No office rate
52275 applies to internal urethrotomy in a female patient. 52276 identifies direct-vision internal urethrotomy; use the code that matches the documented procedure and applicable descriptor.
On this page
CMS RVU26D · Effective 2026-10-01
52275 Urethrotomy Medicare reimbursement rates in Hawaii
Endoscopic incision of a female urethral narrowing is reported when the urologist performs internal urethrotomy rather than dilation or meatotomy. Compare 52275 office and facility rates across CMS payment localities in Hawaii.
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 52275 in Hawaii?
Hawaii 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
$558.44
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
One mapped payment locality.
Facility setting
$217.41
1 of 1 localities have a supported rate.
Payment area: Hawaii, Guam
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 52275: Female Urethral Stricture Internal Incision
Endoscopic incision of a female urethral narrowing is reported when the urologist performs internal urethrotomy rather than dilation or meatotomy.
A urologist uses a cystoscope to reach and incise scar tissue narrowing the female urethra. The procedure treats a urethral stricture by opening the narrowed segment from within, rather than simply stretching it or cutting the external urethral opening. It is generally performed in an operating room or outpatient procedural setting; the specific setting depends on the patient and the procedure plan.
Report the code for internal urethrotomy in a female patient, supported by documentation of the stricture and the incision performed. Distinguish the service from urethral dilation or meatotomy, which involve different techniques. 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. CMS does not pay an assistant at surgery for this code, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 52275
- 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 RVU4.57 · 29%
- Practice expense (office) RVU10.39 · 67%
- Malpractice RVU0.58 · 4%
730
Medicare services in 2024 · #3227 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.
52275 compared with similar codes
Office rates for Hawaii, from the same CMS release.
$431.56
52270 describes urethral meatotomy in a female patient, an incision at the urethral opening. 52275 is for internal incision of a urethral stricture.
$371.72
52265 covers female urethral stricture calibration or dilation, with or without meatotomy. Choose 52275 when the surgeon performs internal urethrotomy instead.
Compare 52275 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
Hawaii, Guam →
Office / nonfacility
$558.44
Facility
$217.41
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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 52275 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,121
- Code
- 52275
- Physician work
- 4.57
- Practice expense
- 10.39
- Malpractice
- 0.58
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 4.57 | × 1.000 | 4.5700 |
| Practice expense | 10.39 | × 1.137 | 11.8134 |
| Malpractice | 0.58 | × 0.579 | 0.3358 |
| Total RVUs | 16.7192 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Hawaii, Guam$558.44
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.57 | 1 |
| Practice expense | 10.39 | 1.137 |
| Malpractice | 0.58 | 0.579 |
(4.57 × 1 + 10.39 × 1.137 + 0.58 × 0.579) × $33.4009 = $558.44
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 4.57 | 1 |
| Practice expense | 1.41 | 1.137 |
| Malpractice | 0.58 | 0.579 |
(4.57 × 1 + 1.41 × 1.137 + 0.58 × 0.579) × $33.4009 = $217.41
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.
52275 billing questions
How does this differ from 52276?
52275 is for internal urethrotomy in a female patient. 52276 identifies direct-vision internal urethrotomy; select based on the procedure performed and the applicable code description.
Is dilation reported instead of this code?
Use a dilation code when the surgeon dilates or calibrates the narrowed urethra rather than incising the stricture internally. The operative note should make the technique clear.
Can urethral meatotomy be reported with this service?
Meatotomy is a distinct procedure involving an incision at the urethral opening. Do not use it as a substitute for documentation of internal incision of a stricture.
What is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care. CMS does not include a multi-day postoperative period for this procedure.
Can an assistant surgeon or co-surgeon be billed?
CMS 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.
6,11852260,,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
6,12152275,,Cystoscopy & revise urethra,A,,4.57,10.39,,1.41,,0.58,15.54,6.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12252276,,Cystoscopy and treatment,A,,4.87,1.50,NA,1.50,,0.62,6.99,6.99,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12352277,,Cystoscopy and treatment,A,,6.01,1.74,NA,1.74,,0.79,8.54,8.54,0,000,0.00,0.00,0.00,3,0,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12452281,,Cystoscopy and treatment,A,,2.68,6.25,,1.05,,0.36,9.29,4.09,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
4309102,FL,99,REST OF FLORIDA,1.000,0.956,1.503
4410212,GA,01,ATLANTA,1.003,1.016,1.201
4510212,GA,99,REST OF GEORGIA,1.000,0.892,1.192
4601212,HI,01,"HAWAII, GUAM",1.000,1.137,0.579
4702202,ID,00,IDAHO,1.000,0.920,0.473
4806102,IL,16,CHICAGO,1.007,1.005,2.295
4906102,IL,12,EAST ST. LOUIS,1.000,0.920,2.014