No office rate
Use 52277 for incision of a bladder neck contracture. Code 52276 is for direct-vision internal incision of a urethral stricture.
On this page
CMS RVU26D · Effective 2026-10-01
52277 Bladder neck incision Medicare reimbursement rates in Idaho
A urologist uses cystoscopy to incise a narrowed bladder neck contracture, commonly to restore urinary flow after prior prostate treatment. Compare 52277 office and facility rates across CMS payment localities in Idaho.
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 52277 in Idaho?
Idaho 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
$266.69
1 of 1 localities have a supported rate.
Payment area: Idaho
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 52277: Endoscopic bladder neck contracture incision
A urologist uses cystoscopy to incise a narrowed bladder neck contracture, commonly to restore urinary flow after prior prostate treatment.
This procedure treats a bladder neck contracture, a scar-related narrowing at the bladder outlet. A urologist passes a cystoscope through the urethra and makes an incision in the contracted bladder neck, commonly with an endoscopic cutting instrument or energy device. It is typically performed in an operating room or ambulatory surgery setting for patients with obstructive urinary symptoms after prior prostate surgery or other treatment affecting the bladder outlet.
Report the code when the documented procedure is incision of a bladder neck contracture; a urethral stricture treated at a different site is not the same service. The operative report should identify the contracture and describe its endoscopic incision. 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. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 52277
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU6.01 · 70%
- Practice expense (office) RVU1.74 · 20%
- Malpractice RVU0.79 · 9%
18
Medicare services in 2024 · #5983 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.
52277 compared with similar codes
Office rates for Idaho, from the same CMS release.
$287.26
Code 52281 addresses urethral stricture or stenosis with calibration or dilation. It is not the code for incision of a bladder neck contracture.
No office rate
Code 52640 describes transurethral resection of bladder neck tissue. Choose based on the procedure performed: resection versus endoscopic incision of a contracture.
Compare 52277 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
Idaho →
Office / nonfacility
Unavailable
Facility
$266.69
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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 52277 in Idaho.
PPRRVU2026_Oct_nonQPP.csv
6,123
- Code
- 52277
- Physician work
- 6.01
- Practice expense
- 1.74
- Malpractice
- 0.79
GPCI2026.csv
47
- Locality
- Idaho
- Physician work
- 1.000
- Practice expense
- 0.920
- Malpractice
- 0.473
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.01 | × 1.000 | 6.0100 |
| Practice expense | 1.74 | × 0.920 | 1.6008 |
| Malpractice | 0.79 | × 0.473 | 0.3737 |
| Total RVUs | 7.9845 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Idaho$266.69
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.01 | 1 |
| Practice expense | 1.74 | 0.92 |
| Malpractice | 0.79 | 0.473 |
(6.01 × 1 + 1.74 × 0.92 + 0.79 × 0.473) × $33.4009 = $266.69
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.
52277 billing questions
How does this differ from 52276?
52277 is for incision of a bladder neck contracture. Code 52276 describes direct-vision incision of a urethral stricture, a different anatomic site.
Can bladder neck incision be billed with another endoscopy?
When related endoscopies are performed together, CMS endoscopy family pricing applies. Document each procedure performed and the anatomy treated.
Does this code have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Should modifier 50 be used for bilateral treatment?
No. CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules 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.
6,12052270,,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
6,12552282,,Cystoscopy implant stent,A,,6.23,1.81,NA,1.81,,0.85,8.89,8.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12652283,,Cystoscopy and treatment,A,,3.64,5.83,,1.24,,0.47,9.94,5.35,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772