No office rate
This is the closely related ureterocele-treatment code. Select between the codes based on the specific procedure and extent documented in the operative report.
On this page
CMS RVU26D · Effective 2026-10-01
52301 in Modesto
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$252.82
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 52301: Cystoscopic ureterocele incision or resection
A urologist uses cystoscopy to incise or resect a ureterocele, typically to open the obstructed ureteral outlet or relieve related urinary symptoms.
A ureterocele is a ballooning of the ureter’s lower end where it enters the bladder. In an operating room or endoscopy suite, a urologist passes a cystoscope through the urethra and incises or resects the ureterocele to open the outlet. This is used for ureteroceles associated with impaired drainage, recurrent infection, or other urinary tract problems. The operative report should identify the ureterocele and describe the endoscopic treatment performed.
Report this code when the documented procedure meets its ureterocele-treatment criteria; distinguish it from a less extensive ureterocele incision code by the work recorded, not by diagnosis alone. The minor-procedure global period is zero days, with same-day preoperative and postoperative care included. When related endoscopies are performed together, endoscopy-family pricing applies. The code is priced as bilateral, so modifier 50 does not increase payment. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 52301
- 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
- The code is already priced as bilateral; modifier 50 does not increase payment.
- Assistant at surgery
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU5.36 · 70%
- Practice expense (office) RVU1.60 · 21%
- Malpractice RVU0.68 · 9%
14
Medicare services in 2024 · #6108 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.
52301 compared with similar codes
Office rates for Modesto, from the same CMS release.
No office rate
This code describes fulguration at specified lower urinary tract sites. It is not the code for incising or resecting a ureterocele.
$313.31
This code concerns simple removal of a foreign body, calculus, or ureteral stent from the urethra or bladder, rather than ureterocele treatment.
The same code, a different location
How does Modesto compare?
52301 across payment areas
Same release and payment basis · bars start at $0
Modesto · 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.
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.
Other payment areas listed in California 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
Madera
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Merced
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Napa
California · 52301
Office
Unavailable
Facility
$272.28
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52301
Office
Unavailable
Facility
$261.36
No comparable office rate is available.
Redding
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Rest Of California
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52301
Office
Unavailable
Facility
$260.20
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52301
Office
Unavailable
Facility
$259.80
No comparable office rate is available.
Salinas
California · 52301
Office
Unavailable
Facility
$258.69
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52301
Office
Unavailable
Facility
$260.63
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52301
Office
Unavailable
Facility
$281.81
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52301
Office
Unavailable
Facility
$281.04
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52301
Office
Unavailable
Facility
$287.96
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52301
Office
Unavailable
Facility
$284.80
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52301
Office
Unavailable
Facility
$255.12
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52301
Office
Unavailable
Facility
$259.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52301
Office
Unavailable
Facility
$258.53
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52301
Office
Unavailable
Facility
$262.20
No comparable office rate is available.
Stockton
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Vallejo
California · 52301
Office
Unavailable
Facility
$271.17
No comparable office rate is available.
Visalia
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Yuba City
California · 52301
Office
Unavailable
Facility
$252.82
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 52301
Office
Unavailable
Facility
$276.93
No comparable office rate is available.
Miami
Florida · 52301
Office
Unavailable
Facility
$292.10
No comparable office rate is available.
Chicago
Illinois · 52301
Office
Unavailable
Facility
$286.12
No comparable office rate is available.
Manhattan
New York · 52301
Office
Unavailable
Facility
$288.61
No comparable office rate is available.
Alaska*
Alaska · 52301
Office
Unavailable
Facility
$337.97
No comparable office rate is available.
Alabama
Alabama · 52301
Office
Unavailable
Facility
$238.65
No comparable office rate is available.
Arkansas
Arkansas · 52301
Office
Unavailable
Facility
$236.63
No comparable office rate is available.
Arizona
Arizona · 52301
Office
Unavailable
Facility
$250.26
No comparable office rate is available.
Colorado
Colorado · 52301
Office
Unavailable
Facility
$255.78
No comparable office rate is available.
Connecticut
Connecticut · 52301
Office
Unavailable
Facility
$267.65
No comparable office rate is available.
Delaware
Delaware · 52301
Office
Unavailable
Facility
$253.14
No comparable office rate is available.
Fort Lauderdale
Florida · 52301
Office
Unavailable
Facility
$274.23
No comparable office rate is available.
Rest Of Florida
Florida · 52301
Office
Unavailable
Facility
$264.26
No comparable office rate is available.
Atlanta
Georgia · 52301
Office
Unavailable
Facility
$261.14
No comparable office rate is available.
Rest Of Georgia
Georgia · 52301
Office
Unavailable
Facility
$253.77
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52301
Office
Unavailable
Facility
$252.94
No comparable office rate is available.
Iowa
Iowa · 52301
Office
Unavailable
Facility
$236.94
No comparable office rate is available.
Idaho
Idaho · 52301
Office
Unavailable
Facility
$238.94
No comparable office rate is available.
East St. Louis
Illinois · 52301
Office
Unavailable
Facility
$273.94
No comparable office rate is available.
Rest Of Illinois
Illinois · 52301
Office
Unavailable
Facility
$263.32
No comparable office rate is available.
Suburban Chicago
Illinois · 52301
Office
Unavailable
Facility
$275.41
No comparable office rate is available.
Indiana
Indiana · 52301
Office
Unavailable
Facility
$239.61
No comparable office rate is available.
Kansas
Kansas · 52301
Office
Unavailable
Facility
$238.79
No comparable office rate is available.
Kentucky
Kentucky · 52301
Office
Unavailable
Facility
$247.32
No comparable office rate is available.
New Orleans
Louisiana · 52301
Office
Unavailable
Facility
$255.12
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52301
Office
Unavailable
Facility
$248.08
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52301
Office
Unavailable
Facility
$270.39
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52301
Office
Unavailable
Facility
$256.27
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52301
Office
Unavailable
Facility
$267.33
No comparable office rate is available.
Rest Of Maryland
Maryland · 52301
Office
Unavailable
Facility
$255.75
No comparable office rate is available.
Rest Of Maine
Maine · 52301
Office
Unavailable
Facility
$242.32
No comparable office rate is available.
Southern Maine
Maine · 52301
Office
Unavailable
Facility
$246.32
No comparable office rate is available.
Detroit
Michigan · 52301
Office
Unavailable
Facility
$268.89
No comparable office rate is available.
Rest Of Michigan
Michigan · 52301
Office
Unavailable
Facility
$253.46
No comparable office rate is available.
Minnesota
Minnesota · 52301
Office
Unavailable
Facility
$240.74
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52301
Office
Unavailable
Facility
$251.40
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52301
Office
Unavailable
Facility
$252.66
No comparable office rate is available.
Rest Of Missouri
Missouri · 52301
Office
Unavailable
Facility
$247.22
No comparable office rate is available.
Mississippi
Mississippi · 52301
Office
Unavailable
Facility
$241.83
No comparable office rate is available.
Montana**
Montana · 52301
Office
Unavailable
Facility
$255.14
No comparable office rate is available.
North Carolina
North Carolina · 52301
Office
Unavailable
Facility
$243.40
No comparable office rate is available.
North Dakota**
North Dakota · 52301
Office
Unavailable
Facility
$241.69
No comparable office rate is available.
Nebraska
Nebraska · 52301
Office
Unavailable
Facility
$236.94
No comparable office rate is available.
New Hampshire
New Hampshire · 52301
Office
Unavailable
Facility
$254.53
No comparable office rate is available.
Northern Nj
New Jersey · 52301
Office
Unavailable
Facility
$276.56
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52301
Office
Unavailable
Facility
$269.46
No comparable office rate is available.
New Mexico
New Mexico · 52301
Office
Unavailable
Facility
$255.31
No comparable office rate is available.
Nevada**
Nevada · 52301
Office
Unavailable
Facility
$251.44
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52301
Office
Unavailable
Facility
$296.21
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52301
Office
Unavailable
Facility
$273.09
No comparable office rate is available.
Queens
New York · 52301
Office
Unavailable
Facility
$286.41
No comparable office rate is available.
Rest Of New York
New York · 52301
Office
Unavailable
Facility
$245.77
No comparable office rate is available.
Ohio
Ohio · 52301
Office
Unavailable
Facility
$250.72
No comparable office rate is available.
Oklahoma
Oklahoma · 52301
Office
Unavailable
Facility
$244.40
No comparable office rate is available.
Portland
Oregon · 52301
Office
Unavailable
Facility
$258.16
No comparable office rate is available.
Rest Of Oregon
Oregon · 52301
Office
Unavailable
Facility
$248.22
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52301
Office
Unavailable
Facility
$264.98
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52301
Office
Unavailable
Facility
$249.55
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52301
Office
Unavailable
Facility
$255.43
No comparable office rate is available.
Rhode Island
Rhode Island · 52301
Office
Unavailable
Facility
$257.90
No comparable office rate is available.
South Carolina
South Carolina · 52301
Office
Unavailable
Facility
$247.71
No comparable office rate is available.
South Dakota**
South Dakota · 52301
Office
Unavailable
Facility
$240.10
No comparable office rate is available.
Tennessee
Tennessee · 52301
Office
Unavailable
Facility
$239.80
No comparable office rate is available.
Austin
Texas · 52301
Office
Unavailable
Facility
$256.05
No comparable office rate is available.
Beaumont
Texas · 52301
Office
Unavailable
Facility
$248.76
No comparable office rate is available.
Brazoria
Texas · 52301
Office
Unavailable
Facility
$251.14
No comparable office rate is available.
Dallas
Texas · 52301
Office
Unavailable
Facility
$253.36
No comparable office rate is available.
Fort Worth
Texas · 52301
Office
Unavailable
Facility
$253.12
No comparable office rate is available.
Galveston
Texas · 52301
Office
Unavailable
Facility
$252.33
No comparable office rate is available.
Houston
Texas · 52301
Office
Unavailable
Facility
$264.78
No comparable office rate is available.
Rest Of Texas
Texas · 52301
Office
Unavailable
Facility
$250.25
No comparable office rate is available.
Utah
Utah · 52301
Office
Unavailable
Facility
$249.66
No comparable office rate is available.
Virginia
Virginia · 52301
Office
Unavailable
Facility
$247.60
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52301
Office
Unavailable
Facility
$255.43
No comparable office rate is available.
Vermont
Vermont · 52301
Office
Unavailable
Facility
$243.43
No comparable office rate is available.
Rest Of Washington
Washington · 52301
Office
Unavailable
Facility
$254.91
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52301
Office
Unavailable
Facility
$272.11
No comparable office rate is available.
Wisconsin
Wisconsin · 52301
Office
Unavailable
Facility
$237.22
No comparable office rate is available.
West Virginia
West Virginia · 52301
Office
Unavailable
Facility
$257.97
No comparable office rate is available.
Wyoming**
Wyoming · 52301
Office
Unavailable
Facility
$249.28
No comparable office rate is available.
See how rates vary across the country
52301 · 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?
Modesto is a Medicare payment area. Our Census mapping connects it to 33 cities and communities in California, 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 52301 in Modesto. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$278.10
$252.82 × 110% = $278.10
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 52301 in Modesto.
PPRRVU2026_Oct_nonQPP.csv
6,132
- Code
- 52301
- Physician work
- 5.36
- Practice expense
- 1.60
- Malpractice
- 0.68
GPCI2026.csv
16
- Locality
- Modesto
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.36 | × 1.017 | 5.4511 |
| Practice expense | 1.60 | × 1.096 | 1.7536 |
| Malpractice | 0.68 | × 0.536 | 0.3645 |
| Total RVUs | 7.5692 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Modesto$252.82
Open 52301 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.36 | 1.017 |
| Practice expense | 1.6 | 1.096 |
| Malpractice | 0.68 | 0.536 |
(5.36 × 1.017 + 1.6 × 1.096 + 0.68 × 0.536) × $33.4009 = $252.82
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
52301 · 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 | $252.82 | RVU26D |
| 2026-07-01 | Not available in this setting | $252.82 | RVU26C |
| 2026-04-01 | Not available in this setting | $252.82 | RVU26B |
| 2026-01-01 | Not available in this setting | $252.82 | RVU26A |
| 2025-10-01 | Not available in this setting | $278.62 | RVU25D |
| 2025-07-01 | Not available in this setting | $278.62 | RVU25C |
| 2025-04-01 | Not available in this setting | $278.62 | RVU25B |
| 2025-01-01 | Not available in this setting | $278.62 | RVU25A |
52301 billing questions
How do I distinguish this from 52300?
Both address endoscopic ureterocele treatment. Use the code that matches the documented extent and nature of the work; the operative report should support any distinction in procedure complexity.
Can I append modifier 50 for treatment on both sides?
No. CMS prices this code as bilateral, and modifier 50 does not increase payment.
Is same-day postoperative care separately included?
The code has a zero-day global period, and same-day preoperative and postoperative care is included.
What happens when another related endoscopy is performed in the same session?
Endoscopy-family pricing applies when related endoscopies are performed together. The operative documentation should identify each distinct procedure performed.
Can an assistant or co-surgeon be reported?
Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeons and team surgery are not permitted for this code.
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.
6,12952287,,Cystoscopy chemodenervation,A,,3.12,7.34,,0.91,,0.43,10.89,4.46,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13052290,,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
1301182,CA,18,LOS ANGELES-LONG BEACH-ANAHEIM (LOS ANGELES/ORANGE CNTY),1.041,1.183,0.664
1401112,CA,58,MADERA,1.017,1.096,0.536
1501112,CA,59,MERCED,1.017,1.096,0.536
1601112,CA,60,MODESTO,1.017,1.096,0.536
1701112,CA,51,NAPA,1.063,1.318,0.508
1801182,CA,17,OXNARD-THOUSAND OAKS-VENTURA,1.028,1.182,0.623
1901112,CA,61,REDDING,1.017,1.096,0.536