On this page

CMS RVU26D · Effective 2026-10-01

52334 Ureteral access Medicare reimbursement rates in Michigan

A urologist creates an endoscopic opening at the ureteral entrance to facilitate passage of a catheter or stent toward the kidney. Compare 52334 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 52334 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

No supported rate

Facility setting

$161.78–$171.82

2 of 2 localities have a supported rate.

Lowest: Rest Of Michigan

Highest: Detroit

A spread of $10.04 per service.

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.

Find 52334 in your payment locality →

Urology endoscopy

About 52334: Endoscopic ureteral passage creation

A urologist creates an endoscopic opening at the ureteral entrance to facilitate passage of a catheter or stent toward the kidney.

A urologist uses a cystoscope to create an opening at the ureteral orifice when access for a ureteral catheter or stent is needed. The incision, sometimes described as a ureteral meatotomy, facilitates passage from the bladder into the ureter and toward the kidney. The service is generally performed in an endoscopic or operating-room setting; the record should identify the access problem, the site treated, and the passage created.

Report this code for creating the passage, not simply for placing a stent. If a related endoscopy is performed in the same session, CMS endoscopy-family pricing applies. The procedure has a 0-day global period, so same-day preoperative and postoperative care is included. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and does not permit co-surgeons or team surgery for this service.

CMS billing rules for 52334

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 RVU3.29 · 67%
  • Practice expense (office) RVU1.17 · 24%
  • Malpractice RVU0.43 · 9%

257

Medicare services in 2024 · #4117 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.

52334 compared with similar codes

Office rates for Michigan, from the same CMS release.

52332

Ureteral stent

Indwelling stent placement

$350.91–$371.59

Choose 52334 for creating a passage at the ureteral opening. Choose 52332 when the service is placement of an indwelling ureteral stent.

52341

Ureteral stricture treatment

Cystoscopic approach

No office rate

52341 addresses endoscopic treatment of a ureteral stricture. 52334 creates an opening to facilitate catheter or stent passage.

52342

UPJ stricture treatment

Without ureteroscopy

No office rate

52342 treats narrowing at the ureteropelvic junction. 52334 is for creating access at the ureteral opening, not treating that junctional stricture.

Compare 52334 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

Office and facility base rates · shared scale starting at $0

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.

Explore fee-sheet early access →

52334 billing questions

How is this different from 52332?

52334 describes creating an opening to facilitate ureteral access. Code 52332 describes placing an indwelling ureteral stent; report it when that placement is also performed and separately reportable.

Does this code include stent placement?

The service is creation of a passage for catheter or stent insertion, not the insertion itself. Document whether a catheter or stent was placed as a separate service.

Can modifier 50 be used for bilateral work?

No. CMS identifies bilateral adjustment as inappropriate for this code.

What documentation supports reporting 52334?

Document the ureteral access difficulty, the ureteral opening treated, and the incision or other passage-creating work performed. Distinguish that work from any separately performed catheter or stent placement.

How are other endoscopies in the same session paid?

When related endoscopies are performed together, CMS endoscopy-family pricing applies. The procedure also has a 0-day global period, including same-day preoperative and postoperative care.

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.

RVUs for 52334PPRRVU2026_Oct_nonQPP.csv, line 6,143 (RVU26D)