No office rate
Choose 52400 for congenital posterior urethral valves or obstruction; choose 52276 for incision of a urethral stricture.
On this page
CMS RVU26D · Effective 2026-10-01
52400 in Wyoming**
Office / nonfacility
Not available in this setting
Base rate per service
Facility setting
$418.73
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.
Urologic surgery
About 52400: Endoscopic incision of posterior urethral valves
Endoscopic incision of congenital posterior urethral valves is reported when a urologist surgically relieves this outlet obstruction through the urethra.
A urologist uses a cystoscope passed through the urethra to locate and incise congenital posterior urethral valves or a congenital posterior urethral obstruction. The procedure is commonly performed in a hospital or ambulatory surgical setting, often by a pediatric urologist for a child with bladder outlet obstruction. The operative service is the corrective incision, not cystoscopic inspection alone.
Report 52400 when the operative findings and documentation support treatment of a congenital posterior urethral valve or obstruction. The record should identify the congenital abnormality, describe the endoscopic findings and incision performed, and document the outcome. This major surgery code includes the day-before preoperative visit and 90 days of related postoperative care. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 52400
- Global period
- Major surgery with a 90-day global period: the day-before preoperative visit and 90 days of related postoperative care are 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 RVU8.47 · 66%
- Practice expense (office) RVU3.26 · 25%
- Malpractice RVU1.09 · 9%
82
Medicare services in 2024 · #5028 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.
52400 compared with similar codes
Office rates for Wyoming**, from the same CMS release.
$307.17
52400 reports incision of a congenital posterior valve or obstruction. Code 52281 describes cystoscopic dilation of a urethral stricture or stenosis.
$214.03
52000 is diagnostic cystourethroscopy without the corrective valve incision. Report 52400 when the congenital obstruction is incised endoscopically.
The same code, a different location
How does Wyoming** compare?
52400 across payment areas
Same release and payment basis · bars start at $0
Wyoming** · This locality
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.
Unavailable
No comparable rate is available in this setting.
Other payment areas listed in Wyoming 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
Alabama
Alabama · 52400
Office
Unavailable
Facility
$398.79
No comparable office rate is available.
Arkansas
Arkansas · 52400
Office
Unavailable
Facility
$395.19
No comparable office rate is available.
Arizona
Arizona · 52400
Office
Unavailable
Facility
$419.58
No comparable office rate is available.
Bakersfield
California · 52400
Office
Unavailable
Facility
$429.79
No comparable office rate is available.
Chico
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
El Centro
California · 52400
Office
Unavailable
Facility
$426.75
No comparable office rate is available.
Fresno
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Hanford-Corcoran
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Madera
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Merced
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Modesto
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Napa
California · 52400
Office
Unavailable
Facility
$462.74
No comparable office rate is available.
Oxnard-Thousand Oaks-Ventura
California · 52400
Office
Unavailable
Facility
$442.21
No comparable office rate is available.
Redding
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Rest Of California
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Riverside-San Bernardino-Ontario
California · 52400
Office
Unavailable
Facility
$438.39
No comparable office rate is available.
Sacramento-Roseville-Folsom
California · 52400
Office
Unavailable
Facility
$439.24
No comparable office rate is available.
Salinas
California · 52400
Office
Unavailable
Facility
$437.39
No comparable office rate is available.
San Diego-Chula Vista-Carlsbad
California · 52400
Office
Unavailable
Facility
$441.35
No comparable office rate is available.
San Francisco-Oakland-Berkeley (Marin Cnty)
California · 52400
Office
Unavailable
Facility
$480.02
No comparable office rate is available.
San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)
California · 52400
Office
Unavailable
Facility
$478.79
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
California · 52400
Office
Unavailable
Facility
$490.55
No comparable office rate is available.
San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)
California · 52400
Office
Unavailable
Facility
$485.49
No comparable office rate is available.
San Luis Obispo-Paso Robles
California · 52400
Office
Unavailable
Facility
$431.25
No comparable office rate is available.
Santa Cruz-Watsonville
California · 52400
Office
Unavailable
Facility
$440.66
No comparable office rate is available.
Santa Maria-Santa Barbara
California · 52400
Office
Unavailable
Facility
$437.30
No comparable office rate is available.
Santa Rosa-Petaluma
California · 52400
Office
Unavailable
Facility
$444.62
No comparable office rate is available.
Stockton
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Vallejo
California · 52400
Office
Unavailable
Facility
$460.95
No comparable office rate is available.
Visalia
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Yuba City
California · 52400
Office
Unavailable
Facility
$426.57
No comparable office rate is available.
Colorado
Colorado · 52400
Office
Unavailable
Facility
$430.59
No comparable office rate is available.
Connecticut
Connecticut · 52400
Office
Unavailable
Facility
$449.89
No comparable office rate is available.
Delaware
Delaware · 52400
Office
Unavailable
Facility
$424.63
No comparable office rate is available.
Fort Lauderdale
Florida · 52400
Office
Unavailable
Facility
$459.03
No comparable office rate is available.
Rest Of Florida
Florida · 52400
Office
Unavailable
Facility
$441.72
No comparable office rate is available.
Atlanta
Georgia · 52400
Office
Unavailable
Facility
$438.11
No comparable office rate is available.
Rest Of Georgia
Georgia · 52400
Office
Unavailable
Facility
$423.43
No comparable office rate is available.
Hawaii, Guam
Hawaii · 52400
Office
Unavailable
Facility
$427.79
No comparable office rate is available.
Iowa
Iowa · 52400
Office
Unavailable
Facility
$396.99
No comparable office rate is available.
Idaho
Idaho · 52400
Office
Unavailable
Facility
$400.30
No comparable office rate is available.
East St. Louis
Illinois · 52400
Office
Unavailable
Facility
$456.41
No comparable office rate is available.
Rest Of Illinois
Illinois · 52400
Office
Unavailable
Facility
$439.22
No comparable office rate is available.
Suburban Chicago
Illinois · 52400
Office
Unavailable
Facility
$461.23
No comparable office rate is available.
Indiana
Indiana · 52400
Office
Unavailable
Facility
$401.54
No comparable office rate is available.
Kansas
Kansas · 52400
Office
Unavailable
Facility
$399.69
No comparable office rate is available.
Kentucky
Kentucky · 52400
Office
Unavailable
Facility
$413.02
No comparable office rate is available.
New Orleans
Louisiana · 52400
Office
Unavailable
Facility
$426.73
No comparable office rate is available.
Rest Of Louisiana
Louisiana · 52400
Office
Unavailable
Facility
$414.15
No comparable office rate is available.
Metropolitan Boston
Massachusetts · 52400
Office
Unavailable
Facility
$456.92
No comparable office rate is available.
Rest Of Massachusetts
Massachusetts · 52400
Office
Unavailable
Facility
$431.11
No comparable office rate is available.
Baltimore/Surr. Cntys
Maryland · 52400
Office
Unavailable
Facility
$449.30
No comparable office rate is available.
Rest Of Maryland
Maryland · 52400
Office
Unavailable
Facility
$429.35
No comparable office rate is available.
Rest Of Maine
Maine · 52400
Office
Unavailable
Facility
$405.73
No comparable office rate is available.
Southern Maine
Maine · 52400
Office
Unavailable
Facility
$413.79
No comparable office rate is available.
Detroit
Michigan · 52400
Office
Unavailable
Facility
$449.36
No comparable office rate is available.
Rest Of Michigan
Michigan · 52400
Office
Unavailable
Facility
$423.42
No comparable office rate is available.
Minnesota
Minnesota · 52400
Office
Unavailable
Facility
$405.73
No comparable office rate is available.
Metropolitan Kansas City
Missouri · 52400
Office
Unavailable
Facility
$420.72
No comparable office rate is available.
Metropolitan St. Louis
Missouri · 52400
Office
Unavailable
Facility
$423.05
No comparable office rate is available.
Rest Of Missouri
Missouri · 52400
Office
Unavailable
Facility
$412.23
No comparable office rate is available.
Mississippi
Mississippi · 52400
Office
Unavailable
Facility
$403.56
No comparable office rate is available.
Montana**
Montana · 52400
Office
Unavailable
Facility
$428.13
No comparable office rate is available.
North Carolina
North Carolina · 52400
Office
Unavailable
Facility
$407.76
No comparable office rate is available.
North Dakota**
North Dakota · 52400
Office
Unavailable
Facility
$406.57
No comparable office rate is available.
Nebraska
Nebraska · 52400
Office
Unavailable
Facility
$397.17
No comparable office rate is available.
New Hampshire
New Hampshire · 52400
Office
Unavailable
Facility
$428.11
No comparable office rate is available.
Northern Nj
New Jersey · 52400
Office
Unavailable
Facility
$465.92
No comparable office rate is available.
Rest Of New Jersey
New Jersey · 52400
Office
Unavailable
Facility
$453.06
No comparable office rate is available.
New Mexico
New Mexico · 52400
Office
Unavailable
Facility
$426.48
No comparable office rate is available.
Nevada**
Nevada · 52400
Office
Unavailable
Facility
$422.23
No comparable office rate is available.
Nyc Suburbs/Long Island
New York · 52400
Office
Unavailable
Facility
$498.09
No comparable office rate is available.
Poughkpsie/N Nyc Suburbs
New York · 52400
Office
Unavailable
Facility
$458.92
No comparable office rate is available.
Queens
New York · 52400
Office
Unavailable
Facility
$482.21
No comparable office rate is available.
Rest Of New York
New York · 52400
Office
Unavailable
Facility
$411.94
No comparable office rate is available.
Ohio
Ohio · 52400
Office
Unavailable
Facility
$419.02
No comparable office rate is available.
Oklahoma
Oklahoma · 52400
Office
Unavailable
Facility
$408.43
No comparable office rate is available.
Portland
Oregon · 52400
Office
Unavailable
Facility
$435.49
No comparable office rate is available.
Rest Of Oregon
Oregon · 52400
Office
Unavailable
Facility
$416.95
No comparable office rate is available.
Metropolitan Philadelphia
Pennsylvania · 52400
Office
Unavailable
Facility
$444.78
No comparable office rate is available.
Rest Of Pennsylvania
Pennsylvania · 52400
Office
Unavailable
Facility
$417.27
No comparable office rate is available.
Puerto Rico
Puerto Rico · 52400
Office
Unavailable
Facility
$428.85
No comparable office rate is available.
Rhode Island
Rhode Island · 52400
Office
Unavailable
Facility
$433.24
No comparable office rate is available.
South Carolina
South Carolina · 52400
Office
Unavailable
Facility
$414.46
No comparable office rate is available.
South Dakota**
South Dakota · 52400
Office
Unavailable
Facility
$404.03
No comparable office rate is available.
Tennessee
Tennessee · 52400
Office
Unavailable
Facility
$401.43
No comparable office rate is available.
Austin
Texas · 52400
Office
Unavailable
Facility
$430.93
No comparable office rate is available.
Beaumont
Texas · 52400
Office
Unavailable
Facility
$415.81
No comparable office rate is available.
Brazoria
Texas · 52400
Office
Unavailable
Facility
$421.47
No comparable office rate is available.
Dallas
Texas · 52400
Office
Unavailable
Facility
$425.14
No comparable office rate is available.
Fort Worth
Texas · 52400
Office
Unavailable
Facility
$424.52
No comparable office rate is available.
Galveston
Texas · 52400
Office
Unavailable
Facility
$423.44
No comparable office rate is available.
Houston
Texas · 52400
Office
Unavailable
Facility
$443.39
No comparable office rate is available.
Rest Of Texas
Texas · 52400
Office
Unavailable
Facility
$419.11
No comparable office rate is available.
Utah
Utah · 52400
Office
Unavailable
Facility
$417.95
No comparable office rate is available.
Virginia
Virginia · 52400
Office
Unavailable
Facility
$415.64
No comparable office rate is available.
Virgin Islands
United States Virgin Islands · 52400
Office
Unavailable
Facility
$428.85
No comparable office rate is available.
Vermont
Vermont · 52400
Office
Unavailable
Facility
$409.13
No comparable office rate is available.
Rest Of Washington
Washington · 52400
Office
Unavailable
Facility
$428.95
No comparable office rate is available.
Seattle (King Cnty)
Washington · 52400
Office
Unavailable
Facility
$460.40
No comparable office rate is available.
Wisconsin
Wisconsin · 52400
Office
Unavailable
Facility
$398.43
No comparable office rate is available.
West Virginia
West Virginia · 52400
Office
Unavailable
Facility
$429.63
No comparable office rate is available.
See how rates vary across the country
52400 · 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?
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.
Use this rate
What is a percentage of Medicare worth?
Turn a percentage into dollars for 52400 in Wyoming**. This uses the base rate on this page, so the locality and release stay consistent.
Reference amount per service
$460.60
$418.73 × 110% = $460.60
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 52400 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,156
- Code
- 52400
- Physician work
- 8.47
- Practice expense
- 3.26
- Malpractice
- 1.09
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.47 | × 1.000 | 8.4700 |
| Practice expense | 3.26 | × 1.000 | 3.2600 |
| Malpractice | 1.09 | × 0.740 | 0.8066 |
| Total RVUs | 12.5366 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$418.73
Open 52400 in the RVU calculator →
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.47 | 1 |
| Practice expense | 3.26 | 1 |
| Malpractice | 1.09 | 0.74 |
(8.47 × 1 + 3.26 × 1 + 1.09 × 0.74) × $33.4009 = $418.73
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
52400 · 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 | $418.73 | RVU26D |
| 2026-07-01 | Not available in this setting | $418.73 | RVU26C |
| 2026-04-01 | Not available in this setting | $418.73 | RVU26B |
| 2026-01-01 | Not available in this setting | $418.73 | RVU26A |
| 2025-10-01 | Not available in this setting | $453.77 | RVU25D |
| 2025-07-01 | Not available in this setting | $453.77 | RVU25C |
| 2025-04-01 | Not available in this setting | $453.77 | RVU25B |
| 2025-01-01 | Not available in this setting | $453.77 | RVU25A |
52400 billing questions
How does 52400 differ from direct vision internal urethrotomy?
52400 treats congenital posterior urethral valves or congenital posterior urethral obstruction. Direct vision internal urethrotomy, 52276, is used for a urethral stricture.
Can diagnostic cystoscopy be reported separately?
52400 describes the therapeutic incision performed through cystoscopic access. When the encounter includes the valve incision, do not treat the inspection needed to perform that incision as a separate diagnostic service.
Is modifier 50 appropriate for bilateral findings?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be paid?
Medicare does not pay an assistant at surgery for 52400. Co-surgeons and team surgery are not permitted.
What postoperative care is included?
The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.
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.
6,15352354,,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
6,15952442,,Cysto ins trnsprstc implt ea,A,,0.98,24.77,,0.21,,0.13,25.88,1.32,0,ZZZ,0.00,0.00,0.00,0,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,