No office rate
Both address bladder calculi. Choose 52317 for a small or straightforward procedure and 52318 for a large or more complex one.
On this page
CMS RVU26D · Effective 2026-10-01
52317 Bladder stone removal Medicare reimbursement rates in Alabama
Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity. Compare 52317 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 52317 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$778.40
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$284.78
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Urology
About 52317: Simple bladder stone fragmentation and removal
Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity.
A urologist uses a cystoscope and appropriate instruments to break up a bladder calculus and remove the fragments through the urinary outlet. This service addresses stones within the bladder, such as a calculus found during evaluation of urinary symptoms or identified on imaging; it is not the ureteral-stone procedure. The operative record should describe the stone’s location, size and complexity, the method used to fragment it, and removal of the resulting material.
Select this code for a small or straightforward bladder stone procedure; the larger or more complex bladder-stone service is a separate sibling code. The service includes fragmentation and removal, rather than separate reporting for each fragment. CMS assigns 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 for this bladder procedure. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52317
- 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 RVU6.54 · 25%
- Practice expense (office) RVU18.61 · 72%
- Malpractice RVU0.85 · 3%
14.6K
Medicare services in 2024 · #1266 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.
52317 compared with similar codes
Office rates for Alabama, from the same CMS release.
No office rate
52317 treats a calculus in the bladder; 52320 addresses removal of a calculus in the ureter.
No office rate
52317 is for bladder-stone fragmentation and removal, while 52325 addresses fragmentation of a ureteral calculus.
No office rate
Use 52352 for ureteroscopic calculus removal in the ureter or upper urinary tract, not for a bladder calculus.
Compare 52317 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$778.40
Facility
$284.78
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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 52317 in Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,136
- Code
- 52317
- Physician work
- 6.54
- Practice expense
- 18.61
- Malpractice
- 0.85
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.54 | × 1.000 | 6.5400 |
| Practice expense | 18.61 | × 0.875 | 16.2837 |
| Malpractice | 0.85 | × 0.566 | 0.4811 |
| Total RVUs | 23.3048 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$778.40
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.54 | 1 |
| Practice expense | 18.61 | 0.875 |
| Malpractice | 0.85 | 0.566 |
(6.54 × 1 + 18.61 × 0.875 + 0.85 × 0.566) × $33.4009 = $778.40
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.54 | 1 |
| Practice expense | 1.72 | 0.875 |
| Malpractice | 0.85 | 0.566 |
(6.54 × 1 + 1.72 × 0.875 + 0.85 × 0.566) × $33.4009 = $284.78
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.
52317 billing questions
How does this code differ from 52318?
This code is for a small or straightforward bladder stone procedure. Use 52318 when the bladder calculus is large or the procedure is more complex.
Can fragmentation and fragment removal be reported separately?
No. The bladder-stone service includes breaking up the calculus and removing its fragments; do not report separate units for individual fragments.
What documentation supports code selection?
Document the bladder location, stone size and complexity, fragmentation method, and removal of fragments. The operative note should make clear why the simple or small-calculus level fits.
Should modifier 50 be appended for stones on both sides?
No. Bilateral adjustment does not apply to this bladder procedure, and modifier 50 is inappropriate.
How does Medicare handle related endoscopies performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code’s 0-day global period.
Can an assistant surgeon or co-surgeon be billed?
Medicare does not pay an assistant at surgery for this code. 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.
6,13352305,,Cystoscopy and treatment,A,,5.17,1.50,NA,1.50,,0.66,7.33,7.33,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13452310,,Cystoscopy and treatment,A,,2.74,5.84,,0.93,,0.36,8.94,4.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13552315,,Cystoscopy and treatment,A,,5.07,7.96,,1.52,,0.67,13.70,7.26,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13652317,,Remove bladder stone,A,,6.54,18.61,,1.72,,0.85,26.00,9.11,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13752318,,Remove bladder stone,A,,8.95,2.29,NA,2.29,,1.16,12.40,12.40,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13852320,,Cystoscopy and treatment,A,,4.57,1.33,NA,1.33,,0.58,6.48,6.48,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13952325,,Cystoscopy stone removal,A,,6.00,1.65,NA,1.65,,0.78,8.43,8.43,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515