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CMS RVU26D · Effective 2026-10-01

52270 in Salinas

Office / nonfacility

$440.41

Base rate per service

Facility setting

$164.78

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 52270: Female urethral stricture incision

Endoscopic incision of a narrowed female urethra is reported when the urologist treats a urethral stricture by cutting the obstructing scar tissue.

A urologist uses a cystourethroscope to reach a narrowed segment of the female urethra and incise scar tissue to open the passage. The procedure is used for a urethral stricture causing symptoms such as difficult urination or reduced urinary flow. It is typically performed in an operating room or procedural setting, with the approach documented in the operative report.

Report 52270 for the female urethral internal incision, not for dilation alone or an incision at the urethral opening. Documentation should identify the stricture, its location, and the incision performed. The code has 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 code. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.

CMS billing rules for 52270

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 RVU3.28 · 27%
  • Practice expense (office) RVU8.26 · 69%
  • Malpractice RVU0.43 · 4%

97

Medicare services in 2024 · #4911 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.

52270 compared with similar codes

Office rates for Salinas, from the same CMS release.

52276

Urethral stricture treatment

Direct-vision incision

No office rate

52270 is specific to internal urethrotomy in the female urethra. 52276 identifies direct-vision internal urethrotomy; use the code that matches the documented procedure.

52281

Urethral dilation

Cystoscopic stricture treatment

$340.68

52281 describes calibration or dilation of a urethral stricture or stenosis. 52270 is for incision of the narrowed segment.

52275

Urethrotomy

Female urethral stricture incision

$569.97

Both are female urethral endoscopic procedures, but 52275 concerns a different urethral intervention. Base selection on the procedure documented, not simply the presence of a stricture.

The same code, a different location

How does Salinas compare?

In Bakersfield, the office rate for 52270 is $422.76—$17.65 lower than the $440.41 rate in Salinas. Both use the same code, release and participation basis.

52270 across payment areas

Same release and payment basis · bars start at $0

  1. Salinas · This locality

    $440.41

  2. $17.65 lower than Salinas

  3. Chico

    $421.49

    $18.92 lower than Salinas

  4. El Centro

    $421.56

    $18.85 lower than Salinas

  5. Fresno

    $421.49

    $18.92 lower than Salinas

  6. $18.92 lower than Salinas

  7. $9.55 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, 52270 ranges from $353.94 in Arkansas to $527.14 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 · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Merced

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Modesto

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Napa

    California · 52270

    Office

    $487.38

    Facility

    $173.94

    $46.97 higher than Salinas for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 52270

    Office

    $447.67

    Facility

    $166.58

    $7.26 higher than Salinas for the office setting.

  • Redding

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Rest Of California

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 52270

    Office

    $426.16

    Facility

    $165.51

    $14.25 lower than Salinas for the office setting.

  • Sacramento-Roseville-Folsom

    California · 52270

    Office

    $442.06

    Facility

    $165.48

    $1.65 higher than Salinas for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 52270

    Office

    $450.59

    Facility

    $166.17

    $10.18 higher than Salinas for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 52270

    Office

    $515.56

    Facility

    $180.24

    $75.15 higher than Salinas for the office setting.

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

    California · 52270

    Office

    $515.07

    Facility

    $179.76

    $74.66 higher than Salinas for the office setting.

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

    California · 52270

    Office

    $527.14

    Facility

    $184.21

    $86.73 higher than Salinas for the office setting.

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

    California · 52270

    Office

    $525.14

    Facility

    $182.21

    $84.73 higher than Salinas for the office setting.

  • San Luis Obispo-Paso Robles

    California · 52270

    Office

    $433.36

    Facility

    $162.49

    $7.05 lower than Salinas for the office setting.

  • Santa Cruz-Watsonville

    California · 52270

    Office

    $454.76

    Facility

    $165.82

    $14.35 higher than Salinas for the office setting.

  • Santa Maria-Santa Barbara

    California · 52270

    Office

    $442.01

    Facility

    $164.72

    $1.60 higher than Salinas for the office setting.

  • Santa Rosa-Petaluma

    California · 52270

    Office

    $459.33

    Facility

    $167.30

    $18.92 higher than Salinas for the office setting.

  • Stockton

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Vallejo

    California · 52270

    Office

    $486.67

    Facility

    $173.23

    $46.26 higher than Salinas for the office setting.

  • Visalia

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Yuba City

    California · 52270

    Office

    $421.49

    Facility

    $160.85

    $18.92 lower than Salinas for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 52270

    Office

    $456.46

    Facility

    $176.31

    $16.05 higher than Salinas for the office setting.

  • Miami

    Florida · 52270

    Office

    $433.08

    Facility

    $185.52

    $7.33 lower than Salinas for the office setting.

  • Chicago

    Illinois · 52270

    Office

    $420.55

    Facility

    $181.55

    $19.86 lower than Salinas for the office setting.

  • Manhattan

    New York · 52270

    Office

    $459.93

    Facility

    $183.59

    $19.52 higher than Salinas for the office setting.

  • Alaska*

    Alaska · 52270

    Office

    $466.07

    Facility

    $212.80

    $25.66 higher than Salinas for the office setting.

  • Alabama

    Alabama · 52270

    Office

    $359.09

    Facility

    $151.00

    $81.32 lower than Salinas for the office setting.

  • Arkansas

    Arkansas · 52270

    Office

    $353.94

    Facility

    $149.66

    $86.47 lower than Salinas for the office setting.

  • Arizona

    Arizona · 52270

    Office

    $389.19

    Facility

    $158.75

    $51.22 lower than Salinas for the office setting.

  • Colorado

    Colorado · 52270

    Office

    $415.64

    Facility

    $162.60

    $24.77 lower than Salinas for the office setting.

  • Connecticut

    Connecticut · 52270

    Office

    $426.26

    Facility

    $170.13

    $14.15 lower than Salinas for the office setting.

  • Delaware

    Delaware · 52270

    Office

    $395.60

    Facility

    $160.63

    $44.81 lower than Salinas for the office setting.

  • Fort Lauderdale

    Florida · 52270

    Office

    $415.00

    Facility

    $174.09

    $25.41 lower than Salinas for the office setting.

  • Rest Of Florida

    Florida · 52270

    Office

    $394.89

    Facility

    $167.54

    $45.52 lower than Salinas for the office setting.

  • Atlanta

    Georgia · 52270

    Office

    $407.44

    Facility

    $165.82

    $32.97 lower than Salinas for the office setting.

  • Rest Of Georgia

    Georgia · 52270

    Office

    $372.77

    Facility

    $160.64

    $67.64 lower than Salinas for the office setting.

  • Hawaii, Guam

    Hawaii · 52270

    Office

    $431.56

    Facility

    $161.16

    $8.85 lower than Salinas for the office setting.

  • Iowa

    Iowa · 52270

    Office

    $367.70

    Facility

    $150.10

    $72.71 lower than Salinas for the office setting.

  • Idaho

    Idaho · 52270

    Office

    $370.17

    Facility

    $151.38

    $70.24 lower than Salinas for the office setting.

  • East St. Louis

    Illinois · 52270

    Office

    $392.30

    Facility

    $173.51

    $48.11 lower than Salinas for the office setting.

  • Rest Of Illinois

    Illinois · 52270

    Office

    $383.89

    Facility

    $166.77

    $56.52 lower than Salinas for the office setting.

  • Suburban Chicago

    Illinois · 52270

    Office

    $419.11

    Facility

    $174.88

    $21.30 lower than Salinas for the office setting.

  • Indiana

    Indiana · 52270

    Office

    $372.29

    Facility

    $151.83

    $68.12 lower than Salinas for the office setting.

  • Kansas

    Kansas · 52270

    Office

    $366.20

    Facility

    $151.22

    $74.21 lower than Salinas for the office setting.

  • Kentucky

    Kentucky · 52270

    Office

    $367.96

    Facility

    $156.55

    $72.45 lower than Salinas for the office setting.

  • New Orleans

    Louisiana · 52270

    Office

    $385.48

    Facility

    $161.70

    $54.93 lower than Salinas for the office setting.

  • Rest Of Louisiana

    Louisiana · 52270

    Office

    $367.48

    Facility

    $157.01

    $72.93 lower than Salinas for the office setting.

  • Metropolitan Boston

    Massachusetts · 52270

    Office

    $456.24

    Facility

    $172.29

    $15.83 higher than Salinas for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 52270

    Office

    $413.27

    Facility

    $162.85

    $27.14 lower than Salinas for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 52270

    Office

    $425.11

    Facility

    $169.93

    $15.30 lower than Salinas for the office setting.

  • Rest Of Maryland

    Maryland · 52270

    Office

    $403.04

    Facility

    $162.37

    $37.37 lower than Salinas for the office setting.

  • Rest Of Maine

    Maine · 52270

    Office

    $372.31

    Facility

    $153.52

    $68.10 lower than Salinas for the office setting.

  • Southern Maine

    Maine · 52270

    Office

    $392.03

    Facility

    $156.35

    $48.38 lower than Salinas for the office setting.

  • Detroit

    Michigan · 52270

    Office

    $400.01

    Facility

    $170.51

    $40.40 lower than Salinas for the office setting.

  • Rest Of Michigan

    Michigan · 52270

    Office

    $377.66

    Facility

    $160.53

    $62.75 lower than Salinas for the office setting.

  • Minnesota

    Minnesota · 52270

    Office

    $397.70

    Facility

    $152.99

    $42.71 lower than Salinas for the office setting.

  • Metropolitan Kansas City

    Missouri · 52270

    Office

    $382.65

    Facility

    $159.34

    $57.76 lower than Salinas for the office setting.

  • Metropolitan St. Louis

    Missouri · 52270

    Office

    $386.59

    Facility

    $160.20

    $53.82 lower than Salinas for the office setting.

  • Rest Of Missouri

    Missouri · 52270

    Office

    $361.36

    Facility

    $156.37

    $79.05 lower than Salinas for the office setting.

  • Mississippi

    Mississippi · 52270

    Office

    $357.71

    Facility

    $152.95

    $82.70 lower than Salinas for the office setting.

  • Montana**

    Montana · 52270

    Office

    $399.78

    Facility

    $161.97

    $40.63 lower than Salinas for the office setting.

  • North Carolina

    North Carolina · 52270

    Office

    $376.14

    Facility

    $154.26

    $64.27 lower than Salinas for the office setting.

  • North Dakota**

    North Dakota · 52270

    Office

    $391.28

    Facility

    $153.46

    $49.13 lower than Salinas for the office setting.

  • Nebraska

    Nebraska · 52270

    Office

    $369.63

    Facility

    $150.13

    $70.78 lower than Salinas for the office setting.

  • New Hampshire

    New Hampshire · 52270

    Office

    $409.33

    Facility

    $161.76

    $31.08 lower than Salinas for the office setting.

  • Northern Nj

    New Jersey · 52270

    Office

    $451.83

    Facility

    $175.97

    $11.42 higher than Salinas for the office setting.

  • Rest Of New Jersey

    New Jersey · 52270

    Office

    $430.97

    Facility

    $171.27

    $9.44 lower than Salinas for the office setting.

  • New Mexico

    New Mexico · 52270

    Office

    $379.80

    Facility

    $161.72

    $60.61 lower than Salinas for the office setting.

  • Nevada**

    Nevada · 52270

    Office

    $397.69

    Facility

    $159.63

    $42.72 lower than Salinas for the office setting.

  • Nyc Suburbs/Long Island

    New York · 52270

    Office

    $471.27

    Facility

    $188.51

    $30.86 higher than Salinas for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 52270

    Office

    $433.96

    Facility

    $173.56

    $6.45 lower than Salinas for the office setting.

  • Queens

    New York · 52270

    Office

    $463.38

    Facility

    $182.28

    $22.97 higher than Salinas for the office setting.

  • Rest Of New York

    New York · 52270

    Office

    $381.75

    Facility

    $155.82

    $58.66 lower than Salinas for the office setting.

  • Ohio

    Ohio · 52270

    Office

    $375.92

    Facility

    $158.80

    $64.49 lower than Salinas for the office setting.

  • Oklahoma

    Oklahoma · 52270

    Office

    $367.09

    Facility

    $154.72

    $73.32 lower than Salinas for the office setting.

  • Portland

    Oregon · 52270

    Office

    $428.51

    Facility

    $164.30

    $11.90 lower than Salinas for the office setting.

  • Rest Of Oregon

    Oregon · 52270

    Office

    $394.44

    Facility

    $157.58

    $45.97 lower than Salinas for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 52270

    Office

    $415.86

    Facility

    $168.30

    $24.55 lower than Salinas for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 52270

    Office

    $376.40

    Facility

    $158.08

    $64.01 lower than Salinas for the office setting.

  • Puerto Rico

    Puerto Rico · 52270

    Office

    $402.63

    Facility

    $162.20

    $37.78 lower than Salinas for the office setting.

  • Rhode Island

    Rhode Island · 52270

    Office

    $409.44

    Facility

    $163.78

    $30.97 lower than Salinas for the office setting.

  • South Carolina

    South Carolina · 52270

    Office

    $376.69

    Facility

    $156.95

    $63.72 lower than Salinas for the office setting.

  • South Dakota**

    South Dakota · 52270

    Office

    $390.27

    Facility

    $152.46

    $50.14 lower than Salinas for the office setting.

  • Tennessee

    Tennessee · 52270

    Office

    $368.05

    Facility

    $151.88

    $72.36 lower than Salinas for the office setting.

  • Austin

    Texas · 52270

    Office

    $414.39

    Facility

    $162.78

    $26.02 lower than Salinas for the office setting.

  • Beaumont

    Texas · 52270

    Office

    $373.96

    Facility

    $157.55

    $66.45 lower than Salinas for the office setting.

  • Brazoria

    Texas · 52270

    Office

    $395.04

    Facility

    $159.37

    $45.37 lower than Salinas for the office setting.

  • Dallas

    Texas · 52270

    Office

    $397.65

    Facility

    $160.79

    $42.76 lower than Salinas for the office setting.

  • Fort Worth

    Texas · 52270

    Office

    $395.08

    Facility

    $160.59

    $45.33 lower than Salinas for the office setting.

  • Galveston

    Texas · 52270

    Office

    $396.28

    Facility

    $160.13

    $44.13 lower than Salinas for the office setting.

  • Houston

    Texas · 52270

    Office

    $404.15

    Facility

    $168.00

    $36.26 lower than Salinas for the office setting.

  • Rest Of Texas

    Texas · 52270

    Office

    $384.35

    Facility

    $158.66

    $56.06 lower than Salinas for the office setting.

  • Utah

    Utah · 52270

    Office

    $381.79

    Facility

    $158.24

    $58.62 lower than Salinas for the office setting.

  • Virginia

    Virginia · 52270

    Office

    $390.90

    Facility

    $157.12

    $49.51 lower than Salinas for the office setting.

  • Virgin Islands

    United States Virgin Islands · 52270

    Office

    $402.63

    Facility

    $162.20

    $37.78 lower than Salinas for the office setting.

  • Vermont

    Vermont · 52270

    Office

    $389.95

    Facility

    $154.52

    $50.46 lower than Salinas for the office setting.

  • Rest Of Washington

    Washington · 52270

    Office

    $412.42

    Facility

    $162.00

    $27.99 lower than Salinas for the office setting.

  • Seattle (King Cnty)

    Washington · 52270

    Office

    $465.29

    Facility

    $173.49

    $24.88 higher than Salinas for the office setting.

  • Wisconsin

    Wisconsin · 52270

    Office

    $378.28

    Facility

    $150.46

    $62.13 lower than Salinas for the office setting.

  • West Virginia

    West Virginia · 52270

    Office

    $369.86

    Facility

    $163.20

    $70.55 lower than Salinas for the office setting.

  • Wyoming**

    Wyoming · 52270

    Office

    $396.07

    Facility

    $158.26

    $44.34 lower than Salinas for the office setting.

See how rates vary across the country

52270 · 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.

$353.94

$474.32

Color shows the midpoint of each state’s locality range.

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$466.071
AL$359.091
AR$353.941
AZ$389.191
CA$421.49–$527.1429
CO$415.641
CT$426.261
DC$456.461
DE$395.601
FL$394.89–$433.083
GA$372.77–$407.442
GU$431.561
HI$431.561
IA$367.701
ID$370.171
IL$383.89–$420.554
IN$372.291
KS$366.201
KY$367.961
LA$367.48–$385.482
MA$413.27–$456.242
MD$403.04–$456.463
ME$372.31–$392.032
MI$377.66–$400.012
MN$397.701
MO$361.36–$386.593
MS$357.711
MT$399.781
NC$376.141
ND$391.281
NE$369.631
NH$409.331
NJ$430.97–$451.832
NM$379.801
NV$397.691
NY$381.75–$471.275
OH$375.921
OK$367.091
OR$394.44–$428.512
PA$376.40–$415.862
PR$402.631
RI$409.441
SC$376.691
SD$390.271
TN$368.051
TX$373.96–$414.398
UT$381.791
VA$390.90–$456.462
VI$402.631
VT$389.951
WA$412.42–$465.292
WI$378.281
WV$369.861
WY$396.071

Explore 52270 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.

Why are the office and facility amounts different?

For 52270 in Salinas, the physician’s office rate is $440.41 and the facility-setting rate is $164.78: a difference of $275.63.

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 52270 in Salinas. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$484.45

$440.41 × 110% = $484.45

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 52270 in Salinas.

PPRRVU2026_Oct_nonQPP.csv

6,120

Code
52270
Physician work
3.28
Practice expense
8.26
Malpractice
0.43

GPCI2026.csv

22

Locality
Salinas
Physician work
1.031
Practice expense
1.159
Malpractice
0.536
Office / nonfacility calculation for 52270 in Salinas
ComponentRVULocality factorAdjusted
Physician work3.28× 1.0313.3817
Practice expense8.26× 1.1599.5733
Malpractice0.43× 0.5360.2305
Total RVUs13.1855
Conversion factor× 33.4009

Office / nonfacility rate, Salinas$440.41

Open 52270 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work3.281.031
Practice expense8.261.159
Malpractice0.430.536

(3.28 × 1.031 + 8.26 × 1.159 + 0.43 × 0.536) × $33.4009 = $440.41

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work3.281.031
Practice expense1.141.159
Malpractice0.430.536

(3.28 × 1.031 + 1.14 × 1.159 + 0.43 × 0.536) × $33.4009 = $164.78

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

52270 · Office / nonfacility

$440.41

Effective 2026-10-01

The base rate is $13.57 higher than on 2025-10-01, moving from $426.84 to $440.41 (3.2%).

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

    $426.84changed to$440.41

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.36 changed to 3.28
    • Practice expense RVU 8.14 changed to 8.26
    • Malpractice RVU 0.42 changed to 0.43
    • 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: $426.84

    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$440.41$164.78RVU26D
2026-07-01$440.41$164.78RVU26C
2026-04-01$440.41$164.78RVU26B
2026-01-01$440.41$164.78RVU26A
2025-10-01$426.84$181.90RVU25D
2025-07-01$426.84$181.90RVU25C
2025-04-01$426.84$181.90RVU25B
2025-01-01$426.84$181.90RVU25A

52270 billing questions

How is this different from urethral dilation?

52270 represents incision of a female urethral stricture. A dilation code is used when the narrowing is treated by widening rather than by incision.

How does 52270 differ from 52276?

52270 is specific to internal urethrotomy in the female urethra. Compare the documented procedure with 52276, which describes direct-vision internal urethrotomy, before selecting the code.

Can modifier 50 be reported?

No. The anatomy and service descriptor make bilateral adjustment inappropriate for 52270.

Is same-day postoperative care separately reported?

Same-day preoperative and postoperative care is included in the 0-day global period. Care on a later date is outside that same-day global period.

Can an assistant or co-surgeon be paid?

Medicare does not pay an assistant at surgery for 52270. Co-surgeons and team surgery are not permitted.

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 52270PPRRVU2026_Oct_nonQPP.csv, line 6,120 (RVU26D)
Geographic factors for SalinasGPCI2026.csv, line 22 (RVU26D)