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CMS RVU26D · Effective 2026-10-01

52005 in Wyoming**

Office / nonfacility

$278.05

Base rate per service

Facility setting

$117.06

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 endoscopy

About 52005: Cystourethroscopy with ureteral catheterization

Report cystourethroscopy with ureteral catheterization to access a ureter for drainage, instillation, irrigation, or retrograde evaluation.

A urologist passes a cystoscope through the urethra to inspect the bladder and guide a catheter into a ureter. The catheter may be used for irrigation, instillation, or contrast injection for retrograde evaluation of the ureter and collecting system. This service commonly supports evaluation of suspected obstruction, stones, or narrowing and may be performed in an operating room or another setting equipped for cystoscopy and imaging.

Report the service when the ureteral catheterization is performed; the cystoscopic access is part of the service, not a separate diagnostic cystoscopy. Document the ureter accessed and the catheterization and any irrigation, instillation, or retrograde study performed. Radiologic services are separate from this 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. Do not use modifier 50 for bilateral catheterization. Medicare does not pay an assistant at surgery for this code, and co-surgeon and team-surgery reporting are not permitted.

CMS billing rules for 52005

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 RVU2.31 · 28%
  • Practice expense (office) RVU5.80 · 69%
  • Malpractice RVU0.29 · 3%

25.4K

Medicare services in 2024 · #1043 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.

52005 compared with similar codes

Office rates for Wyoming**, from the same CMS release.

52000

Cystoscopy

Diagnostic examination only

$214.03

52000 describes cystourethroscopy without ureteral catheterization. Choose 52005 when the cystoscope is used to guide a catheter into a ureter.

52007

Ureteral biopsy

Brush biopsy by catheter

$428.07

52007 includes brush biopsy of the ureter and/or renal pelvis with ureteral catheterization; 52005 describes catheterization without that biopsy service.

52001

Clot evacuation

Multiple obstructing clots

$413.61

52001 is for cystoscopic irrigation and evacuation of multiple bladder clots. It is not the ureteral catheterization service described by 52005.

The same code, a different location

How does Wyoming** compare?

52005 across payment areas

Same release and payment basis · bars start at $0

  1. Wyoming** · This locality

    $278.05

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

    $315.93

    $37.88 higher than Wyoming**

  3. Dc + Md/Va Suburbs

    $320.31

    $42.26 higher than Wyoming**

  4. Miami

    $303.32

    $25.27 higher than Wyoming**

  5. Chicago

    $294.62

    $16.57 higher than Wyoming**

  6. Manhattan

    $322.57

    $44.52 higher than Wyoming**

  7. Alaska*

    $327.39

    $49.34 higher than Wyoming**

Other payment areas listed in Wyoming 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, 52005 ranges from $248.55 in Arkansas to $370.19 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

  • Alabama

    Alabama · 52005

    Office

    $252.15

    Facility

    $111.28

    $25.90 lower than Wyoming** for the office setting.

  • Arkansas

    Arkansas · 52005

    Office

    $248.55

    Facility

    $110.26

    $29.50 lower than Wyoming** for the office setting.

  • Arizona

    Arizona · 52005

    Office

    $273.17

    Facility

    $117.17

    $4.88 lower than Wyoming** for the office setting.

  • Bakersfield

    California · 52005

    Office

    $296.84

    Facility

    $120.40

    $18.79 higher than Wyoming** for the office setting.

  • Chico

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • El Centro

    California · 52005

    Office

    $296.03

    Facility

    $119.58

    $17.98 higher than Wyoming** for the office setting.

  • Fresno

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Hanford-Corcoran

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Madera

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Merced

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Modesto

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Napa

    California · 52005

    Office

    $342.27

    Facility

    $130.08

    $64.22 higher than Wyoming** for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 52005

    Office

    $314.33

    Facility

    $124.04

    $36.28 higher than Wyoming** for the office setting.

  • Redding

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Rest Of California

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 52005

    Office

    $299.13

    Facility

    $122.68

    $21.08 higher than Wyoming** for the office setting.

  • Sacramento-Roseville-Folsom

    California · 52005

    Office

    $310.43

    Facility

    $123.19

    $32.38 higher than Wyoming** for the office setting.

  • Salinas

    California · 52005

    Office

    $309.27

    Facility

    $122.68

    $31.22 higher than Wyoming** for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 52005

    Office

    $316.42

    Facility

    $123.87

    $38.37 higher than Wyoming** for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 52005

    Office

    $362.08

    Facility

    $135.09

    $84.03 higher than Wyoming** for the office setting.

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

    California · 52005

    Office

    $361.76

    Facility

    $134.76

    $83.71 higher than Wyoming** for the office setting.

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

    California · 52005

    Office

    $370.19

    Facility

    $138.04

    $92.14 higher than Wyoming** for the office setting.

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

    California · 52005

    Office

    $368.84

    Facility

    $136.69

    $90.79 higher than Wyoming** for the office setting.

  • San Luis Obispo-Paso Robles

    California · 52005

    Office

    $304.31

    Facility

    $120.94

    $26.26 higher than Wyoming** for the office setting.

  • Santa Cruz-Watsonville

    California · 52005

    Office

    $319.34

    Facility

    $123.74

    $41.29 higher than Wyoming** for the office setting.

  • Santa Maria-Santa Barbara

    California · 52005

    Office

    $310.39

    Facility

    $122.67

    $32.34 higher than Wyoming** for the office setting.

  • Santa Rosa-Petaluma

    California · 52005

    Office

    $322.56

    Facility

    $124.86

    $44.51 higher than Wyoming** for the office setting.

  • Stockton

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Vallejo

    California · 52005

    Office

    $341.79

    Facility

    $129.60

    $63.74 higher than Wyoming** for the office setting.

  • Visalia

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Yuba City

    California · 52005

    Office

    $295.98

    Facility

    $119.53

    $17.93 higher than Wyoming** for the office setting.

  • Colorado

    Colorado · 52005

    Office

    $291.77

    Facility

    $120.47

    $13.72 higher than Wyoming** for the office setting.

  • Connecticut

    Connecticut · 52005

    Office

    $299.06

    Facility

    $125.67

    $21.01 higher than Wyoming** for the office setting.

  • Delaware

    Delaware · 52005

    Office

    $277.65

    Facility

    $118.59

    $0.40 lower than Wyoming** for the office setting.

  • Fort Lauderdale

    Florida · 52005

    Office

    $290.91

    Facility

    $127.83

    $12.86 higher than Wyoming** for the office setting.

  • Rest Of Florida

    Florida · 52005

    Office

    $276.92

    Facility

    $123.01

    $1.13 lower than Wyoming** for the office setting.

  • Atlanta

    Georgia · 52005

    Office

    $285.85

    Facility

    $122.28

    $7.80 higher than Wyoming** for the office setting.

  • Rest Of Georgia

    Georgia · 52005

    Office

    $261.50

    Facility

    $117.90

    $16.55 lower than Wyoming** for the office setting.

  • Hawaii, Guam

    Hawaii · 52005

    Office

    $303.03

    Facility

    $119.98

    $24.98 higher than Wyoming** for the office setting.

  • Iowa

    Iowa · 52005

    Office

    $258.26

    Facility

    $110.95

    $19.79 lower than Wyoming** for the office setting.

  • Idaho

    Idaho · 52005

    Office

    $259.96

    Facility

    $111.85

    $18.09 lower than Wyoming** for the office setting.

  • East St. Louis

    Illinois · 52005

    Office

    $274.89

    Facility

    $126.78

    $3.16 lower than Wyoming** for the office setting.

  • Rest Of Illinois

    Illinois · 52005

    Office

    $269.17

    Facility

    $122.18

    $8.88 lower than Wyoming** for the office setting.

  • Suburban Chicago

    Illinois · 52005

    Office

    $293.82

    Facility

    $128.48

    $15.77 higher than Wyoming** for the office setting.

  • Indiana

    Indiana · 52005

    Office

    $261.45

    Facility

    $112.21

    $16.60 lower than Wyoming** for the office setting.

  • Kansas

    Kansas · 52005

    Office

    $257.17

    Facility

    $111.63

    $20.88 lower than Wyoming** for the office setting.

  • Kentucky

    Kentucky · 52005

    Office

    $258.24

    Facility

    $115.12

    $19.81 lower than Wyoming** for the office setting.

  • New Orleans

    Louisiana · 52005

    Office

    $270.46

    Facility

    $118.96

    $7.59 lower than Wyoming** for the office setting.

  • Rest Of Louisiana

    Louisiana · 52005

    Office

    $257.88

    Facility

    $115.40

    $20.17 lower than Wyoming** for the office setting.

  • Metropolitan Boston

    Massachusetts · 52005

    Office

    $320.25

    Facility

    $128.02

    $42.20 higher than Wyoming** for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 52005

    Office

    $290.10

    Facility

    $120.58

    $12.05 higher than Wyoming** for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 52005

    Office

    $298.24

    Facility

    $125.49

    $20.19 higher than Wyoming** for the office setting.

  • Rest Of Maryland

    Maryland · 52005

    Office

    $282.87

    Facility

    $119.95

    $4.82 higher than Wyoming** for the office setting.

  • Rest Of Maine

    Maine · 52005

    Office

    $261.41

    Facility

    $113.30

    $16.64 lower than Wyoming** for the office setting.

  • Southern Maine

    Maine · 52005

    Office

    $275.25

    Facility

    $115.71

    $2.80 lower than Wyoming** for the office setting.

  • Detroit

    Michigan · 52005

    Office

    $280.43

    Facility

    $125.07

    $2.38 higher than Wyoming** for the office setting.

  • Rest Of Michigan

    Michigan · 52005

    Office

    $264.96

    Facility

    $117.98

    $13.09 lower than Wyoming** for the office setting.

  • Minnesota

    Minnesota · 52005

    Office

    $279.37

    Facility

    $113.71

    $1.32 higher than Wyoming** for the office setting.

  • Metropolitan Kansas City

    Missouri · 52005

    Office

    $268.53

    Facility

    $117.36

    $9.52 lower than Wyoming** for the office setting.

  • Metropolitan St. Louis

    Missouri · 52005

    Office

    $271.29

    Facility

    $118.02

    $6.76 lower than Wyoming** for the office setting.

  • Rest Of Missouri

    Missouri · 52005

    Office

    $253.58

    Facility

    $114.81

    $24.47 lower than Wyoming** for the office setting.

  • Mississippi

    Mississippi · 52005

    Office

    $251.11

    Facility

    $112.50

    $26.94 lower than Wyoming** for the office setting.

  • Montana**

    Montana · 52005

    Office

    $280.55

    Facility

    $119.56

    $2.50 higher than Wyoming** for the office setting.

  • North Carolina

    North Carolina · 52005

    Office

    $264.09

    Facility

    $113.89

    $13.96 lower than Wyoming** for the office setting.

  • North Dakota**

    North Dakota · 52005

    Office

    $274.81

    Facility

    $113.82

    $3.24 lower than Wyoming** for the office setting.

  • Nebraska

    Nebraska · 52005

    Office

    $259.63

    Facility

    $111.03

    $18.42 lower than Wyoming** for the office setting.

  • New Hampshire

    New Hampshire · 52005

    Office

    $287.30

    Facility

    $119.71

    $9.25 higher than Wyoming** for the office setting.

  • Northern Nj

    New Jersey · 52005

    Office

    $317.08

    Facility

    $130.33

    $39.03 higher than Wyoming** for the office setting.

  • Rest Of New Jersey

    New Jersey · 52005

    Office

    $302.42

    Facility

    $126.61

    $24.37 higher than Wyoming** for the office setting.

  • New Mexico

    New Mexico · 52005

    Office

    $266.44

    Facility

    $118.81

    $11.61 lower than Wyoming** for the office setting.

  • Nevada**

    Nevada · 52005

    Office

    $279.14

    Facility

    $117.99

    $1.09 higher than Wyoming** for the office setting.

  • Nyc Suburbs/Long Island

    New York · 52005

    Office

    $330.42

    Facility

    $139.00

    $52.37 higher than Wyoming** for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 52005

    Office

    $304.48

    Facility

    $128.19

    $26.43 higher than Wyoming** for the office setting.

  • Queens

    New York · 52005

    Office

    $325.04

    Facility

    $134.75

    $46.99 higher than Wyoming** for the office setting.

  • Rest Of New York

    New York · 52005

    Office

    $268.00

    Facility

    $115.06

    $10.05 lower than Wyoming** for the office setting.

  • Ohio

    Ohio · 52005

    Office

    $263.79

    Facility

    $116.80

    $14.26 lower than Wyoming** for the office setting.

  • Oklahoma

    Oklahoma · 52005

    Office

    $257.68

    Facility

    $113.91

    $20.37 lower than Wyoming** for the office setting.

  • Portland

    Oregon · 52005

    Office

    $300.83

    Facility

    $121.96

    $22.78 higher than Wyoming** for the office setting.

  • Rest Of Oregon

    Oregon · 52005

    Office

    $276.92

    Facility

    $116.57

    $1.13 lower than Wyoming** for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 52005

    Office

    $291.77

    Facility

    $124.18

    $13.72 higher than Wyoming** for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 52005

    Office

    $264.15

    Facility

    $116.36

    $13.90 lower than Wyoming** for the office setting.

  • Puerto Rico

    Puerto Rico · 52005

    Office

    $282.55

    Facility

    $119.79

    $4.50 higher than Wyoming** for the office setting.

  • Rhode Island

    Rhode Island · 52005

    Office

    $287.38

    Facility

    $121.08

    $9.33 higher than Wyoming** for the office setting.

  • South Carolina

    South Carolina · 52005

    Office

    $264.39

    Facility

    $115.63

    $13.66 lower than Wyoming** for the office setting.

  • South Dakota**

    South Dakota · 52005

    Office

    $274.14

    Facility

    $113.14

    $3.91 lower than Wyoming** for the office setting.

  • Tennessee

    Tennessee · 52005

    Office

    $258.45

    Facility

    $112.11

    $19.60 lower than Wyoming** for the office setting.

  • Austin

    Texas · 52005

    Office

    $290.85

    Facility

    $120.52

    $12.80 higher than Wyoming** for the office setting.

  • Beaumont

    Texas · 52005

    Office

    $262.44

    Facility

    $115.94

    $15.61 lower than Wyoming** for the office setting.

  • Brazoria

    Texas · 52005

    Office

    $277.31

    Facility

    $117.77

    $0.74 lower than Wyoming** for the office setting.

  • Dallas

    Texas · 52005

    Office

    $279.11

    Facility

    $118.76

    $1.06 higher than Wyoming** for the office setting.

  • Fort Worth

    Texas · 52005

    Office

    $277.30

    Facility

    $118.56

    $0.75 lower than Wyoming** for the office setting.

  • Galveston

    Texas · 52005

    Office

    $278.16

    Facility

    $118.30

    $0.11 higher than Wyoming** for the office setting.

  • Houston

    Texas · 52005

    Office

    $283.47

    Facility

    $123.61

    $5.42 higher than Wyoming** for the office setting.

  • Rest Of Texas

    Texas · 52005

    Office

    $269.75

    Facility

    $116.97

    $8.30 lower than Wyoming** for the office setting.

  • Utah

    Utah · 52005

    Office

    $267.96

    Facility

    $116.62

    $10.09 lower than Wyoming** for the office setting.

  • Virginia

    Virginia · 52005

    Office

    $274.43

    Facility

    $116.17

    $3.62 lower than Wyoming** for the office setting.

  • Virgin Islands

    United States Virgin Islands · 52005

    Office

    $282.55

    Facility

    $119.79

    $4.50 higher than Wyoming** for the office setting.

  • Vermont

    Vermont · 52005

    Office

    $273.85

    Facility

    $114.46

    $4.20 lower than Wyoming** for the office setting.

  • Rest Of Washington

    Washington · 52005

    Office

    $289.52

    Facility

    $120.00

    $11.47 higher than Wyoming** for the office setting.

  • Seattle (King Cnty)

    Washington · 52005

    Office

    $326.63

    Facility

    $129.09

    $48.58 higher than Wyoming** for the office setting.

  • Wisconsin

    Wisconsin · 52005

    Office

    $265.73

    Facility

    $111.50

    $12.32 lower than Wyoming** for the office setting.

  • West Virginia

    West Virginia · 52005

    Office

    $259.36

    Facility

    $119.46

    $18.69 lower than Wyoming** for the office setting.

See how rates vary across the country

52005 · 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.

$248.55

$333.09

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$327.391
AL$252.151
AR$248.551
AZ$273.171
CA$295.98–$370.1929
CO$291.771
CT$299.061
DC$320.311
DE$277.651
FL$276.92–$303.323
GA$261.50–$285.852
GU$303.031
HI$303.031
IA$258.261
ID$259.961
IL$269.17–$294.624
IN$261.451
KS$257.171
KY$258.241
LA$257.88–$270.462
MA$290.10–$320.252
MD$282.87–$320.313
ME$261.41–$275.252
MI$264.96–$280.432
MN$279.371
MO$253.58–$271.293
MS$251.111
MT$280.551
NC$264.091
ND$274.811
NE$259.631
NH$287.301
NJ$302.42–$317.082
NM$266.441
NV$279.141
NY$268.00–$330.425
OH$263.791
OK$257.681
OR$276.92–$300.832
PA$264.15–$291.772
PR$282.551
RI$287.381
SC$264.391
SD$274.141
TN$258.451
TX$262.44–$290.858
UT$267.961
VA$274.43–$320.312
VI$282.551
VT$273.851
WA$289.52–$326.632
WI$265.731
WV$259.361
WY$278.051

Explore 52005 on the national rate map →

Where does this rate apply?

Wyoming** is a Medicare payment area. Our Census mapping connects it to 205 cities and communities in Wyoming, 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 Wyoming →

Why are the office and facility amounts different?

For 52005 in Wyoming**, the physician’s office rate is $278.05 and the facility-setting rate is $117.06: a difference of $160.99.

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 52005 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$305.86

$278.05 × 110% = $305.86

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 52005 in Wyoming**.

PPRRVU2026_Oct_nonQPP.csv

6,107

Code
52005
Physician work
2.31
Practice expense
5.80
Malpractice
0.29

GPCI2026.csv

112

Locality
Wyoming**
Physician work
1.000
Practice expense
1.000
Malpractice
0.740
Office / nonfacility calculation for 52005 in Wyoming**
ComponentRVULocality factorAdjusted
Physician work2.31× 1.0002.3100
Practice expense5.80× 1.0005.8000
Malpractice0.29× 0.7400.2146
Total RVUs8.3246
Conversion factor× 33.4009

Office / nonfacility rate, Wyoming**$278.05

Open 52005 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work2.311
Practice expense5.81
Malpractice0.290.74

(2.31 × 1 + 5.8 × 1 + 0.29 × 0.74) × $33.4009 = $278.05

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work2.311
Practice expense0.981
Malpractice0.290.74

(2.31 × 1 + 0.98 × 1 + 0.29 × 0.74) × $33.4009 = $117.06

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

52005 · Office / nonfacility

$278.05

Effective 2026-10-01

The base rate is $5.23 higher than on 2025-10-01, moving from $272.82 to $278.05 (1.9%).

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

    $272.82changed to$278.05

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.37 changed to 2.31
    • Practice expense RVU 5.85 changed to 5.80
    • Malpractice GPCI 0.739 changed to 0.740

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $272.82

    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$278.05$117.06RVU26D
2026-07-01$278.05$117.06RVU26C
2026-04-01$278.05$117.06RVU26B
2026-01-01$278.05$117.06RVU26A
2025-10-01$272.82$126.29RVU25D
2025-07-01$272.82$126.29RVU25C
2025-04-01$272.82$126.29RVU25B
2025-01-01$272.82$126.29RVU25A

52005 billing questions

When should 52005 be reported instead of 52000?

Report 52005 when the cystoscopy includes catheterization of a ureter. Use 52000 for cystourethroscopy without ureteral catheterization.

Can 52000 be billed separately with 52005?

The cystourethroscopy used to perform the ureteral catheterization is included in 52005. Do not separately report 52000 for that same cystoscopic access.

How does 52005 differ from 52007?

52007 is the related code when ureteral or renal-pelvis brush biopsy is performed along with ureteral catheterization. Use 52005 when that biopsy service is not performed.

Should modifier 50 be added when both ureters are catheterized?

No. CMS identifies bilateral adjustment as inapplicable to 52005, so modifier 50 is inappropriate.

Is retrograde imaging included in 52005?

The code may include ureteropyelography, but the radiologic service is separate. Report a radiology service only when its requirements are met and the service is documented.

Can an assistant or co-surgeon be reported for 52005?

Medicare does not pay an assistant at surgery for this code. Co-surgeon and team-surgery reporting 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 52005PPRRVU2026_Oct_nonQPP.csv, line 6,107 (RVU26D)
Geographic factors for Wyoming**GPCI2026.csv, line 112 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet