$278.14
Choose 52284 when treatment uses a drug-coated balloon for mechanical dilation and drug delivery. Code 52281 describes urethral stricture dilation by a different method.
On this page
CMS RVU26D · Effective 2026-10-01
52284 Urethral dilation Medicare reimbursement rates in Mississippi
Urologists report this cystourethroscopic procedure when treating a urethral stricture with mechanical balloon dilation and therapeutic drug delivery. Compare 52284 office and facility rates across CMS payment localities in Mississippi.
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 52284 in Mississippi?
Mississippi 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
$2322.29
1 of 1 localities have a supported rate.
Payment area: Mississippi
One mapped payment locality.
Facility setting
$138.11
1 of 1 localities have a supported rate.
Payment area: Mississippi
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 52284: Drug-coated balloon urethral stricture treatment
Urologists report this cystourethroscopic procedure when treating a urethral stricture with mechanical balloon dilation and therapeutic drug delivery.
A urologist passes a cystoscope to evaluate and access a urethral narrowing, then uses a drug-coated balloon catheter to mechanically widen the stricture and deliver medication to the treated area. The technique is used for urethral stricture disease, including recurrent anterior strictures, and may be performed in a facility or office-based procedure setting. Fluoroscopic guidance is included when performed; it is not required for the code’s description to fit.
Report the code when the documented treatment uses the drug-coated balloon approach, rather than ordinary dilation or incision of the stricture. The operative note should identify the stricture site and treatment performed, including balloon use and drug delivery. The procedure has 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. Bilateral adjustment is inappropriate; assistant-at-surgery services are not paid, and co-surgeon and team-surgery billing are not permitted.
CMS billing rules for 52284
- 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 RVU3.02 · 4%
- Practice expense (office) RVU76.91 · 96%
- Malpractice RVU0.39 · 0%
4K
Medicare services in 2024 · #1999 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.
52284 compared with similar codes
Office rates for Mississippi, from the same CMS release.
No office rate
52276 is for endoscopic incision of a urethral stricture. This code is for balloon dilation with therapeutic drug delivery.
$83.38
53600 describes urethral dilation by instrumentation without this cystourethroscopic drug-coated balloon treatment.
Compare 52284 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
Mississippi →
Office / nonfacility
$2322.29
Facility
$138.11
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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 52284 in Mississippi.
PPRRVU2026_Oct_nonQPP.csv
6,127
- Code
- 52284
- Physician work
- 3.02
- Practice expense
- 76.91
- Malpractice
- 0.39
GPCI2026.csv
67
- Locality
- Mississippi
- Physician work
- 1.000
- Practice expense
- 0.861
- Malpractice
- 0.739
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 3.02 | × 1.000 | 3.0200 |
| Practice expense | 76.91 | × 0.861 | 66.2195 |
| Malpractice | 0.39 | × 0.739 | 0.2882 |
| Total RVUs | 69.5277 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Mississippi$2322.29
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.02 | 1 |
| Practice expense | 76.91 | 0.861 |
| Malpractice | 0.39 | 0.739 |
(3.02 × 1 + 76.91 × 0.861 + 0.39 × 0.739) × $33.4009 = $2322.29
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 3.02 | 1 |
| Practice expense | 0.96 | 0.861 |
| Malpractice | 0.39 | 0.739 |
(3.02 × 1 + 0.96 × 0.861 + 0.39 × 0.739) × $33.4009 = $138.11
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.
52284 billing questions
When should this code be chosen instead of 52281?
Use this code for cystourethroscopic treatment with a drug-coated balloon that mechanically dilates the stricture and delivers medication. Code 52281 describes a different dilation approach.
Is cystoscopy separately reported with this procedure?
The cystourethroscopic access and evaluation are part of this procedure. Do not separately report the same cystoscopy as though it were an independent service.
What documentation supports reporting it?
Document the urethral stricture and its site, the drug-coated balloon treatment, and the mechanical dilation and therapeutic drug delivery performed. Include fluoroscopy in the record when used.
Can modifier 50 be used for treatment on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.
Can an assistant, co-surgeon, or surgical team be reported?
CMS does not pay an assistant at surgery for this service, and co-surgeon and team-surgery billing 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.
6,12452281,,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
6,12752284,,Cysto rx balo cath urtl strx,A,,3.02,76.91,,0.96,,0.39,80.32,4.37,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12852285,,Cystoscopy and treatment,A,,3.51,5.76,,1.19,,0.49,9.76,5.19,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,12952287,,Cystoscopy chemodenervation,A,,3.12,7.34,,0.91,,0.43,10.89,4.46,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13052290,,Cystoscopy and treatment,A,,4.47,1.41,NA,1.41,,0.57,6.45,6.45,0,000,0.00,0.00,0.00,3,2,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6408202,MI,01,DETROIT,1.000,0.965,1.686
6508202,MI,99,REST OF MICHIGAN,1.000,0.913,1.129
6606202,MN,00,MINNESOTA,1.000,1.029,0.296
6707302,MS,00,MISSISSIPPI,1.000,0.861,0.739
6805302,MO,02,METROPOLITAN KANSAS CITY,1.000,0.939,0.977
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974