Billing code 52001: Clot evacuationMedicare rate & RVUs in Redding
Reports cystoscopic irrigation and removal of multiple obstructing bladder clots, typically for gross hematuria causing clot retention or impaired bladder drainage.
In Redding, Medicare pays $433.08 for 52001 in the office and $250.41 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 52001 nationwide
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 11 sections
What 52001 covers
A urologist passes a cystoscope through the urethra into the bladder, then irrigates and evacuates multiple clots obstructing bladder drainage. The procedure is commonly performed in a hospital or other procedural setting for gross hematuria with clot retention, such as when clots prevent adequate emptying or catheter drainage. The code describes endoscopic clot removal, not simple catheter irrigation alone.
Report the service for the cystoscopic treatment of multiple obstructing clots; document the obstruction, endoscopic irrigation and evacuation, and clinical reason for intervention. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code, and 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.
How Redding compares for 52001
Across 109 of 109 payment localities, the office rate for 52001 runs from $377.51 in Arkansas to $525.59 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). Redding pays $433.08. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Redding · this page$433.08
- Bakersfield · California$435.10+$2.02
- Chico · California$433.08
- El Centro · California$433.20+$0.12
- Fresno · California$433.08
- Hanford-Corcoran · California$433.08
- Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) · California$459.36+$26.28
Other areas in California first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| MaderaCalifornia | $433.08 | $250.41 |
| MercedCalifornia | $433.08 | $250.41 |
| ModestoCalifornia | $433.08 | $250.41 |
| NapaCalifornia | $489.38 | $269.71 |
| Oxnard-Thousand Oaks-VenturaCalifornia | $455.91 | $258.90 |
| Rest Of CaliforniaCalifornia | $433.08 | $250.41 |
| Riverside-San Bernardino-OntarioCalifornia | $440.46 | $257.79 |
| Sacramento-Roseville-FolsomCalifornia | $451.17 | $257.34 |
| SalinasCalifornia | $449.41 | $256.24 |
| San Diego-Chula Vista-CarlsbadCalifornia | $457.50 | $258.16 |
| San Francisco-Oakland-Berkeley (Marin Cnty)California | $514.15 | $279.15 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)California | $513.38 | $278.38 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty)California | $525.59 | $285.25 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)California | $522.43 | $282.10 |
| San Luis Obispo-Paso RoblesCalifornia | $442.54 | $252.70 |
| Santa Cruz-WatsonvilleCalifornia | $459.95 | $257.44 |
| Santa Maria-Santa BarbaraCalifornia | $450.42 | $256.08 |
| Santa Rosa-PetalumaCalifornia | $464.40 | $259.73 |
| StocktonCalifornia | $433.08 | $250.41 |
| VallejoCalifornia | $488.27 | $268.60 |
| VisaliaCalifornia | $433.08 | $250.41 |
| Yuba CityCalifornia | $433.08 | $250.41 |
| Dc + Md/Va SuburbsDistrict of Columbia | $470.76 | $274.42 |
| MiamiFlorida | $463.25 | $289.75 |
| ChicagoIllinois | $451.27 | $283.76 |
| ManhattanNew York | $479.76 | $286.09 |
| Alaska*Alaska | $512.12 | $334.61 |
| AlabamaAlabama | $382.19 | $236.35 |
| ArkansasArkansas | $377.51 | $234.34 |
| ArizonaArizona | $409.43 | $247.93 |
| ColoradoColorado | $430.73 | $253.39 |
| ConnecticutConnecticut | $444.75 | $265.24 |
| DelawareDelaware | $415.47 | $250.80 |
| Fort LauderdaleFlorida | $440.72 | $271.89 |
| Rest Of FloridaFlorida | $421.27 | $261.93 |
| AtlantaGeorgia | $428.13 | $258.79 |
| Rest Of GeorgiaGeorgia | $400.14 | $251.47 |
| Hawaii, GuamHawaii | $440.06 | $250.56 |
| IowaIowa | $387.14 | $234.63 |
| IdahoIdaho | $389.96 | $236.63 |
| East St. LouisIllinois | $424.96 | $271.63 |
| Rest Of IllinoisIllinois | $413.18 | $261.01 |
| Suburban ChicagoIllinois | $444.22 | $273.05 |
| IndianaIndiana | $391.80 | $237.29 |
| KansasKansas | $387.15 | $236.48 |
| KentuckyKentucky | $393.19 | $245.02 |
| New OrleansLouisiana | $409.64 | $252.80 |
| Rest Of LouisianaLouisiana | $393.29 | $245.78 |
| Metropolitan BostonMassachusetts | $466.91 | $267.91 |
| Rest Of MassachusettsMassachusetts | $429.39 | $253.88 |
| Baltimore/Surr. CntysMaryland | $443.77 | $264.94 |
| Rest Of MarylandMaryland | $422.06 | $253.39 |
| Rest Of MaineMaine | $393.35 | $240.01 |
| Southern MaineMaine | $409.16 | $243.99 |
| DetroitMichigan | $427.40 | $266.57 |
| Rest Of MichiganMichigan | $403.32 | $251.15 |
| MinnesotaMinnesota | $409.90 | $238.40 |
| Metropolitan Kansas CityMissouri | $405.59 | $249.08 |
| Metropolitan St. LouisMissouri | $409.01 | $250.34 |
| Rest Of MissouriMissouri | $388.60 | $244.93 |
| MississippiMississippi | $383.04 | $239.53 |
| Montana**Montana | $419.47 | $252.80 |
| North CarolinaNorth Carolina | $396.59 | $241.09 |
| North Dakota**North Dakota | $406.02 | $239.35 |
| NebraskaNebraska | $388.47 | $234.63 |
| New HampshireNew Hampshire | $425.69 | $252.18 |
| Northern NjNew Jersey | $467.38 | $274.04 |
| Rest Of New JerseyNew Jersey | $449.02 | $267.01 |
| New MexicoNew Mexico | $405.84 | $253.00 |
| Nevada**Nevada | $415.94 | $249.10 |
| Nyc Suburbs/Long IslandNew York | $491.85 | $293.68 |
| Poughkpsie/N Nyc SuburbsNew York | $453.13 | $270.63 |
| QueensNew York | $480.88 | $283.88 |
| Rest Of New YorkNew York | $401.78 | $243.44 |
| OhioOhio | $400.58 | $248.41 |
| OklahomaOklahoma | $390.93 | $242.10 |
| PortlandOregon | $440.93 | $255.76 |
| Rest Of OregonOregon | $411.89 | $245.89 |
| Metropolitan PhiladelphiaPennsylvania | $436.10 | $262.59 |
| Rest Of PennsylvaniaPennsylvania | $400.24 | $247.24 |
| Puerto RicoPuerto Rico | $421.59 | $253.09 |
| Rhode IslandRhode Island | $427.68 | $255.51 |
| South CarolinaSouth Carolina | $399.41 | $245.40 |
| South Dakota**South Dakota | $404.43 | $237.76 |
| TennesseeTennessee | $389.00 | $237.50 |
| AustinTexas | $430.03 | $253.69 |
| BeaumontTexas | $398.12 | $246.45 |
| BrazoriaTexas | $413.96 | $248.79 |
| DallasTexas | $417.00 | $251.00 |
| Fort WorthTexas | $415.10 | $250.76 |
| GalvestonTexas | $415.49 | $249.98 |
| HoustonTexas | $427.93 | $262.43 |
| Rest Of TexasTexas | $406.10 | $247.93 |
| UtahUtah | $404.01 | $247.34 |
| VirginiaVirginia | $409.10 | $245.26 |
| Virgin IslandsUnited States Virgin Islands | $421.59 | $253.09 |
| VermontVermont | $406.10 | $241.09 |
| Rest Of WashingtonWashington | $428.04 | $252.53 |
| Seattle (King Cnty)Washington | $474.10 | $269.60 |
| WisconsinWisconsin | $394.57 | $234.90 |
| West VirginiaWest Virginia | $400.51 | $255.68 |
| Wyoming**Wyoming | $413.61 | $246.94 |
52001 rates by state
Office rate range in each state. Select a state to see its payment localities.
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.
$377.51
$512.12
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $512.12 | 1 |
| AL | $382.19 | 1 |
| AR | $377.51 | 1 |
| AZ | $409.43 | 1 |
| CA | $433.08–$525.59 | 29 |
| CO | $430.73 | 1 |
| CT | $444.75 | 1 |
| DC | $470.76 | 1 |
| DE | $415.47 | 1 |
| FL | $421.27–$463.25 | 3 |
| GA | $400.14–$428.13 | 2 |
| GU | $440.06 | 1 |
| HI | $440.06 | 1 |
| IA | $387.14 | 1 |
| ID | $389.96 | 1 |
| IL | $413.18–$451.27 | 4 |
| IN | $391.80 | 1 |
| KS | $387.15 | 1 |
| KY | $393.19 | 1 |
| LA | $393.29–$409.64 | 2 |
| MA | $429.39–$466.91 | 2 |
| MD | $422.06–$470.76 | 3 |
| ME | $393.35–$409.16 | 2 |
| MI | $403.32–$427.40 | 2 |
| MN | $409.90 | 1 |
| MO | $388.60–$409.01 | 3 |
| MS | $383.04 | 1 |
| MT | $419.47 | 1 |
| NC | $396.59 | 1 |
| ND | $406.02 | 1 |
| NE | $388.47 | 1 |
| NH | $425.69 | 1 |
| NJ | $449.02–$467.38 | 2 |
| NM | $405.84 | 1 |
| NV | $415.94 | 1 |
| NY | $401.78–$491.85 | 5 |
| OH | $400.58 | 1 |
| OK | $390.93 | 1 |
| OR | $411.89–$440.93 | 2 |
| PA | $400.24–$436.10 | 2 |
| PR | $421.59 | 1 |
| RI | $427.68 | 1 |
| SC | $399.41 | 1 |
| SD | $404.43 | 1 |
| TN | $389.00 | 1 |
| TX | $398.12–$430.03 | 8 |
| UT | $404.01 | 1 |
| VA | $409.10–$470.76 | 2 |
| VI | $421.59 | 1 |
| VT | $406.10 | 1 |
| WA | $428.04–$474.10 | 2 |
| WI | $394.57 | 1 |
| WV | $400.51 | 1 |
| WY | $413.61 | 1 |
How the 52001 rate is calculated
Each of 52001’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 · 52001
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.30Practice expense 6.58Malpractice 0.68
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
The exact Redding inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,106
- Code
- 52001
- Physician work
- 5.30
- Practice expense
- 6.58
- Malpractice
- 0.68
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.30 | × 1.017 | 5.3901 |
| Practice expense | 6.58 | × 1.096 | 7.2117 |
| Malpractice | 0.68 | × 0.536 | 0.3645 |
| Total RVUs | 12.9663 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Redding$433.08
Office: (5.3 × 1.017 + 6.58 × 1.096 + 0.68 × 0.536) × $33.4009 = $433.08
Facility: (5.3 × 1.017 + 1.59 × 1.096 + 0.68 × 0.536) × $33.4009 = $250.41
Payment rules and modifiers for 52001
The CMS indicators that decide how 52001 is paid alongside other services.
CMS payment indicators · 52001
Clot evacuation
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52001 without 51 · national office
$419.52
Clot evacuation
52001-51 · Second procedure: 50%
$209.76
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 52001 has changed in Redding
52001 · Office / nonfacility
$433.08
Effective 2026-10-01
The base rate is $13.07 higher than on 2025-10-01, moving from $420.01 to $433.08 (3.1%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
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
January 1, 2026
RVU26A
$420.01changed to$433.08
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 5.44 changed to 5.30
- Practice expense RVU 6.50 changed to 6.58
- Malpractice RVU 0.65 changed to 0.68
- Work GPCI 1.014 changed to 1.017
- Practice expense GPCI 1.093 changed to 1.096
- Malpractice GPCI 0.560 changed to 0.536
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
Earliest loaded release: $420.01
Held through RVU25B, RVU25C, RVU25D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $433.08 | $250.41 | RVU26D |
| 2026-07-01 | $433.08 | $250.41 | RVU26C |
| 2026-04-01 | $433.08 | $250.41 | RVU26B |
| 2026-01-01 | $433.08 | $250.41 | RVU26A |
| 2025-10-01 | $420.01 | $275.76 | RVU25D |
| 2025-07-01 | $420.01 | $275.76 | RVU25C |
| 2025-04-01 | $420.01 | $275.76 | RVU25B |
| 2025-01-01 | $420.01 | $275.76 | RVU25A |
Where the Redding rate applies
Redding is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.
52001 billing questions
When is 52001 more appropriate than diagnostic cystoscopy?
Use 52001 when cystoscopy includes irrigation and evacuation of multiple obstructing clots. A diagnostic examination without that clot treatment is a different service.
Can bladder irrigation by catheter be reported instead?
Simple irrigation through a catheter is distinct from cystoscopic evacuation of multiple obstructing clots. Select the service that matches the documented method and work performed.
Should 52001 be reported once for each clot?
No. The code represents the cystoscopic clot-evacuation procedure, not a separate unit for every clot removed.
How are related endoscopies priced when performed together?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Document each distinct procedure performed during the session.
Can modifier 50 or an assistant-at-surgery claim be used?
No. Modifier 50 is inappropriate for this code, and Medicare does not pay an assistant at surgery for it.
Are co-surgeons or team surgery allowed?
CMS does not permit co-surgeons or team surgery for this service.
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
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