$276.92–$303.32
Choose 52005 for ureteral catheterization without brush biopsy. Use 52007 when the catheter is used to obtain a brush sample from the ureter or renal pelvis.
On this page
CMS RVU26D · Effective 2026-10-01
52007 Ureteral biopsy Medicare reimbursement rates in Florida
Cystoscopic ureteral catheterization with brush sampling of a ureter or renal pelvis, typically used to evaluate a suspected upper urinary tract lesion. Compare 52007 office and facility rates across CMS payment localities in Florida.
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 52007 in Florida?
Florida has 3 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 3 payment areas shown below, using the same CMS release.
Office / nonfacility
$424.18–$465.09
3 of 3 localities have a supported rate.
Facility setting
$153.08–$169.89
3 of 3 localities have a supported rate.
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.
Where 52007 pays more and less in Florida
3 payment localities
$424.18 to $465.09
Urology
About 52007: Ureteral brush biopsy by cystoscopy
Cystoscopic ureteral catheterization with brush sampling of a ureter or renal pelvis, typically used to evaluate a suspected upper urinary tract lesion.
A urologist passes a cystoscope through the urethra into the bladder, advances a catheter into a ureter, and obtains a brush sample from the ureter or renal pelvis. The service is used when evaluation of a suspected upper-tract urothelial abnormality calls for brush sampling rather than tissue biopsy under direct ureteroscopic vision. It is typically performed in an operating room or procedure suite, with the specimen sent for pathologic evaluation.
Report the service for the catheter-directed brush biopsy, documenting the sampled site, laterality, clinical reason, and procedure performed. Routine cystoscopic access and ureteral catheterization for the brush sampling are included; do not separately report those steps for the same service. CMS 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. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery services are subject to a statutory payment restriction; co-surgeons and team surgery are not permitted.
CMS billing rules for 52007
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU2.94 · 23%
- Practice expense (office) RVU9.58 · 74%
- Malpractice RVU0.40 · 3%
167
Medicare services in 2024 · #4487 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.
52007 compared with similar codes
Office rates for Florida, from the same CMS release.
No office rate
Use 52354 when biopsy is performed during ureteroscopy or pyeloscopy. Code 52007 describes brush sampling through a ureteral catheter.
No office rate
Code 52351 represents diagnostic ureteroscopy or pyeloscopy. It does not describe the catheter-directed brush biopsy captured by 52007.
$212.12–$232.52
Code 52000 is for cystoscopic inspection alone. It does not include the ureteral catheter brush sampling represented by 52007.
Compare 52007 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.
3 of 3 payment localities
Fort Lauderdale →
Office / nonfacility
$446.49
Facility
$159.23
Miami →
Office / nonfacility
$465.09
Facility
$169.89
Rest Of Florida →
Office / nonfacility
$424.18
Facility
$153.08
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52007 billing questions
When should 52007 be chosen instead of 52005?
Use 52007 when a brush biopsy is taken from the ureter or renal pelvis through a ureteral catheter. Code 52005 describes ureteral catheterization without that brush-biopsy service.
Can cystoscopy or ureteral catheterization be billed separately?
Routine cystoscopic access and catheterization used to obtain the brush sample are included in 52007. Do not separately report 52000 or 52005 for those same steps.
How is a bilateral brush biopsy reported?
CMS identifies 52007 as a bilateral procedure; modifier 50 is paid at 150%. Document which ureters or renal pelvis sites were sampled.
How does 52007 differ from 52354?
52007 involves brush sampling through a ureteral catheter. Code 52354 is used for biopsy performed during ureteroscopy or pyeloscopy, rather than catheter-directed brush sampling.
Are same-day related endoscopies paid independently?
CMS applies endoscopy-family pricing when related endoscopies are performed together. The service also has a 0-day global period, which includes same-day preoperative and postoperative care.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for this service under the stated 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.
6,10552000,,Cystourethroscopy,A,,1.49,4.77,,0.44,,0.20,6.46,2.13,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,10652001,,Cysto w/irrg&evac mlt clots,A,,5.30,6.58,,1.59,,0.68,12.56,7.57,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,10752005,,Cysto w/urtrl cathj,A,,2.31,5.80,,0.98,,0.29,8.40,3.58,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,10852007,,Cysto urtrl cathj brush bx,A,,2.94,9.58,,1.09,,0.40,12.92,4.43,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,1095200F,,Eval appros surg thxpy epi,I,,0.00,0.00,,0.00,,0.00,0.00,0.00,9,XXX,0.00,0.00,0.00,9,9,9,9,9,9,,33.4009,09,0,99,0.00,0.00,0.00
6,11052010,,Cystoscopy & duct catheter,A,,2.94,7.61,,1.09,,0.38,10.93,4.41,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11152204,,Cystoscopy w/biopsy(s),A,,2.53,7.77,,0.93,,0.34,10.64,3.80,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00