No office rate
Use 52283 for a temporary prostatic urethral stent; 52282 describes permanent urethral stent placement.
On this page
CMS RVU26D · Effective 2026-10-01
52283 Urethral stent Medicare reimbursement rates in New Jersey
A urologist uses cystoscopy to place a temporary stent in the prostatic urethra, typically to support urinary outflow in men with obstruction. Compare 52283 office and facility rates across CMS payment localities in New Jersey.
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 52283 in New Jersey?
New Jersey 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
$356.31–$371.89
2 of 2 localities have a supported rate.
Facility setting
$188.89–$194.05
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 procedure
About 52283: Temporary prostatic urethral stent placement
A urologist uses cystoscopy to place a temporary stent in the prostatic urethra, typically to support urinary outflow in men with obstruction.
A urologist advances a cystoscope through the urethra and positions a temporary stent in the prostatic urethra to support urinary outflow. The procedure may be performed in an office or outpatient facility for a man with prostatic obstruction, including when temporary support is needed instead of a longer-term implant or bladder catheter. The stent is temporary; this service is distinct from permanent urethral stent placement and from dilation of a urethral stricture.
Report the service when the temporary prostatic stent is actually inserted, with documentation of the indication, cystoscopic placement, and device. The cystoscopy used to place the stent is part of the procedure. 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 applies. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery for this procedure, and co-surgeons and team surgery are not permitted.
CMS billing rules for 52283
- 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 RVU3.64 · 37%
- Practice expense (office) RVU5.83 · 59%
- Malpractice RVU0.47 · 5%
723
Medicare services in 2024 · #3231 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.
52283 compared with similar codes
Office rates for New Jersey, from the same CMS release.
$334.25–$350.15
Use 52281 when the procedure is calibration or dilation for a urethral stricture or stenosis, rather than placement of a temporary prostatic stent.
$2,924.39–$3,101.02
Code 52284 concerns treatment of a urethral stricture with a drug-coated balloon; 52283 is for temporary stenting of the prostatic urethra.
Compare 52283 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
Northern Nj →
Office / nonfacility
$371.89
Facility
$194.05
Rest Of New Jersey →
Office / nonfacility
$356.31
Facility
$188.89
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52283 billing questions
How does this differ from code 52282?
Code 52283 describes placement of a temporary stent in the prostatic urethra. Code 52282 is for a permanent urethral stent.
Can the diagnostic cystoscopy be billed separately?
The cystoscopy used to position the stent is part of the placement service; it is not a separate diagnostic examination.
What documentation supports reporting this code?
Document the reason for prostatic urethral support, the cystoscopic insertion, and that the device placed is temporary.
Should modifier 50 be used for placement on both sides?
No. CMS identifies bilateral adjustment as inappropriate for this code.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay an assistant at surgery for this procedure. Co-surgeons and team surgery are not permitted.
How are same-day related endoscopies priced?
CMS applies endoscopy family pricing when related endoscopies are performed together. Same-day preoperative and postoperative care is included in the 0-day global period.
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.
6,12352277,,Cystoscopy and treatment,A,,6.01,1.74,NA,1.74,,0.79,8.54,8.54,0,000,0.00,0.00,0.00,3,0,0,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
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