No office rate
Both address a ureteral stricture, but 52344 includes ureteroscopy and/or pyeloscopy. Choose 52341 when that component is not performed.
On this page
CMS RVU26D · Effective 2026-10-01
52344 Stricture treatment Medicare reimbursement rates in Hawaii
Reports endoscopic treatment of a ureteral narrowing when a ureteroscope or pyeloscope is used to visualize and treat the stricture. Compare 52344 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 52344 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
No supported rate
Facility setting
$321.11
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 52344: Ureteral stricture treatment with ureteroscopy
Reports endoscopic treatment of a ureteral narrowing when a ureteroscope or pyeloscope is used to visualize and treat the stricture.
A urologist uses cystoscopy to access the ureter, then advances a ureteroscope or pyeloscope to directly visualize a ureteral stricture. Treatment may include dilation or an endoscopic incision, such as with a laser or electrocautery. The procedure is typically performed in a surgical facility for a narrowing that obstructs or impedes urine flow; the operative note should identify the stricture site and describe the endoscopic treatment performed.
Select this code when the treated narrowing is in the ureter and ureteroscopy and/or pyeloscopy is part of the procedure. Document the scope used, the location and laterality of the stricture, and the treatment method. 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 not paid; co-surgeons and team surgery are not permitted.
CMS billing rules for 52344
- 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 RVU6.87 · 71%
- Practice expense (office) RVU1.96 · 20%
- Malpractice RVU0.89 · 9%
3.1K
Medicare services in 2024 · #2156 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.
52344 compared with similar codes
Office rates for Hawaii, from the same CMS release.
No office rate
This code is for treatment of a ureteropelvic junction stricture with ureteroscopy and/or pyeloscopy; 52344 is for a ureteral stricture.
No office rate
This code is for treatment of a renal pelvis stricture with ureteroscopy and/or pyeloscopy. Use 52344 when the treated stricture is in the ureter.
Compare 52344 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
Unavailable
Facility
$321.11
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 52344 in Hawaii, Guam.
PPRRVU2026_Oct_nonQPP.csv
6,147
- Code
- 52344
- Physician work
- 6.87
- Practice expense
- 1.96
- Malpractice
- 0.89
GPCI2026.csv
46
- Locality
- Hawaii, Guam
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.87 | × 1.000 | 6.8700 |
| Practice expense | 1.96 | × 1.137 | 2.2285 |
| Malpractice | 0.89 | × 0.579 | 0.5153 |
| Total RVUs | 9.6138 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Hawaii, Guam$321.11
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.87 | 1 |
| Practice expense | 1.96 | 1.137 |
| Malpractice | 0.89 | 0.579 |
(6.87 × 1 + 1.96 × 1.137 + 0.89 × 0.579) × $33.4009 = $321.11
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.
52344 billing questions
How is this different from 52341?
Use 52344 when the ureteral stricture is treated with ureteroscopy and/or pyeloscopy. Code 52341 represents ureteral stricture treatment without that ureteroscopic or pyeloscopic component.
Which code applies to a ureteropelvic junction stricture?
For treatment of a stricture at the ureteropelvic junction with ureteroscopy and/or pyeloscopy, consider 52345 rather than 52344. The documented stricture site determines the choice.
What should the operative note document?
Document the ureteral stricture's location and laterality, the use of ureteroscopy and/or pyeloscopy, and the treatment performed, such as dilation or incision.
How are related endoscopies priced when performed together?
CMS endoscopy family pricing applies when related endoscopies are performed together. The claim should reflect the procedures actually performed and documented.
Can modifier 50 be used for bilateral treatment?
Yes. CMS identifies this as a bilateral procedure; modifier 50 is paid at 150%.
Is assistant-at-surgery payment available?
No. CMS lists a statutory restriction on assistant-at-surgery payment for this code.
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.
6,14452341,,Cysto w/ureter stricture tx,A,,5.22,1.62,NA,1.62,,0.66,7.50,7.50,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14552342,,Cysto w/up stricture tx,A,,5.70,1.72,NA,1.72,,0.73,8.15,8.15,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14652343,,Cysto w/renal stricture tx,A,,6.39,1.85,NA,1.85,,0.82,9.06,9.06,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14752344,,Cysto/uretero stricture tx,A,,6.87,1.96,NA,1.96,,0.89,9.72,9.72,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14852345,,Cysto/uretero w/up stricture,A,,7.36,2.06,NA,2.06,,0.95,10.37,10.37,0,000,0.00,0.00,0.00,3,1,0,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,14952346,,Cystouretero w/renal strict,A,,8.37,2.27,NA,2.27,,1.08,11.72,11.72,0,000,0.00,0.00,0.00,3,1,0,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15052351,,Cystouretero & or pyeloscope,A,,5.61,1.66,NA,1.66,,0.71,7.98,7.98,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
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