No office rate
Use 52352 for ureteroscopic stone removal without lithotripsy. Add 52332 only when a distinct indwelling stent is placed during the session.
On this page
CMS RVU26D · Effective 2026-10-01
52332 Ureteral stent Medicare reimbursement rates in Iowa
Reports cystoscopic placement of an indwelling ureteral stent to maintain drainage between the kidney and bladder, often during treatment of ureteral stones or obstruction. Compare 52332 office and facility rates across CMS payment localities in Iowa.
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 52332 in Iowa?
Iowa 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
$342.65
1 of 1 localities have a supported rate.
Payment area: Iowa
One mapped payment locality.
Facility setting
$129.33
1 of 1 localities have a supported rate.
Payment area: Iowa
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 52332: Cystoscopic ureteral stent placement
Reports cystoscopic placement of an indwelling ureteral stent to maintain drainage between the kidney and bladder, often during treatment of ureteral stones or obstruction.
A urologist places an indwelling stent through the urethra and bladder, advancing it into the ureter so urine can drain from the kidney to the bladder. The stent may be used when a ureter is obstructed or swollen, or after endoscopic treatment of a ureteral or renal stone. The service is commonly performed in a hospital outpatient department or ambulatory surgery center; office use is less frequent.
Report 52332 when the documented service includes placement of the indwelling stent, not merely cystoscopic inspection or stent removal. The operative note should identify the side, reason for placement, and placement details. When a related endoscopy is performed in the same session, CMS endoscopy-family pricing applies. For bilateral placement, modifier 50 is paid at 150%. The code has a 0-day global period, so same-day preoperative and postoperative care is included. Medicare does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
CMS billing rules for 52332
- 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 RVU2.75 · 25%
- Practice expense (office) RVU8.05 · 72%
- Malpractice RVU0.36 · 3%
129.7K
Medicare services in 2024 · #491 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.
52332 compared with similar codes
Office rates for Iowa, from the same CMS release.
No office rate
52353 reports ureteroscopic or renal stone lithotripsy. A distinct stent placement may be reported separately, while 52356 represents lithotripsy with stent placement included.
$274.77
52310 describes cystoscopic removal of a stent or other foreign body; 52332 is for placing an indwelling ureteral stent.
Compare 52332 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
Iowa →
Office / nonfacility
$342.65
Facility
$129.33
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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 52332 in Iowa.
PPRRVU2026_Oct_nonQPP.csv
6,142
- Code
- 52332
- Physician work
- 2.75
- Practice expense
- 8.05
- Malpractice
- 0.36
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.75 | × 1.000 | 2.7500 |
| Practice expense | 8.05 | × 0.915 | 7.3658 |
| Malpractice | 0.36 | × 0.397 | 0.1429 |
| Total RVUs | 10.2587 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Iowa$342.65
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.75 | 1 |
| Practice expense | 8.05 | 0.915 |
| Malpractice | 0.36 | 0.397 |
(2.75 × 1 + 8.05 × 0.915 + 0.36 × 0.397) × $33.4009 = $342.65
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.75 | 1 |
| Practice expense | 1.07 | 0.915 |
| Malpractice | 0.36 | 0.397 |
(2.75 × 1 + 1.07 × 0.915 + 0.36 × 0.397) × $33.4009 = $129.33
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.
52332 billing questions
When is 52332 reported with ureteroscopic stone treatment?
Report it when an indwelling stent is placed as a distinct part of the session, such as with ureteroscopic stone extraction or lithotripsy. Code 52356 includes stent placement with ureteroscopic lithotripsy, so do not separately report 52332 for that included stent.
Does 52332 describe stent removal?
No. It describes stent placement. Cystoscopic removal of a ureteral stent is represented by a removal code, such as 52310 or 52315, depending on the service performed.
What documentation supports 52332?
Document the indication for drainage or support, the side treated, and that an indwelling ureteral stent was placed. If another endoscopic procedure was performed in the same session, the note should make the stent placement and the other work clear.
How is bilateral stent placement reported?
For bilateral placement, use modifier 50; CMS pays the bilateral procedure at 150%.
Can an assistant or co-surgeon be reported for 52332?
Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted under the CMS rules supplied for this code.
What same-day care is included in the global period?
The 0-day global period includes same-day preoperative and postoperative care. Related endoscopies performed together are subject to endoscopy-family pricing.
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.
6,13952325,,Cystoscopy stone removal,A,,6.00,1.65,NA,1.65,,0.78,8.43,8.43,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14052327,,Cystoscopy inject material,A,,5.05,1.05,NA,1.05,,0.64,6.74,6.74,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14152330,,Cystoscopy and treatment,A,,4.90,12.15,,1.40,,0.62,17.67,6.92,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14252332,,Cystoscopy and treatment,A,,2.75,8.05,,1.07,,0.36,11.16,4.18,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14352334,,Create passage to kidney,A,,3.29,1.17,NA,1.17,,0.43,4.89,4.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14452341,,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
5006102,IL,15,SUBURBAN CHICAGO,1.007,1.027,1.772
5106102,IL,99,REST OF ILLINOIS,1.000,0.913,1.563
5208102,IN,00,INDIANA,1.000,0.927,0.486
5305102,IA,00,IOWA,1.000,0.915,0.397
5405202,KS,00,KANSAS,1.000,0.904,0.504
5515102,KY,00,KENTUCKY,1.000,0.889,0.915
5607202,LA,01,NEW ORLEANS,1.000,0.941,1.136