CPT code 52317: Bladder stone removal2026 Medicare rate & RVUs in Delaware
Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity.
Medicare pays $859.19 for 52317 in the office in Delaware (Delaware). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 52317 covers
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.
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 in Delaware
| Payment locality | Office | Facility |
|---|---|---|
| Delaware | $859.19 | $301.82 |
How the 52317 rate is calculated
Each of 52317’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 52317
RVUs × geographic indexes × conversion factor
Work6.54
6.54 RVUs× 1.000 GPCI
Practice expense18.61
18.61 RVUs× 1.000 GPCI
Malpractice0.85
0.85 RVUs× 1.000 GPCI
Adjusted RVUs
26.0000
Conversion factor
$33.4009
Medicare rate
$868.42
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52317
The CMS indicators that decide how 52317 is paid alongside other services.
CMS payment indicators · 52317
Bladder stone removal
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
52317 without 51 · national office
$868.42
Bladder stone removal
52317-51 · Second procedure: 50%
$434.21
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
52317 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 52318Bladder stone removal
- Both address bladder calculi. Choose 52317 for a small or straightforward procedure and 52318 for a large or more complex one.
- 52320Ureteral stone removal
- 52317 treats a calculus in the bladder; 52320 addresses removal of a calculus in the ureter.
- 52325Stone fragmentation
- 52317 is for bladder-stone fragmentation and removal, while 52325 addresses fragmentation of a ureteral calculus.
- 52352Ureteroscopy
- Use 52352 for ureteroscopic calculus removal in the ureter or upper urinary tract, not for a bladder calculus.
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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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