Billing code 52327: Reflux injectionMedicare rate & RVUs in Utah
Cystoscopic injection of bulking material treats vesicoureteral reflux by supporting the ureteral opening into the bladder.
CMS doesn’t publish an office rate for 52327 in Utah.
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 52327 covers
A urologist uses a cystoscope to inject bulking material beneath the lining near a ureteral opening, helping the opening close more effectively and limit urine flowing backward from the bladder toward the kidney. This endoscopic treatment is used for vesicoureteral reflux and is commonly performed in a facility operating room, including for pediatric patients. The operative report should identify the treated side and document the reflux treatment and injection performed.
Report the service for the cystoscopic injection itself; the cystoscopic access is part of the procedure. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For bilateral treatment, modifier 50 is paid at 150%. When related endoscopies are performed together, endoscopy family pricing applies. CMS does not pay an assistant at surgery, and 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.
52327 in Utah
| Payment locality | Office | Facility |
|---|---|---|
| Utah | Unavailable | $220.84 |
How the 52327 rate is calculated
Each of 52327’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 · 52327
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 5.05Practice expense 1.05Malpractice 0.64
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 52327
The CMS indicators that decide how 52327 is paid alongside other services.
CMS payment indicators · 52327
Reflux injection
| 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
52327 without 50 · national facility
$225.12
Reflux injection
52327-50 · Bilateral: 150%
$337.68
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).
52327 compared with similar codes
Compare codes
52327 vs 52300 vs 52332 vs 52352 vs 52354: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 52300Ureterocele treatment
- This code treats vesicoureteral reflux by injection. Code 52300 is used for cystoscopic incision or resection of a ureterocele.
- 52332Ureteral stent
- Use 52327 for reflux treatment by injection; use 52332 when the service includes placement of an indwelling ureteral stent.
- 52352Ureteroscopy
- Code 52352 addresses endoscopic ureteral stone removal, not injection treatment of vesicoureteral reflux.
- 52354Upper urinary tract biopsy
- Code 52354 describes ureteroscopic biopsy; it is not the reflux injection service.
52327 billing questions
What distinguishes this service from ureterocele treatment?
This code describes injection to treat vesicoureteral reflux. Ureterocele incision or resection is a different procedure, reported with a code such as 52300 or 52301.
Should the cystoscopy be billed separately?
No. Cystoscopic access is part of the injection service.
How is bilateral treatment reported?
Use modifier 50 for a bilateral procedure. CMS pays the bilateral service at 150%.
What documentation supports reporting the service?
Document the reflux indication, treated side or sides, cystoscopic findings, and injection performed, including the material and injection site.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure's 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 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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