No office rate
Both describe endoscopic lithotripsy of a ureteral or renal stone. 52356 includes insertion of an indwelling ureteral stent; 52353 does not.
On this page
CMS RVU26D · Effective 2026-10-01
52356 in Redding
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$360.46
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 52356: Ureteroscopic lithotripsy with stent placement
Reports ureteroscopic or pyeloscopic fragmentation of a ureteral or kidney stone when an indwelling ureteral stent is also inserted during the procedure.
A urologist advances an endoscope through the bladder into the ureter and, when needed, the kidney to locate and fragment a stone. The procedure is used for ureteral or renal calculi treated endoscopically, commonly in an operating room or ambulatory surgery setting. An indwelling ureteral stent is inserted during the same procedure to support drainage after treatment.
Report this code when the documented service includes both lithotripsy and stent insertion; the stent placement is included, rather than separately reported as a second procedure. The operative note should identify the treated side and stone location, document fragmentation, and confirm stent placement. This minor procedure 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. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services are not paid, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52356
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU7.80 · 71%
- Practice expense (office) RVU2.11 · 19%
- Malpractice RVU1.02 · 9%
98.2K
Medicare services in 2024 · #567 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.
52356 compared with similar codes
Office rates for Redding, from the same CMS release.
No office rate
52352 represents ureteroscopic stone removal without lithotripsy. Choose 52356 when fragmentation and stent insertion are performed.
$394.55
52332 describes ureteral stent insertion without the lithotripsy service. Stent insertion performed as part of 52356 is included in that code.
No office rate
52351 is diagnostic ureteroscopy or pyeloscopy. It does not represent stone fragmentation with stent insertion.
The same code, a different location
How does Redding compare?
52356 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 · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Merced
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Modesto
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Napa
California · 52356
Office
Unavailable
Facility
$387.13
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52356
Office
Unavailable
Facility
$372.35
No comparable office rate is available.
Rest Of California
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52356
Office
Unavailable
Facility
$371.52
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52356
Office
Unavailable
Facility
$370.13
No comparable office rate is available.
Salinas
California · 52356
Office
Unavailable
Facility
$368.55
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52356
Office
Unavailable
Facility
$371.10
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52356
Office
Unavailable
Facility
$400.29
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52356
Office
Unavailable
Facility
$399.13
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52356
Office
Unavailable
Facility
$409.07
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52356
Office
Unavailable
Facility
$404.34
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52356
Office
Unavailable
Facility
$363.49
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52356
Office
Unavailable
Facility
$369.89
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52356
Office
Unavailable
Facility
$368.26
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52356
Office
Unavailable
Facility
$373.15
No comparable office rate is available.
Stockton
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Vallejo
California · 52356
Office
Unavailable
Facility
$385.47
No comparable office rate is available.
Visalia
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Yuba City
California · 52356
Office
Unavailable
Facility
$360.46
No comparable office rate is available.
Dc + Md/Va Suburbs
District of Columbia · 52356
Office
Unavailable
Facility
$395.53
No comparable office rate is available.
Miami
Florida · 52356
Office
Unavailable
Facility
$420.05
No comparable office rate is available.
Chicago
Illinois · 52356
Office
Unavailable
Facility
$411.37
No comparable office rate is available.
Manhattan
New York · 52356
Office
Unavailable
Facility
$413.13
No comparable office rate is available.
Alaska*
Alaska · 52356
Office
Unavailable
Facility
$484.62
No comparable office rate is available.
Alabama
Alabama · 52356
Office
Unavailable
Facility
$341.48
No comparable office rate is available.
Arkansas
Arkansas · 52356
Office
Unavailable
Facility
$338.61
No comparable office rate is available.
Arizona
Arizona · 52356
Office
Unavailable
Facility
$357.98
No comparable office rate is available.
Colorado
Colorado · 52356
Office
Unavailable
Facility
$365.25
No comparable office rate is available.
Connecticut
Connecticut · 52356
Office
Unavailable
Facility
$382.86
No comparable office rate is available.
Delaware
Delaware · 52356
Office
Unavailable
Facility
$362.09
No comparable office rate is available.
Fort Lauderdale
Florida · 52356
Office
Unavailable
Facility
$393.52
No comparable office rate is available.
Rest Of Florida
Florida · 52356
Office
Unavailable
Facility
$379.11
No comparable office rate is available.
Atlanta
Georgia · 52356
Office
Unavailable
Facility
$373.83
No comparable office rate is available.
Rest Of Georgia
Georgia · 52356
Office
Unavailable
Facility
$364.00
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52356
Office
Unavailable
Facility
$360.38
No comparable office rate is available.
Iowa
Iowa · 52356
Office
Unavailable
Facility
$338.54
No comparable office rate is available.
Idaho
Idaho · 52356
Office
Unavailable
Facility
$341.48
No comparable office rate is available.
East St. Louis
Illinois · 52356
Office
Unavailable
Facility
$393.98
No comparable office rate is available.
Rest Of Illinois
Illinois · 52356
Office
Unavailable
Facility
$378.12
No comparable office rate is available.
Suburban Chicago
Illinois · 52356
Office
Unavailable
Facility
$395.10
No comparable office rate is available.
Indiana
Indiana · 52356
Office
Unavailable
Facility
$342.42
No comparable office rate is available.
Kansas
Kansas · 52356
Office
Unavailable
Facility
$341.41
No comparable office rate is available.
Kentucky
Kentucky · 52356
Office
Unavailable
Facility
$354.35
No comparable office rate is available.
New Orleans
Louisiana · 52356
Office
Unavailable
Facility
$365.55
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52356
Office
Unavailable
Facility
$355.54
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52356
Office
Unavailable
Facility
$385.68
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52356
Office
Unavailable
Facility
$366.06
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52356
Office
Unavailable
Facility
$382.46
No comparable office rate is available.
Rest Of Maryland
Maryland · 52356
Office
Unavailable
Facility
$365.73
No comparable office rate is available.
Rest Of Maine
Maine · 52356
Office
Unavailable
Facility
$346.56
No comparable office rate is available.
Southern Maine
Maine · 52356
Office
Unavailable
Facility
$351.87
No comparable office rate is available.
Detroit
Michigan · 52356
Office
Unavailable
Facility
$385.98
No comparable office rate is available.
Rest Of Michigan
Michigan · 52356
Office
Unavailable
Facility
$363.34
No comparable office rate is available.
Minnesota
Minnesota · 52356
Office
Unavailable
Facility
$343.13
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52356
Office
Unavailable
Facility
$359.99
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52356
Office
Unavailable
Facility
$361.76
No comparable office rate is available.
Rest Of Missouri
Missouri · 52356
Office
Unavailable
Facility
$354.46
No comparable office rate is available.
Mississippi
Mississippi · 52356
Office
Unavailable
Facility
$346.38
No comparable office rate is available.
Montana**
Montana · 52356
Office
Unavailable
Facility
$365.00
No comparable office rate is available.
North Carolina
North Carolina · 52356
Office
Unavailable
Facility
$348.05
No comparable office rate is available.
North Dakota**
North Dakota · 52356
Office
Unavailable
Facility
$344.83
No comparable office rate is available.
Nebraska
Nebraska · 52356
Office
Unavailable
Facility
$338.45
No comparable office rate is available.
New Hampshire
New Hampshire · 52356
Office
Unavailable
Facility
$363.70
No comparable office rate is available.
Northern Nj
New Jersey · 52356
Office
Unavailable
Facility
$395.08
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52356
Office
Unavailable
Facility
$385.28
No comparable office rate is available.
New Mexico
New Mexico · 52356
Office
Unavailable
Facility
$366.07
No comparable office rate is available.
Nevada**
Nevada · 52356
Office
Unavailable
Facility
$359.45
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52356
Office
Unavailable
Facility
$424.26
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52356
Office
Unavailable
Facility
$390.65
No comparable office rate is available.
Queens
New York · 52356
Office
Unavailable
Facility
$409.63
No comparable office rate is available.
Rest Of New York
New York · 52356
Office
Unavailable
Facility
$351.43
No comparable office rate is available.
Ohio
Ohio · 52356
Office
Unavailable
Facility
$359.21
No comparable office rate is available.
Oklahoma
Oklahoma · 52356
Office
Unavailable
Facility
$349.93
No comparable office rate is available.
Portland
Oregon · 52356
Office
Unavailable
Facility
$368.34
No comparable office rate is available.
Rest Of Oregon
Oregon · 52356
Office
Unavailable
Facility
$354.67
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52356
Office
Unavailable
Facility
$379.23
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52356
Office
Unavailable
Facility
$357.42
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52356
Office
Unavailable
Facility
$365.34
No comparable office rate is available.
Rhode Island
Rhode Island · 52356
Office
Unavailable
Facility
$368.67
No comparable office rate is available.
South Carolina
South Carolina · 52356
Office
Unavailable
Facility
$354.61
No comparable office rate is available.
South Dakota**
South Dakota · 52356
Office
Unavailable
Facility
$342.45
No comparable office rate is available.
Tennessee
Tennessee · 52356
Office
Unavailable
Facility
$342.88
No comparable office rate is available.
Austin
Texas · 52356
Office
Unavailable
Facility
$365.80
No comparable office rate is available.
Beaumont
Texas · 52356
Office
Unavailable
Facility
$356.31
No comparable office rate is available.
Brazoria
Texas · 52356
Office
Unavailable
Facility
$359.03
No comparable office rate is available.
Dallas
Texas · 52356
Office
Unavailable
Facility
$362.30
No comparable office rate is available.
Fort Worth
Texas · 52356
Office
Unavailable
Facility
$362.04
No comparable office rate is available.
Galveston
Texas · 52356
Office
Unavailable
Facility
$360.80
No comparable office rate is available.
Houston
Texas · 52356
Office
Unavailable
Facility
$379.47
No comparable office rate is available.
Rest Of Texas
Texas · 52356
Office
Unavailable
Facility
$358.17
No comparable office rate is available.
Utah
Utah · 52356
Office
Unavailable
Facility
$357.37
No comparable office rate is available.
Virginia
Virginia · 52356
Office
Unavailable
Facility
$353.86
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52356
Office
Unavailable
Facility
$365.34
No comparable office rate is available.
Vermont
Vermont · 52356
Office
Unavailable
Facility
$347.54
No comparable office rate is available.
Rest Of Washington
Washington · 52356
Office
Unavailable
Facility
$364.05
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52356
Office
Unavailable
Facility
$387.86
No comparable office rate is available.
Wisconsin
Wisconsin · 52356
Office
Unavailable
Facility
$338.54
No comparable office rate is available.
West Virginia
West Virginia · 52356
Office
Unavailable
Facility
$370.52
No comparable office rate is available.
Wyoming**
Wyoming · 52356
Office
Unavailable
Facility
$356.21
No comparable office rate is available.
See how rates vary across the country
52356 · 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 52356 in Redding. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$396.51
$360.46 × 110% = $396.51
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 52356 in Redding.
PPRRVU2026_Oct_nonQPP.csv
6,155
- Code
- 52356
- Physician work
- 7.80
- Practice expense
- 2.11
- Malpractice
- 1.02
GPCI2026.csv
19
- Locality
- Redding
- Physician work
- 1.017
- Practice expense
- 1.096
- Malpractice
- 0.536
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 7.80 | × 1.017 | 7.9326 |
| Practice expense | 2.11 | × 1.096 | 2.3126 |
| Malpractice | 1.02 | × 0.536 | 0.5467 |
| Total RVUs | 10.7919 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Redding$360.46
Open 52356 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 7.8 | 1.017 |
| Practice expense | 2.11 | 1.096 |
| Malpractice | 1.02 | 0.536 |
(7.8 × 1.017 + 2.11 × 1.096 + 1.02 × 0.536) × $33.4009 = $360.46
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
52356 · 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 | $360.46 | RVU26D |
| 2026-07-01 | Not available in this setting | $360.46 | RVU26C |
| 2026-04-01 | Not available in this setting | $360.46 | RVU26B |
| 2026-01-01 | Not available in this setting | $360.46 | RVU26A |
| 2025-10-01 | Not available in this setting | $398.40 | RVU25D |
| 2025-07-01 | Not available in this setting | $398.40 | RVU25C |
| 2025-04-01 | Not available in this setting | $398.40 | RVU25B |
| 2025-01-01 | Not available in this setting | $398.40 | RVU25A |
52356 billing questions
How is this different from 52353?
Both include ureteroscopic or pyeloscopic lithotripsy. Use 52356 when an indwelling ureteral stent is also inserted during the procedure; 52353 is the lithotripsy code without that included stent placement.
Can 52332 be reported separately for the stent?
No. Stent insertion is included in 52356 when performed as part of the lithotripsy procedure.
When does 52352 fit instead?
52352 is for ureteroscopic stone removal without lithotripsy. Use 52356 when the stone is fragmented and a stent is inserted.
How should bilateral treatment be reported?
For a bilateral procedure, report modifier 50; CMS pays 150% under the supplied bilateral rule.
What should the operative note support?
Document the treated side and stone location, that lithotripsy was performed, and that an indwelling ureteral stent was inserted.
How does CMS price related endoscopies performed together?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The payment reflects that family pricing rule.
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.
6,15252353,,Cystouretero w/lithotripsy,A,,7.31,2.05,NA,2.05,,0.93,10.29,10.29,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15352354,,Cystouretero w/biopsy,A,,7.80,2.15,NA,2.15,,1.02,10.97,10.97,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15452355,,Cystouretero w/excise tumor,A,,8.78,2.36,NA,2.36,,1.13,12.27,12.27,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15552356,,Cysto/uretero w/lithotripsy,A,,7.80,2.11,NA,2.11,,1.02,10.93,10.93,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15652400,,Cysto cgen post urtl valves,A,,8.47,3.26,NA,3.26,,1.09,12.82,12.82,0,090,0.08,0.83,0.09,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,15752402,,Cysto trurl rescj ejacul dux,A,,5.14,1.12,NA,1.12,,0.65,6.91,6.91,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,15852441,,Cysto insj trnsprstc 1 implt,A,,3.90,32.90,,1.13,,0.48,37.28,5.51,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
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