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CMS RVU26D · Effective 2026-10-01

52001 in Salinas

Office / nonfacility

$449.41

Base rate per service

Facility setting

$256.24

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 52001: Cystoscopic evacuation of bladder clots

Reports cystoscopic irrigation and removal of multiple obstructing bladder clots, typically for gross hematuria causing clot retention or impaired bladder drainage.

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.

CMS billing rules for 52001

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 RVU5.30 · 42%
  • Practice expense (office) RVU6.58 · 52%
  • Malpractice RVU0.68 · 5%

12.7K

Medicare services in 2024 · #1353 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.

52001 compared with similar codes

Office rates for Salinas, from the same CMS release.

52000

Cystoscopy

Diagnostic examination only

$239.55

52000 represents cystourethroscopy without the clot-irrigation and evacuation service. Use 52001 when multiple obstructing clots are actively irrigated and evacuated.

51700

Bladder irrigation

Simple lavage or instillation

$86.61

51700 describes bladder irrigation by instillation. It does not represent cystoscopic evacuation of multiple obstructing clots.

52005

Ureteral catheterization

Cystoscopic access

$309.27

52005 includes ureteral catheterization during cystourethroscopy. It is not the code for evacuating multiple obstructing bladder clots.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 52001 is $435.10—$14.31 lower than the $449.41 rate in Salinas. Both use the same code, release and participation basis.

52001 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $449.41

  2. Bakersfield

    $435.10

    $14.31 lower than Salinas

  3. Chico

    $433.08

    $16.33 lower than Salinas

  4. El Centro

    $433.20

    $16.21 lower than Salinas

  5. Fresno

    $433.08

    $16.33 lower than Salinas

  6. Hanford-Corcoran

    $433.08

    $16.33 lower than Salinas

  7. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $459.36

    $9.95 higher than Salinas

Other payment areas listed in California appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 52001 ranges from $377.51 in Arkansas to $525.59 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

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 · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Merced

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Modesto

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Napa

    California · 52001

    Office

    $489.38

    Facility

    $269.71

    $39.97 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 52001

    Office

    $455.91

    Facility

    $258.90

    $6.50 higher than Salinas for the office setting.

  • Redding

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Rest Of California

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 52001

    Office

    $440.46

    Facility

    $257.79

    $8.95 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 52001

    Office

    $451.17

    Facility

    $257.34

    $1.76 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 52001

    Office

    $457.50

    Facility

    $258.16

    $8.09 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 52001

    Office

    $514.15

    Facility

    $279.15

    $64.74 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 52001

    Office

    $513.38

    Facility

    $278.38

    $63.97 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 52001

    Office

    $525.59

    Facility

    $285.25

    $76.18 higher than Salinas for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 52001

    Office

    $522.43

    Facility

    $282.10

    $73.02 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 52001

    Office

    $442.54

    Facility

    $252.70

    $6.87 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 52001

    Office

    $459.95

    Facility

    $257.44

    $10.54 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 52001

    Office

    $450.42

    Facility

    $256.08

    $1.01 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 52001

    Office

    $464.40

    Facility

    $259.73

    $14.99 higher than Salinas for the office setting.

  • Stockton

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Vallejo

    California · 52001

    Office

    $488.27

    Facility

    $268.60

    $38.86 higher than Salinas for the office setting.

  • Visalia

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Yuba City

    California · 52001

    Office

    $433.08

    Facility

    $250.41

    $16.33 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 52001

    Office

    $470.76

    Facility

    $274.42

    $21.35 higher than Salinas for the office setting.

  • Miami

    Florida · 52001

    Office

    $463.25

    Facility

    $289.75

    $13.84 higher than Salinas for the office setting.

  • Chicago

    Illinois · 52001

    Office

    $451.27

    Facility

    $283.76

    $1.86 higher than Salinas for the office setting.

  • Manhattan

    New York · 52001

    Office

    $479.76

    Facility

    $286.09

    $30.35 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 52001

    Office

    $512.12

    Facility

    $334.61

    $62.71 higher than Salinas for the office setting.

  • Alabama

    Alabama · 52001

    Office

    $382.19

    Facility

    $236.35

    $67.22 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 52001

    Office

    $377.51

    Facility

    $234.34

    $71.90 lower than Salinas for the office setting.

  • Arizona

    Arizona · 52001

    Office

    $409.43

    Facility

    $247.93

    $39.98 lower than Salinas for the office setting.

  • Colorado

    Colorado · 52001

    Office

    $430.73

    Facility

    $253.39

    $18.68 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 52001

    Office

    $444.75

    Facility

    $265.24

    $4.66 lower than Salinas for the office setting.

  • Delaware

    Delaware · 52001

    Office

    $415.47

    Facility

    $250.80

    $33.94 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 52001

    Office

    $440.72

    Facility

    $271.89

    $8.69 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 52001

    Office

    $421.27

    Facility

    $261.93

    $28.14 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 52001

    Office

    $428.13

    Facility

    $258.79

    $21.28 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 52001

    Office

    $400.14

    Facility

    $251.47

    $49.27 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 52001

    Office

    $440.06

    Facility

    $250.56

    $9.35 lower than Salinas for the office setting.

  • Iowa

    Iowa · 52001

    Office

    $387.14

    Facility

    $234.63

    $62.27 lower than Salinas for the office setting.

  • Idaho

    Idaho · 52001

    Office

    $389.96

    Facility

    $236.63

    $59.45 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 52001

    Office

    $424.96

    Facility

    $271.63

    $24.45 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 52001

    Office

    $413.18

    Facility

    $261.01

    $36.23 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 52001

    Office

    $444.22

    Facility

    $273.05

    $5.19 lower than Salinas for the office setting.

  • Indiana

    Indiana · 52001

    Office

    $391.80

    Facility

    $237.29

    $57.61 lower than Salinas for the office setting.

  • Kansas

    Kansas · 52001

    Office

    $387.15

    Facility

    $236.48

    $62.26 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 52001

    Office

    $393.19

    Facility

    $245.02

    $56.22 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 52001

    Office

    $409.64

    Facility

    $252.80

    $39.77 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 52001

    Office

    $393.29

    Facility

    $245.78

    $56.12 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 52001

    Office

    $466.91

    Facility

    $267.91

    $17.50 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 52001

    Office

    $429.39

    Facility

    $253.88

    $20.02 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 52001

    Office

    $443.77

    Facility

    $264.94

    $5.64 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 52001

    Office

    $422.06

    Facility

    $253.39

    $27.35 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 52001

    Office

    $393.35

    Facility

    $240.01

    $56.06 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 52001

    Office

    $409.16

    Facility

    $243.99

    $40.25 lower than Salinas for the office setting.

  • Detroit

    Michigan · 52001

    Office

    $427.40

    Facility

    $266.57

    $22.01 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 52001

    Office

    $403.32

    Facility

    $251.15

    $46.09 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 52001

    Office

    $409.90

    Facility

    $238.40

    $39.51 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 52001

    Office

    $405.59

    Facility

    $249.08

    $43.82 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 52001

    Office

    $409.01

    Facility

    $250.34

    $40.40 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 52001

    Office

    $388.60

    Facility

    $244.93

    $60.81 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 52001

    Office

    $383.04

    Facility

    $239.53

    $66.37 lower than Salinas for the office setting.

  • Montana**

    Montana · 52001

    Office

    $419.47

    Facility

    $252.80

    $29.94 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 52001

    Office

    $396.59

    Facility

    $241.09

    $52.82 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 52001

    Office

    $406.02

    Facility

    $239.35

    $43.39 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 52001

    Office

    $388.47

    Facility

    $234.63

    $60.94 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 52001

    Office

    $425.69

    Facility

    $252.18

    $23.72 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 52001

    Office

    $467.38

    Facility

    $274.04

    $17.97 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 52001

    Office

    $449.02

    Facility

    $267.01

    $0.39 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 52001

    Office

    $405.84

    Facility

    $253.00

    $43.57 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 52001

    Office

    $415.94

    Facility

    $249.10

    $33.47 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 52001

    Office

    $491.85

    Facility

    $293.68

    $42.44 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 52001

    Office

    $453.13

    Facility

    $270.63

    $3.72 higher than Salinas for the office setting.

  • Queens

    New York · 52001

    Office

    $480.88

    Facility

    $283.88

    $31.47 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 52001

    Office

    $401.78

    Facility

    $243.44

    $47.63 lower than Salinas for the office setting.

  • Ohio

    Ohio · 52001

    Office

    $400.58

    Facility

    $248.41

    $48.83 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 52001

    Office

    $390.93

    Facility

    $242.10

    $58.48 lower than Salinas for the office setting.

  • Portland

    Oregon · 52001

    Office

    $440.93

    Facility

    $255.76

    $8.48 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 52001

    Office

    $411.89

    Facility

    $245.89

    $37.52 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 52001

    Office

    $436.10

    Facility

    $262.59

    $13.31 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 52001

    Office

    $400.24

    Facility

    $247.24

    $49.17 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 52001

    Office

    $421.59

    Facility

    $253.09

    $27.82 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 52001

    Office

    $427.68

    Facility

    $255.51

    $21.73 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 52001

    Office

    $399.41

    Facility

    $245.40

    $50.00 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 52001

    Office

    $404.43

    Facility

    $237.76

    $44.98 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 52001

    Office

    $389.00

    Facility

    $237.50

    $60.41 lower than Salinas for the office setting.

  • Austin

    Texas · 52001

    Office

    $430.03

    Facility

    $253.69

    $19.38 lower than Salinas for the office setting.

  • Beaumont

    Texas · 52001

    Office

    $398.12

    Facility

    $246.45

    $51.29 lower than Salinas for the office setting.

  • Brazoria

    Texas · 52001

    Office

    $413.96

    Facility

    $248.79

    $35.45 lower than Salinas for the office setting.

  • Dallas

    Texas · 52001

    Office

    $417.00

    Facility

    $251.00

    $32.41 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 52001

    Office

    $415.10

    Facility

    $250.76

    $34.31 lower than Salinas for the office setting.

  • Galveston

    Texas · 52001

    Office

    $415.49

    Facility

    $249.98

    $33.92 lower than Salinas for the office setting.

  • Houston

    Texas · 52001

    Office

    $427.93

    Facility

    $262.43

    $21.48 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 52001

    Office

    $406.10

    Facility

    $247.93

    $43.31 lower than Salinas for the office setting.

  • Utah

    Utah · 52001

    Office

    $404.01

    Facility

    $247.34

    $45.40 lower than Salinas for the office setting.

  • Virginia

    Virginia · 52001

    Office

    $409.10

    Facility

    $245.26

    $40.31 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 52001

    Office

    $421.59

    Facility

    $253.09

    $27.82 lower than Salinas for the office setting.

  • Vermont

    Vermont · 52001

    Office

    $406.10

    Facility

    $241.09

    $43.31 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 52001

    Office

    $428.04

    Facility

    $252.53

    $21.37 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 52001

    Office

    $474.10

    Facility

    $269.60

    $24.69 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 52001

    Office

    $394.57

    Facility

    $234.90

    $54.84 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 52001

    Office

    $400.51

    Facility

    $255.68

    $48.90 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 52001

    Office

    $413.61

    Facility

    $246.94

    $35.80 lower than Salinas for the office setting.

See how rates vary across the country

52001 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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 all state and territory rates as a table
State / territoryRate rangeLocalities
AK$512.121
AL$382.191
AR$377.511
AZ$409.431
CA$433.08–$525.5929
CO$430.731
CT$444.751
DC$470.761
DE$415.471
FL$421.27–$463.253
GA$400.14–$428.132
GU$440.061
HI$440.061
IA$387.141
ID$389.961
IL$413.18–$451.274
IN$391.801
KS$387.151
KY$393.191
LA$393.29–$409.642
MA$429.39–$466.912
MD$422.06–$470.763
ME$393.35–$409.162
MI$403.32–$427.402
MN$409.901
MO$388.60–$409.013
MS$383.041
MT$419.471
NC$396.591
ND$406.021
NE$388.471
NH$425.691
NJ$449.02–$467.382
NM$405.841
NV$415.941
NY$401.78–$491.855
OH$400.581
OK$390.931
OR$411.89–$440.932
PA$400.24–$436.102
PR$421.591
RI$427.681
SC$399.411
SD$404.431
TN$389.001
TX$398.12–$430.038
UT$404.011
VA$409.10–$470.762
VI$421.591
VT$406.101
WA$428.04–$474.102
WI$394.571
WV$400.511
WY$413.611

Explore 52001 on the national rate map →

Where does this rate apply?

Salinas is a Medicare payment area. Our Census mapping connects it to 30 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.

Browse all communities in California →

Why are the office and facility amounts different?

For 52001 in Salinas, the physician’s office rate is $449.41 and the facility-setting rate is $256.24: a difference of $193.17.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 52001 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$494.35

$449.41 × 110% = $494.35

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.

Compare your contract offer →

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 52001 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

6,106

Code
52001
Physician work
5.30
Practice expense
6.58
Malpractice
0.68

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 52001 in Salinas
ComponentRVULocality factorAdjusted
Physician work5.30× 1.0315.4643
Practice expense6.58× 1.1597.6262
Malpractice0.68× 0.5360.3645
Total RVUs13.4550
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$449.41

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 52001 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work5.31.031
Practice expense6.581.159
Malpractice0.680.536

(5.3 × 1.031 + 6.58 × 1.159 + 0.68 × 0.536) × $33.4009 = $449.41

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work5.31.031
Practice expense1.591.159
Malpractice0.680.536

(5.3 × 1.031 + 1.59 × 1.159 + 0.68 × 0.536) × $33.4009 = $256.24

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

52001 · Office / nonfacility

$449.41

Effective 2026-10-01

The base rate is $10.57 higher than on 2025-10-01, moving from $438.84 to $449.41 (2.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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

  1. January 1, 2026

    RVU26A

    $438.84changed to$449.41

    • 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 1.035 changed to 1.031
    • Practice expense GPCI 1.165 changed to 1.159
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $438.84

    Held through RVU25B, RVU25C, RVU25D.

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 fromOffice / nonfacilityFacilityCMS release
2026-10-01$449.41$256.24RVU26D
2026-07-01$449.41$256.24RVU26C
2026-04-01$449.41$256.24RVU26B
2026-01-01$449.41$256.24RVU26A
2025-10-01$438.84$285.09RVU25D
2025-07-01$438.84$285.09RVU25C
2025-04-01$438.84$285.09RVU25B
2025-01-01$438.84$285.09RVU25A

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 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.

RVUs for 52001PPRRVU2026_Oct_nonQPP.csv, line 6,106 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet