$691.08
52224 is for a smaller bladder lesion category. 52235 is selected for a tumor measuring 2.0 to 5.0 cm.
On this page
CMS RVU26D · Effective 2026-10-01
52235 Bladder tumor resection Medicare reimbursement rates in Oklahoma
Reports endoscopic removal or destruction of a medium bladder tumor, sized 2.0 to 5.0 cm, during cystoscopic treatment. Compare 52235 office and facility rates across CMS payment localities in Oklahoma.
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 52235 in Oklahoma?
Oklahoma 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
No supported rate
Facility setting
$243.59
1 of 1 localities have a supported rate.
Payment area: Oklahoma
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 52235: Transurethral resection of medium bladder tumor
Reports endoscopic removal or destruction of a medium bladder tumor, sized 2.0 to 5.0 cm, during cystoscopic treatment.
A urologist uses a cystoscope and endoscopic instruments to remove or destroy a bladder tumor measuring 2.0 to 5.0 cm. The treatment may involve resection, electrosurgical fulguration, laser, or cryosurgical techniques. It is commonly performed in an operating room, often as transurethral bladder tumor resection, with the tumor tissue submitted for pathology when removed.
Choose this level from the documented tumor size and operative findings; record the measured lesion and the treatment performed. The 0-day global period includes same-day preoperative and postoperative care. When related endoscopies are performed together, CMS endoscopy-family pricing applies. Modifier 50 is inappropriate for this code. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
CMS billing rules for 52235
- 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 RVU5.30 · 70%
- Practice expense (office) RVU1.64 · 22%
- Malpractice RVU0.68 · 9%
36.2K
Medicare services in 2024 · #910 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.
52235 compared with similar codes
Office rates for Oklahoma, from the same CMS release.
No office rate
52234 represents a smaller bladder tumor size category; 52235 covers tumors measuring 2.0 to 5.0 cm.
No office rate
52240 is the larger-tumor level. Use 52235 for a documented tumor measuring 2.0 to 5.0 cm.
$325.08
52204 is for cystoscopic biopsy. 52235 is for endoscopic treatment of a medium bladder tumor by removal or destruction.
Compare 52235 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
Oklahoma →
Office / nonfacility
Unavailable
Facility
$243.59
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.
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 52235 in Oklahoma.
PPRRVU2026_Oct_nonQPP.csv
6,115
- Code
- 52235
- Physician work
- 5.30
- Practice expense
- 1.64
- Malpractice
- 0.68
GPCI2026.csv
86
- Locality
- Oklahoma
- Physician work
- 1.000
- Practice expense
- 0.893
- Malpractice
- 0.777
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 5.30 | × 1.000 | 5.3000 |
| Practice expense | 1.64 | × 0.893 | 1.4645 |
| Malpractice | 0.68 | × 0.777 | 0.5284 |
| Total RVUs | 7.2929 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Oklahoma$243.59
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 5.3 | 1 |
| Practice expense | 1.64 | 0.893 |
| Malpractice | 0.68 | 0.777 |
(5.3 × 1 + 1.64 × 0.893 + 0.68 × 0.777) × $33.4009 = $243.59
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.
52235 billing questions
How is 52235 distinguished from 52234 or 52240?
52235 is for a bladder tumor measuring 2.0 to 5.0 cm. Use the neighboring size-level code when the documented tumor falls into that code’s size category.
When would 52204 be used instead?
52204 describes cystoscopic bladder biopsy. It is the relevant choice when tissue is sampled for diagnosis rather than a medium tumor being resected or destroyed.
Can modifier 50 be used for tumors on both sides of the bladder?
No. Bilateral adjustment does not apply, and the descriptor or anatomy makes modifier 50 inappropriate.
What happens when related endoscopies are performed in the same session?
CMS endoscopy-family pricing applies when related endoscopies are performed together, affecting payment for the combined services.
Can an assistant or co-surgeon be reported?
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.
6,11252214,,Cystoscopy and treatment,A,,3.41,17.94,,0.71,,0.43,21.78,4.55,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11352224,,Cystoscopy and treatment,A,,3.95,18.32,,0.82,,0.49,22.76,5.26,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11452234,,Cystoscopy and treatment,A,,4.50,1.42,NA,1.42,,0.57,6.49,6.49,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11552235,,Cystoscopy and treatment,A,,5.30,1.64,NA,1.64,,0.68,7.62,7.62,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11652240,,Cystoscopy and treatment,A,,7.31,2.05,NA,2.05,,0.95,10.31,10.31,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11752250,,Cystoscopy and radiotracer,A,,4.38,1.40,NA,1.40,,0.56,6.34,6.34,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,11852260,,Cystoscopy and treatment,A,,3.81,1.24,NA,1.24,,0.51,5.56,5.56,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
8311502,NC,00,NORTH CAROLINA,1.000,0.933,0.639
8403302,ND,01,NORTH DAKOTA**,1.000,1.000,0.406
8515202,OH,00,OHIO,1.000,0.913,1.008
8604312,OK,00,OKLAHOMA,1.000,0.893,0.777
8702302,OR,01,PORTLAND,1.016,1.111,0.744
8802302,OR,99,REST OF OREGON,1.000,0.996,0.703
8912502,PA,01,METROPOLITAN PHILADELPHIA,1.018,1.041,1.193