$423.20
Both codes cover cystoscopic removal from the urethra or bladder; 52310 is for simple removal, while 52315 is for complicated removal.
On this page
CMS RVU26D · Effective 2026-10-01
52310 Cystoscopic removal Medicare reimbursement rates in Nebraska
Reports simple cystoscopic removal of a foreign body, calculus, or ureteral stent located in the urethra or bladder. Compare 52310 office and facility rates across CMS payment localities in Nebraska.
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 52310 in Nebraska?
Nebraska 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
$276.11
1 of 1 localities have a supported rate.
Payment area: Nebraska
One mapped payment locality.
Facility setting
$124.73
1 of 1 localities have a supported rate.
Payment area: Nebraska
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 endoscopy
About 52310: Simple cystoscopic foreign body removal
Reports simple cystoscopic removal of a foreign body, calculus, or ureteral stent located in the urethra or bladder.
A urologist typically performs this brief endoscopic service in an office, ambulatory surgery center, or hospital setting. Using a cystoscope, the physician removes a foreign body, small calculus, or ureteral stent from the urethra or bladder. A common use is removal of a ureteral stent that has reached the bladder. The service is limited to simple removal; a complicated removal belongs to the related higher-level code.
Choose the code from the documented site and complexity, and record the item removed and the work performed. 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 affects payment. The bilateral adjustment is inappropriate for this service. CMS does not pay an assistant at surgery, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52310
- 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 RVU2.74 · 31%
- Practice expense (office) RVU5.84 · 65%
- Malpractice RVU0.36 · 4%
94.1K
Medicare services in 2024 · #582 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.
52310 compared with similar codes
Office rates for Nebraska, from the same CMS release.
No office rate
Use 52320 for endoscopic removal of a ureteral calculus. Use 52310 for simple removal of an item located in the urethra or bladder.
$802.90
52317 covers transurethral bladder-stone treatment by cystolitholapaxy; 52310 is for simple removal of a bladder or urethral calculus.
$344.57
52332 covers placement of an indwelling ureteral stent. This code covers removal of an existing stent from the urethra or bladder.
Compare 52310 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
Nebraska →
Office / nonfacility
$276.11
Facility
$124.73
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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 52310 in Nebraska.
PPRRVU2026_Oct_nonQPP.csv
6,134
- Code
- 52310
- Physician work
- 2.74
- Practice expense
- 5.84
- Malpractice
- 0.36
GPCI2026.csv
72
- Locality
- Nebraska
- Physician work
- 1.000
- Practice expense
- 0.923
- Malpractice
- 0.378
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 2.74 | × 1.000 | 2.7400 |
| Practice expense | 5.84 | × 0.923 | 5.3903 |
| Malpractice | 0.36 | × 0.378 | 0.1361 |
| Total RVUs | 8.2664 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Nebraska$276.11
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.74 | 1 |
| Practice expense | 5.84 | 0.923 |
| Malpractice | 0.36 | 0.378 |
(2.74 × 1 + 5.84 × 0.923 + 0.36 × 0.378) × $33.4009 = $276.11
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 2.74 | 1 |
| Practice expense | 0.93 | 0.923 |
| Malpractice | 0.36 | 0.378 |
(2.74 × 1 + 0.93 × 0.923 + 0.36 × 0.378) × $33.4009 = $124.73
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.
52310 billing questions
When should 52315 be used instead?
Use 52315 when the removal is documented as complicated. This code describes simple removal from the urethra or bladder.
Can this code be used to remove a ureteral stone?
This code covers removal from the urethra or bladder. For a ureteral calculus removed endoscopically, compare the procedure with 52320 or the applicable ureteroscopic stone-removal code.
Does removal of a ureteral stent qualify?
Yes, when the stent is removed from the urethra or bladder by cystoscopy. Document the stent removal and the work performed.
Can modifier 50 be reported?
No. CMS identifies the bilateral adjustment as inappropriate for this code.
What postoperative care is included?
The 0-day global period includes same-day preoperative and postoperative care.
How is payment affected when another related endoscopy is performed?
CMS endoscopy family pricing applies when related endoscopies are performed together, affecting payment for the combined session.
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.
6,13152300,,Cystoscopy and treatment,A,,5.17,1.57,NA,1.57,,0.66,7.40,7.40,0,000,0.00,0.00,0.00,3,2,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13252301,,Cystoscopy and treatment,A,,5.36,1.60,NA,1.60,,0.68,7.64,7.64,0,000,0.00,0.00,0.00,3,2,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
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
6905302,MO,01,METROPOLITAN ST. LOUIS,1.000,0.952,1.002
7005302,MO,99,REST OF MISSOURI,1.000,0.862,0.974
7103202,MT,01,MONTANA**,1.000,1.000,0.998
7205402,NE,00,NEBRASKA,1.000,0.923,0.378
7301312,NV,00,NEVADA**,1.000,1.001,0.833
7414312,NH,40,NEW HAMPSHIRE,1.000,1.041,0.875
7512402,NJ,01,NORTHERN NJ,1.063,1.160,1.068