$719.40
Use 52214 for cystoscopic fulguration of specified bladder or lower urinary tract areas; 52250 represents placement of radioactive material.
On this page
CMS RVU26D · Effective 2026-10-01
52250 Cystoscopy Medicare reimbursement rates in Delaware
Reports cystoscopic placement of radioactive material in the bladder as a treatment procedure, rather than routine inspection, biopsy, or radiotracer imaging. Compare 52250 office and facility rates across CMS payment localities in Delaware.
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 52250 in Delaware?
Delaware 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
No supported rate
Facility setting
$210.04
1 of 1 localities have a supported rate.
Payment area: Delaware
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 procedure
About 52250: Cystoscopic placement of radioactive bladder material
Reports cystoscopic placement of radioactive material in the bladder as a treatment procedure, rather than routine inspection, biopsy, or radiotracer imaging.
A urologist passes a cystoscope through the urethra to place radioactive material in the bladder. The service is associated with treatment using implanted radioactive sources, such as seeds, rather than ordinary diagnostic cystoscopy or imaging with a radiotracer. It is typically performed in a facility setting as a planned operative procedure.
Report this code when the documented work includes cystoscopic placement of the radioactive material; routine inspection alone, tissue sampling, or endoscopic tumor removal describes different work. The operative record should identify the placement and the material used. CMS assigns a zero-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. CMS does not pay an assistant at surgery under the statutory restriction, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 52250
- 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 RVU4.38 · 69%
- Practice expense (office) RVU1.40 · 22%
- Malpractice RVU0.56 · 9%
39
Medicare services in 2024 · #5520 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.
52250 compared with similar codes
Office rates for Delaware, from the same CMS release.
$751.87
52224 describes endoscopic treatment of a small bladder lesion. Choose 52250 when the documented service is placement of radioactive material instead.
No office rate
52234 describes endoscopic resection of a small bladder tumor. It does not represent cystoscopic placement of radioactive material.
Compare 52250 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
Delaware →
Office / nonfacility
Unavailable
Facility
$210.04
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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 52250 in Delaware.
PPRRVU2026_Oct_nonQPP.csv
6,117
- Code
- 52250
- Physician work
- 4.38
- Practice expense
- 1.40
- Malpractice
- 0.56
GPCI2026.csv
40
- Locality
- Delaware
- Physician work
- 1.005
- Practice expense
- 0.988
- Malpractice
- 0.899
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.38 | × 1.005 | 4.4019 |
| Practice expense | 1.40 | × 0.988 | 1.3832 |
| Malpractice | 0.56 | × 0.899 | 0.5034 |
| Total RVUs | 6.2885 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Delaware$210.04
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.38 | 1.005 |
| Practice expense | 1.4 | 0.988 |
| Malpractice | 0.56 | 0.899 |
(4.38 × 1.005 + 1.4 × 0.988 + 0.56 × 0.899) × $33.4009 = $210.04
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.
52250 billing questions
How is this different from cystoscopic tumor removal?
This code represents cystoscopic placement of radioactive material. Codes such as 52224 or 52234 describe endoscopic treatment or removal of bladder lesions, not radioactive-material placement.
Can a biopsy be reported with this service?
A biopsy is distinct from placement of radioactive material. Report a biopsy code only when the operative record supports separately performed biopsy work, and account for endoscopy-family pricing when related endoscopies are performed together.
Should modifier 50 be appended for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code because the descriptor or anatomy does not support modifier 50.
Can an assistant surgeon or co-surgeon be billed?
CMS does not pay an assistant at surgery for this code under a statutory restriction. 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.
6,11452234,,Cystoscopy and treatment,A,,4.50,1.42,NA,1.42,,0.57,6.49,6.49,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11552235,,Cystoscopy and treatment,A,,5.30,1.64,NA,1.64,,0.68,7.62,7.62,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11652240,,Cystoscopy and treatment,A,,7.31,2.05,NA,2.05,,0.95,10.31,10.31,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11752250,,Cystoscopy and radiotracer,A,,4.38,1.40,NA,1.40,,0.56,6.34,6.34,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11852260,,Cystoscopy and treatment,A,,3.81,1.24,NA,1.24,,0.51,5.56,5.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11952265,,Cystoscopy and treatment,A,,2.87,7.05,,1.03,,0.42,10.34,4.32,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12052270,,Cystoscopy & revise urethra,A,,3.28,8.26,,1.14,,0.43,11.97,4.85,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
3704112,CO,01,COLORADO,1.012,1.064,0.781
3813102,CT,00,CONNECTICUT,1.020,1.077,1.210
3912202,DC,01,DC + MD/VA SUBURBS,1.054,1.178,1.113
4012102,DE,01,DELAWARE,1.005,0.988,0.899
4109102,FL,03,FORT LAUDERDALE,1.000,1.013,1.808
4209102,FL,04,MIAMI,1.000,1.041,2.529
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503