No office rate
52235 is for the medium-size tumor category; 52240 is for tumors over 5 cm. Base the selection on the documented tumor size and operative findings.
On this page
CMS RVU26D · Effective 2026-10-01
52240 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$340.36
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 52240: Large bladder tumor endoscopic treatment
Reports endoscopic removal or destruction of a large bladder tumor, with selection based on the documented tumor size and treatment performed.
A urologist performs this service through a cystoscope to remove or destroy a large bladder tumor, commonly using a resection instrument, cautery, or laser. It is typically performed in a facility operating room, although selected cases may be treated in an office setting. The procedure treats the tumor rather than merely obtaining a diagnostic tissue sample, and removed tissue may be submitted for pathologic examination.
Choose this code when the operative findings and documentation support the large-tumor size category; record the tumor size and whether it was resected, fulgurated, or treated by another method covered by the code. Medicare 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 anatomy. Medicare does not pay an assistant at surgery under the statutory restriction, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 52240
- 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 RVU7.31 · 71%
- Practice expense (office) RVU2.05 · 20%
- Malpractice RVU0.95 · 9%
20.7K
Medicare services in 2024 · #1135 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.
52240 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
52234 represents the small-tumor category, while 52240 represents the large-tumor category. The treatment method alone does not establish the size level.
$376.47
52204 reports cystoscopic biopsy for diagnostic sampling. Use 52240 when the service includes treatment of a large bladder tumor rather than biopsy alone.
The same code, a different location
How does Redding compare?
52240 across payment areas
Same release and payment basis · bars start at $0
Redding · 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 · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Merced
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Modesto
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Napa
California · 52240
Office
Unavailable
Facility
$365.91
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52240
Office
Unavailable
Facility
$351.70
No comparable office rate is available.
Rest Of California
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52240
Office
Unavailable
Facility
$350.67
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52240
Office
Unavailable
Facility
$349.59
No comparable office rate is available.
Salinas
California · 52240
Office
Unavailable
Facility
$348.10
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52240
Office
Unavailable
Facility
$350.58
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52240
Office
Unavailable
Facility
$378.47
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52240
Office
Unavailable
Facility
$377.39
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52240
Office
Unavailable
Facility
$386.76
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52240
Office
Unavailable
Facility
$382.35
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52240
Office
Unavailable
Facility
$343.31
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52240
Office
Unavailable
Facility
$349.49
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52240
Office
Unavailable
Facility
$347.84
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52240
Office
Unavailable
Facility
$352.58
No comparable office rate is available.
Stockton
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Vallejo
California · 52240
Office
Unavailable
Facility
$364.35
No comparable office rate is available.
Visalia
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Yuba City
California · 52240
Office
Unavailable
Facility
$340.36
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 52240
Office
Unavailable
Facility
$373.32
No comparable office rate is available.
Miami
Florida · 52240
Office
Unavailable
Facility
$395.69
No comparable office rate is available.
Chicago
Illinois · 52240
Office
Unavailable
Facility
$387.51
No comparable office rate is available.
Manhattan
New York · 52240
Office
Unavailable
Facility
$389.68
No comparable office rate is available.
Alaska*
Alaska · 52240
Office
Unavailable
Facility
$456.65
No comparable office rate is available.
Alabama
Alabama · 52240
Office
Unavailable
Facility
$322.03
No comparable office rate is available.
Arkansas
Arkansas · 52240
Office
Unavailable
Facility
$319.32
No comparable office rate is available.
Arizona
Arizona · 52240
Office
Unavailable
Facility
$337.67
No comparable office rate is available.
Colorado
Colorado · 52240
Office
Unavailable
Facility
$344.73
No comparable office rate is available.
Connecticut
Connecticut · 52240
Office
Unavailable
Facility
$361.18
No comparable office rate is available.
Delaware
Delaware · 52240
Office
Unavailable
Facility
$341.56
No comparable office rate is available.
Fort Lauderdale
Florida · 52240
Office
Unavailable
Facility
$370.89
No comparable office rate is available.
Rest Of Florida
Florida · 52240
Office
Unavailable
Facility
$357.31
No comparable office rate is available.
Atlanta
Georgia · 52240
Office
Unavailable
Facility
$352.57
No comparable office rate is available.
Rest Of Georgia
Georgia · 52240
Office
Unavailable
Facility
$343.06
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52240
Office
Unavailable
Facility
$340.39
No comparable office rate is available.
Iowa
Iowa · 52240
Office
Unavailable
Facility
$319.41
No comparable office rate is available.
Idaho
Idaho · 52240
Office
Unavailable
Facility
$322.16
No comparable office rate is available.
East St. Louis
Illinois · 52240
Office
Unavailable
Facility
$371.06
No comparable office rate is available.
Rest Of Illinois
Illinois · 52240
Office
Unavailable
Facility
$356.27
No comparable office rate is available.
Suburban Chicago
Illinois · 52240
Office
Unavailable
Facility
$372.42
No comparable office rate is available.
Indiana
Indiana · 52240
Office
Unavailable
Facility
$323.06
No comparable office rate is available.
Kansas
Kansas · 52240
Office
Unavailable
Facility
$322.05
No comparable office rate is available.
Kentucky
Kentucky · 52240
Office
Unavailable
Facility
$334.07
No comparable office rate is available.
New Orleans
Louisiana · 52240
Office
Unavailable
Facility
$344.64
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52240
Office
Unavailable
Facility
$335.16
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52240
Office
Unavailable
Facility
$364.17
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52240
Office
Unavailable
Facility
$345.46
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52240
Office
Unavailable
Facility
$360.79
No comparable office rate is available.
Rest Of Maryland
Maryland · 52240
Office
Unavailable
Facility
$345.02
No comparable office rate is available.
Rest Of Maine
Maine · 52240
Office
Unavailable
Facility
$326.89
No comparable office rate is available.
Southern Maine
Maine · 52240
Office
Unavailable
Facility
$332.04
No comparable office rate is available.
Detroit
Michigan · 52240
Office
Unavailable
Facility
$363.73
No comparable office rate is available.
Rest Of Michigan
Michigan · 52240
Office
Unavailable
Facility
$342.50
No comparable office rate is available.
Minnesota
Minnesota · 52240
Office
Unavailable
Facility
$324.01
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52240
Office
Unavailable
Facility
$339.46
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52240
Office
Unavailable
Facility
$341.14
No comparable office rate is available.
Rest Of Missouri
Missouri · 52240
Office
Unavailable
Facility
$334.09
No comparable office rate is available.
Mississippi
Mississippi · 52240
Office
Unavailable
Facility
$326.56
No comparable office rate is available.
Montana**
Montana · 52240
Office
Unavailable
Facility
$344.30
No comparable office rate is available.
North Carolina
North Carolina · 52240
Office
Unavailable
Facility
$328.32
No comparable office rate is available.
North Dakota**
North Dakota · 52240
Office
Unavailable
Facility
$325.52
No comparable office rate is available.
Nebraska
Nebraska · 52240
Office
Unavailable
Facility
$319.35
No comparable office rate is available.
New Hampshire
New Hampshire · 52240
Office
Unavailable
Facility
$343.20
No comparable office rate is available.
Northern Nj
New Jersey · 52240
Office
Unavailable
Facility
$372.86
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52240
Office
Unavailable
Facility
$363.51
No comparable office rate is available.
New Mexico
New Mexico · 52240
Office
Unavailable
Facility
$345.06
No comparable office rate is available.
Nevada**
Nevada · 52240
Office
Unavailable
Facility
$339.13
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52240
Office
Unavailable
Facility
$400.12
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52240
Office
Unavailable
Facility
$368.52
No comparable office rate is available.
Queens
New York · 52240
Office
Unavailable
Facility
$386.48
No comparable office rate is available.
Rest Of New York
New York · 52240
Office
Unavailable
Facility
$331.52
No comparable office rate is available.
Ohio
Ohio · 52240
Office
Unavailable
Facility
$338.66
No comparable office rate is available.
Oklahoma
Oklahoma · 52240
Office
Unavailable
Facility
$329.96
No comparable office rate is available.
Portland
Oregon · 52240
Office
Unavailable
Facility
$347.75
No comparable office rate is available.
Rest Of Oregon
Oregon · 52240
Office
Unavailable
Facility
$334.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52240
Office
Unavailable
Facility
$357.69
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52240
Office
Unavailable
Facility
$337.00
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52240
Office
Unavailable
Facility
$344.64
No comparable office rate is available.
Rhode Island
Rhode Island · 52240
Office
Unavailable
Facility
$347.83
No comparable office rate is available.
South Carolina
South Carolina · 52240
Office
Unavailable
Facility
$334.40
No comparable office rate is available.
South Dakota**
South Dakota · 52240
Office
Unavailable
Facility
$323.29
No comparable office rate is available.
Tennessee
Tennessee · 52240
Office
Unavailable
Facility
$323.44
No comparable office rate is available.
Austin
Texas · 52240
Office
Unavailable
Facility
$345.21
No comparable office rate is available.
Beaumont
Texas · 52240
Office
Unavailable
Facility
$335.95
No comparable office rate is available.
Brazoria
Texas · 52240
Office
Unavailable
Facility
$338.72
No comparable office rate is available.
Dallas
Texas · 52240
Office
Unavailable
Facility
$341.78
No comparable office rate is available.
Fort Worth
Texas · 52240
Office
Unavailable
Facility
$341.51
No comparable office rate is available.
Galveston
Texas · 52240
Office
Unavailable
Facility
$340.38
No comparable office rate is available.
Houston
Texas · 52240
Office
Unavailable
Facility
$357.77
No comparable office rate is available.
Rest Of Texas
Texas · 52240
Office
Unavailable
Facility
$337.79
No comparable office rate is available.
Utah
Utah · 52240
Office
Unavailable
Facility
$337.02
No comparable office rate is available.
Virginia
Virginia · 52240
Office
Unavailable
Facility
$333.87
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52240
Office
Unavailable
Facility
$344.64
No comparable office rate is available.
Vermont
Vermont · 52240
Office
Unavailable
Facility
$328.00
No comparable office rate is available.
Rest Of Washington
Washington · 52240
Office
Unavailable
Facility
$343.58
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52240
Office
Unavailable
Facility
$366.31
No comparable office rate is available.
Wisconsin
Wisconsin · 52240
Office
Unavailable
Facility
$319.53
No comparable office rate is available.
West Virginia
West Virginia · 52240
Office
Unavailable
Facility
$349.07
No comparable office rate is available.
Wyoming**
Wyoming · 52240
Office
Unavailable
Facility
$336.11
No comparable office rate is available.
See how rates vary across the country
52240 · 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?
Redding is a Medicare payment area. Our Census mapping connects it to 32 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 52240 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$374.40
$340.36 × 110% = $374.40
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 52240 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,116
- Code
- 52240
- Physician work
- 7.31
- Practice expense
- 2.05
- Malpractice
- 0.95
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.31 | × 1.017 | 7.4343 |
| Practice expense | 2.05 | × 1.096 | 2.2468 |
| Malpractice | 0.95 | × 0.536 | 0.5092 |
| Total RVUs | 10.1903 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$340.36
Open 52240 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.31 | 1.017 |
| Practice expense | 2.05 | 1.096 |
| Malpractice | 0.95 | 0.536 |
(7.31 × 1.017 + 2.05 × 1.096 + 0.95 × 0.536) × $33.4009 = $340.36
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
52240 · 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 | $340.36 | RVU26D |
| 2026-07-01 | Not available in this setting | $340.36 | RVU26C |
| 2026-04-01 | Not available in this setting | $340.36 | RVU26B |
| 2026-01-01 | Not available in this setting | $340.36 | RVU26A |
| 2025-10-01 | Not available in this setting | $375.61 | RVU25D |
| 2025-07-01 | Not available in this setting | $375.61 | RVU25C |
| 2025-04-01 | Not available in this setting | $375.61 | RVU25B |
| 2025-01-01 | Not available in this setting | $375.61 | RVU25A |
52240 billing questions
How is this code distinguished from 52235?
Use the large-tumor category for tumors over 5 cm; 52235 represents the medium-size category. The operative report should support the size classification.
When would 52204 be more appropriate?
52204 is for cystoscopic biopsy when the service is diagnostic sampling rather than the large-tumor treatment reported here.
Can modifier 50 be reported?
No. CMS identifies bilateral adjustment as inappropriate for this service.
How are related endoscopies paid in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together, so payment is coordinated under that pricing rule.
What documentation supports reporting this code?
Document the tumor size, cystoscopic findings, and treatment performed, such as resection or fulguration. The record should support the large-tumor category.
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.
6,11352224,,Cystoscopy and treatment,A,,3.95,18.32,,0.82,,0.49,22.76,5.26,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11452234,,Cystoscopy and treatment,A,,4.50,1.42,NA,1.42,,0.57,6.49,6.49,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11552235,,Cystoscopy and treatment,A,,5.30,1.64,NA,1.64,,0.68,7.62,7.62,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11652240,,Cystoscopy and treatment,A,,7.31,2.05,NA,2.05,,0.95,10.31,10.31,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11752250,,Cystoscopy and radiotracer,A,,4.38,1.40,NA,1.40,,0.56,6.34,6.34,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11852260,,Cystoscopy and treatment,A,,3.81,1.24,NA,1.24,,0.51,5.56,5.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11952265,,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
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
2001112,CA,62,RIVERSIDE-SAN BERNARDINO-ONTARIO,1.018,1.096,0.853
2101112,CA,63,SACRAMENTO-ROSEVILLE-FOLSOM,1.036,1.163,0.536
2201112,CA,64,SALINAS,1.031,1.159,0.536