 × 0.988 + 0.66 × 0.899) × $33.4009 = $242.86
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
52305 · 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 | $242.86 | RVU26D |
| 2026-07-01 | Not available in this setting | $242.86 | RVU26C |
| 2026-04-01 | Not available in this setting | $242.86 | RVU26B |
| 2026-01-01 | Not available in this setting | $242.86 | RVU26A |
| 2025-10-01 | Not available in this setting | $266.44 | RVU25D |
| 2025-07-01 | Not available in this setting | $266.44 | RVU25C |
| 2025-04-01 | Not available in this setting | $266.44 | RVU25B |
| 2025-01-01 | Not available in this setting | $266.44 | RVU25A |
52305 billing questions
When is this code appropriate instead of 52300 or 52301?
Use this code for endoscopic treatment of congenital posterior urethral valves or an obstructive posterior urethral membrane. Codes 52300 and 52301 concern ureterocele treatment.
Can diagnostic cystoscopy be reported separately?
Cystoscopic access and visualization are part of the operative service. The documentation should describe the congenital obstruction and the treatment performed, rather than treating the diagnostic inspection as a separate service.
Does modifier 50 apply?
No. CMS identifies bilateral adjustment as inappropriate for this descriptor or anatomy.
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.
Can an assistant, co-surgeon, or surgical team be paid?
CMS lists a statutory restriction on assistant-at-surgery payment for this code and does not permit co-surgeons or team surgery.
What happens when another related endoscopy is performed during the same session?
CMS endoscopy family pricing applies when related endoscopies are performed together. The operative documentation should support each service reported.
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.
6,13052290,,Cystoscopy and treatment,A,,4.47,1.41,NA,1.41,,0.57,6.45,6.45,0,000,0.00,0.00,0.00,3,2,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13152300,,Cystoscopy and treatment,A,,5.17,1.57,NA,1.57,,0.66,7.40,7.40,0,000,0.00,0.00,0.00,3,2,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13252301,,Cystoscopy and treatment,A,,5.36,1.60,NA,1.60,,0.68,7.64,7.64,0,000,0.00,0.00,0.00,3,2,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13352305,,Cystoscopy and treatment,A,,5.17,1.50,NA,1.50,,0.66,7.33,7.33,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13452310,,Cystoscopy and treatment,A,,2.74,5.84,,0.93,,0.36,8.94,4.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13552315,,Cystoscopy and treatment,A,,5.07,7.96,,1.52,,0.67,13.70,7.26,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13652317,,Remove bladder stone,A,,6.54,18.61,,1.72,,0.85,26.00,9.11,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503