No office rate
Use 52342 when the treated narrowing is at the ureteropelvic junction. Use 52341 for a ureteral stricture outside that junction.
On this page
CMS RVU26D · Effective 2026-10-01
52341 Ureteral stricture treatment Medicare reimbursement rates in Pennsylvania
Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage. Compare 52341 office and facility rates across CMS payment localities in Pennsylvania.
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 52341 in Pennsylvania?
Pennsylvania 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
No supported rate
Facility setting
$244.86–$260.12
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
About 52341: Cystoscopic treatment of ureteral stricture
Reports endoscopic treatment of a narrowed ureter using cystoscopic access, such as dilation or incision to improve urine drainage.
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.
CMS billing rules for 52341
- 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 procedure with modifier 50 is paid at 150%.
- 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 RVU5.22 · 70%
- Practice expense (office) RVU1.62 · 22%
- Malpractice RVU0.66 · 9%
1.8K
Medicare services in 2024 · #2549 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.
52341 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
No office rate
52343 applies to an intrarenal stricture. Choose 52341 when the treated site is a ureteral stricture.
No office rate
Both codes involve ureteral stricture treatment, but 52344 includes ureteroscopy. Base selection on the approach documented.
Compare 52341 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
Metropolitan Philadelphia →
Office / nonfacility
Unavailable
Facility
$260.12
Rest Of Pennsylvania →
Office / nonfacility
Unavailable
Facility
$244.86
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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 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.
6,14152330,,Cystoscopy and treatment,A,,4.90,12.15,,1.40,,0.62,17.67,6.92,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14252332,,Cystoscopy and treatment,A,,2.75,8.05,,1.07,,0.36,11.16,4.18,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14352334,,Create passage to kidney,A,,3.29,1.17,NA,1.17,,0.43,4.89,4.89,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14452341,,Cysto w/ureter stricture tx,A,,5.22,1.62,NA,1.62,,0.66,7.50,7.50,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14552342,,Cysto w/up stricture tx,A,,5.70,1.72,NA,1.72,,0.73,8.15,8.15,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14652343,,Cysto w/renal stricture tx,A,,6.39,1.85,NA,1.85,,0.82,9.06,9.06,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14752344,,Cysto/uretero stricture tx,A,,6.87,1.96,NA,1.96,,0.89,9.72,9.72,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00