No office rate
Both address bladder calculi. Choose 52317 for a small or straightforward procedure and 52318 for a large or more complex one.
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CMS RVU26D · Effective 2026-10-01
52317 Bladder stone removal Medicare reimbursement rates in Michigan
Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity. Compare 52317 office and facility rates across CMS payment localities in Michigan.
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 52317 in Michigan?
Michigan has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$818.01–$866.14
2 of 2 localities have a supported rate.
Facility setting
$302.95–$321.75
2 of 2 localities have a supported rate.
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 52317: Simple bladder stone fragmentation and removal
Reports endoscopic fragmentation and removal of a small or uncomplicated bladder stone, with code selection based on stone size and procedural complexity.
A urologist uses a cystoscope and appropriate instruments to break up a bladder calculus and remove the fragments through the urinary outlet. This service addresses stones within the bladder, such as a calculus found during evaluation of urinary symptoms or identified on imaging; it is not the ureteral-stone procedure. The operative record should describe the stone’s location, size and complexity, the method used to fragment it, and removal of the resulting material.
Select this code for a small or straightforward bladder stone procedure; the larger or more complex bladder-stone service is a separate sibling code. The service includes fragmentation and removal, rather than separate reporting for each fragment. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this bladder procedure. Medicare does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52317
- 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 RVU6.54 · 25%
- Practice expense (office) RVU18.61 · 72%
- Malpractice RVU0.85 · 3%
14.6K
Medicare services in 2024 · #1266 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.
52317 compared with similar codes
Office rates for Michigan, from the same CMS release.
No office rate
52317 treats a calculus in the bladder; 52320 addresses removal of a calculus in the ureter.
No office rate
52317 is for bladder-stone fragmentation and removal, while 52325 addresses fragmentation of a ureteral calculus.
No office rate
Use 52352 for ureteroscopic calculus removal in the ureter or upper urinary tract, not for a bladder calculus.
Compare 52317 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.
2 of 2 payment localities
Detroit →
Office / nonfacility
$866.14
Facility
$321.75
Rest Of Michigan →
Office / nonfacility
$818.01
Facility
$302.95
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52317 billing questions
How does this code differ from 52318?
This code is for a small or straightforward bladder stone procedure. Use 52318 when the bladder calculus is large or the procedure is more complex.
Can fragmentation and fragment removal be reported separately?
No. The bladder-stone service includes breaking up the calculus and removing its fragments; do not report separate units for individual fragments.
What documentation supports code selection?
Document the bladder location, stone size and complexity, fragmentation method, and removal of fragments. The operative note should make clear why the simple or small-calculus level fits.
Should modifier 50 be appended for stones on both sides?
No. Bilateral adjustment does not apply to this bladder procedure, and modifier 50 is inappropriate.
How does Medicare handle related endoscopies performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together. Same-day preoperative and postoperative care is included in this code’s 0-day global period.
Can an assistant surgeon or co-surgeon be billed?
Medicare 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.
6,13352305,,Cystoscopy and treatment,A,,5.17,1.50,NA,1.50,,0.66,7.33,7.33,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13452310,,Cystoscopy and treatment,A,,2.74,5.84,,0.93,,0.36,8.94,4.03,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13552315,,Cystoscopy and treatment,A,,5.07,7.96,,1.52,,0.67,13.70,7.26,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13652317,,Remove bladder stone,A,,6.54,18.61,,1.72,,0.85,26.00,9.11,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13752318,,Remove bladder stone,A,,8.95,2.29,NA,2.29,,1.16,12.40,12.40,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13852320,,Cystoscopy and treatment,A,,4.57,1.33,NA,1.33,,0.58,6.48,6.48,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13952325,,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