Billing code 52283: Urethral stentMedicare rate & RVUs in Illinois
A urologist uses cystoscopy to place a temporary stent in the prostatic urethra, typically to support urinary outflow in men with obstruction.
Medicare pays $323.90–$354.16 for 52283 in the office in Illinois, from Rest Of Illinois to Chicago. 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 52283 covers
A urologist advances a cystoscope through the urethra and positions a temporary stent in the prostatic urethra to support urinary outflow. The procedure may be performed in an office or outpatient facility for a man with prostatic obstruction, including when temporary support is needed instead of a longer-term implant or bladder catheter. The stent is temporary; this service is distinct from permanent urethral stent placement and from dilation of a urethral stricture.
Report the service when the temporary prostatic stent is actually inserted, with documentation of the indication, cystoscopic placement, and device. The cystoscopy used to place the stent is part of the procedure. 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. Medicare does not pay an assistant at surgery for this procedure, 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.
Where 52283 pays more and less in Illinois
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
4 payment localities
$323.90 to $354.16
| Payment locality | Office | Facility |
|---|---|---|
| Chicago | $354.16 | $200.08 |
| East St. Louis | $332.34 | $191.30 |
| Rest Of Illinois | $323.90 | $183.93 |
| Suburban Chicago | $350.23 | $192.78 |
How the 52283 rate is calculated
Each of 52283’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 · 52283
RVUs × geographic indexes × conversion factor
Work3.64
3.64 RVUs× 1.000 GPCI
Practice expense5.83
5.83 RVUs× 1.000 GPCI
Malpractice0.47
0.47 RVUs× 1.000 GPCI
Adjusted RVUs
9.9400
Conversion factor
$33.4009
Medicare rate
$332.00
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52283
The CMS indicators that decide how 52283 is paid alongside other services.
CMS payment indicators · 52283
Urethral stent
| 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
52283 without 51 · national office
$332.00
Urethral stent
52283-51 · Second procedure: 50%
$166.00
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%).
52283 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 52282Urethral stent
- Use 52283 for a temporary prostatic urethral stent; 52282 describes permanent urethral stent placement.
- 52281Urethral dilation
- Use 52281 when the procedure is calibration or dilation for a urethral stricture or stenosis, rather than placement of a temporary prostatic stent.
- 52284Urethral dilation
- Code 52284 concerns treatment of a urethral stricture with a drug-coated balloon; 52283 is for temporary stenting of the prostatic urethra.
52283 billing questions
How does this differ from code 52282?
Code 52283 describes placement of a temporary stent in the prostatic urethra. Code 52282 is for a permanent urethral stent.
Can the diagnostic cystoscopy be billed separately?
The cystoscopy used to position the stent is part of the placement service; it is not a separate diagnostic examination.
What documentation supports reporting this code?
Document the reason for prostatic urethral support, the cystoscopic insertion, and that the device placed is temporary.
Should modifier 50 be used for placement on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.
How are same-day related endoscopies priced?
CMS applies endoscopy family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in the 0-day global period.
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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