Billing code 52352: UreteroscopyMedicare rate & RVUs in Texas
Report this service when a urologist uses ureteroscopy or pyeloscopy to remove or manipulate a urinary stone without lithotripsy.
CMS doesn’t publish an office rate for 52352 in Texas.
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 52352 covers
A urologist passes an endoscope through the urethra and bladder into the ureter or renal collecting system to reach a calculus. The stone may be grasped, extracted, or manipulated with endoscopic instruments; this service is distinct from fragmenting a stone with lithotripsy. Ureteroscopic stone treatment is commonly performed in an operating room or ambulatory surgery setting for ureteral or kidney stones that can be reached endoscopically.
Report the service when the operative record supports ureteroscopic or pyeloscopic access and removal or manipulation of a calculus. Document the stone’s location and the work performed, including whether it was extracted or repositioned and whether lithotripsy was used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, CMS applies endoscopy-family pricing. Modifier 50 for a bilateral procedure is paid at 150%. Medicare does not pay an assistant at surgery for this service; 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 52352 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin | Unavailable | $312.51 |
| Beaumont | Unavailable | $303.90 |
| Brazoria | Unavailable | $306.57 |
| Dallas | Unavailable | $309.32 |
| Fort Worth | Unavailable | $309.06 |
| Galveston | Unavailable | $308.06 |
| Houston | Unavailable | $323.62 |
| Rest Of Texas | Unavailable | $305.64 |
How the 52352 rate is calculated
Each of 52352’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 · 52352
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 6.58Practice expense 1.90Malpractice 0.85
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 52352
The CMS indicators that decide how 52352 is paid alongside other services.
CMS payment indicators · 52352
Ureteroscopy
| 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
52352 without 50 · national facility
$311.63
Ureteroscopy
52352-50 · Bilateral: 150%
$467.45
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).
52352 compared with similar codes
Compare codes
52352 vs 52353 vs 52356 vs 52320 vs 52330: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 52353Stone lithotripsy
- Choose 52353 when the stone is fragmented using lithotripsy during ureteroscopy or pyeloscopy; this code covers removal or manipulation without lithotripsy.
- 52356Ureteroscopic lithotripsy
- Choose 52356 for ureteroscopic lithotripsy when an indwelling stent is also placed as part of the procedure. This code describes stone removal or manipulation without lithotripsy.
- 52320Ureteral stone removal
- 52320 describes cystoscopic removal of a ureteral calculus without the ureteroscopic or pyeloscopic access involved here.
- 52330Stone manipulation
- 52330 is for cystoscopic manipulation of a ureteral calculus without removal; this code involves ureteroscopy or pyeloscopy and may include extraction.
52352 billing questions
When should I choose this code instead of 52353?
Use this code when ureteroscopy or pyeloscopy removes or manipulates a calculus without lithotripsy. When the stone is fragmented with lithotripsy, consider 52353 or, when an indwelling stent is also placed as part of the procedure, 52356.
How does this differ from 52320?
This service involves ureteroscopy or pyeloscopy to reach the stone. Code 52320 is for cystoscopic removal of a ureteral calculus without the ureteroscopic work represented by this code.
Can I report this with a related endoscopy on the same date?
When related endoscopies are performed together, CMS applies endoscopy-family pricing. The operative documentation should support each distinct service performed.
What documentation supports reporting this code?
Document ureteroscopic or pyeloscopic access, the calculus location, and whether the stone was removed or manipulated. State whether lithotripsy was performed, since that changes code selection.
How are bilateral procedures and assistant services handled?
CMS pays a bilateral procedure reported with modifier 50 at 150%. Medicare does not pay an assistant at surgery for this service, and 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
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