Billing code 52341: Ureteral stricture treatmentMedicare rate & RVUs in Oregon
Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage.
CMS doesn’t publish an office rate for 52341 in Oregon.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 52341 covers
A urologist uses a cystoscope passed through the urethra and bladder to reach and treat a narrowed ureter. Treatment may widen the stricture with a balloon or open it with an incision using an energy device. This service is performed in settings equipped for endoscopic urologic procedures, commonly a hospital or ambulatory surgery center, when a ureteral narrowing is being treated rather than only inspected.
Choose the code based on the stricture’s location and the approach documented. The operative report should identify the treated ureter and side, the stricture site, and the treatment performed. This is a minor procedure with a 0-day global period, so same-day preoperative and postoperative care is included. CMS applies endoscopy-family pricing when related endoscopies are performed together. For bilateral treatment, modifier 50 is paid at 150%. CMS does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
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.
Where 52341 pays more and less in Oregon
| Payment locality | Office | Facility |
|---|---|---|
| Portland | Unavailable | $253.66 |
| Rest Of Oregon | Unavailable | $243.74 |
How the 52341 rate is calculated
Each of 52341’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 52341
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.22Practice expense 1.62Malpractice 0.66
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 52341
The CMS indicators that decide how 52341 is paid alongside other services.
CMS payment indicators · 52341
Ureteral stricture treatment
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 3 | Endoscopy family rules apply. |
| Bilateral (modifier 50) | 1 | Bilateral with modifier 50 pays 150% of the fee schedule amount. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 50 · payment effect
With and without the modifier
52341 without 50 · national facility
$250.51
Ureteral stricture treatment
52341-50 · Bilateral: 150%
$375.77
Both sides on one line with modifier 50 are paid at 150% of the fee schedule amount (subject to multiple-procedure rules with other procedures).
52341 compared with similar codes
Compare codes
52341 vs 52342 vs 52343 vs 52344: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 52342UPJ stricture treatment
- Use 52342 when the treated narrowing is at the ureteropelvic junction. Use 52341 for a ureteral stricture outside that junction.
- 52343Renal stricture treatment
- 52343 applies to an intrarenal stricture. Choose 52341 when the treated site is a ureteral stricture.
- 52344Stricture treatment
- Both codes involve ureteral stricture treatment, but 52344 includes ureteroscopy. Base selection on the approach documented.
52341 billing questions
How is this different from treatment of a ureteropelvic junction stricture?
Use 52341 for a ureteral stricture. Code 52342 is for a narrowing at the ureteropelvic junction, where the ureter meets the renal pelvis.
When would 52344 be considered instead?
52344 describes treatment of a ureteral stricture with ureteroscopy. Distinguish it from 52341 by the approach and instrumentation documented in the operative report.
How should bilateral treatment be reported?
For bilateral treatment, report modifier 50; CMS pays the bilateral procedure at 150%.
Is same-day care included in the procedure payment?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
What happens when related endoscopies are performed together?
CMS applies endoscopy-family pricing to related endoscopies performed together. Document each procedure and its distinct clinical purpose.
Can an assistant or co-surgeon be reported?
CMS 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 indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets
Put 52341 and the rest of your codes on one sheet
Build a fee sheet from your own code list at your locality, put your payer contracts beside Medicare, and see what changed each quarter.
Build my fee sheetOr price your code list free →