No office rate
Both codes treat an intrarenal stricture. Use 52346 when ureteroscopy and/or pyeloscopy is part of the treatment.
On this page
CMS RVU26D · Effective 2026-10-01
52346 Renal stricture treatment Medicare reimbursement rates in Vermont
Urologists use this code to treat a narrowing within the kidney’s collecting system during ureteroscopy or pyeloscopy, such as by dilation or incision. Compare 52346 office and facility rates across CMS payment localities in Vermont.
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 52346 in Vermont?
Vermont 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
$372.88
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
Urologic endoscopy
About 52346: Intrarenal stricture treatment with ureteroscopy
Urologists use this code to treat a narrowing within the kidney’s collecting system during ureteroscopy or pyeloscopy, such as by dilation or incision.
A urologist passes an endoscope through the bladder and ureter into the kidney to treat a stricture within the intrarenal collecting system. Treatment may involve balloon dilation or incision with laser or electrocautery. A typical clinical problem is a narrowed infundibulum that obstructs drainage from part of the kidney. The procedure is generally performed in an operating room or other facility setting; Medicare’s 2024 utilization data show facility services for this code.
Report 52346 when the treated narrowing is intrarenal and ureteroscopy or pyeloscopy is used. Document the stricture’s location, the endoscopic approach, and the treatment performed. The code includes same-day preoperative and postoperative care and has a 0-day global period. When related endoscopies are performed together, endoscopy family pricing applies. For bilateral procedures, modifier 50 is paid at 150%. Assistant-at-surgery payment requires documentation of medical necessity; co-surgeons and team surgery are not permitted.
CMS billing rules for 52346
- 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
- Assistant at surgery is paid only with documentation of medical necessity.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU8.37 · 71%
- Practice expense (office) RVU2.27 · 19%
- Malpractice RVU1.08 · 9%
482
Medicare services in 2024 · #3600 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.
52346 compared with similar codes
Office rates for Vermont, from the same CMS release.
No office rate
This code treats a ureteral stricture; 52346 treats a narrowing within the kidney’s collecting system.
No office rate
This code is for a ureteropelvic junction stricture. Use 52346 for a stricture located within the kidney.
Compare 52346 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
Vermont →
Office / nonfacility
Unavailable
Facility
$372.88
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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 52346 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,149
- Code
- 52346
- Physician work
- 8.37
- Practice expense
- 2.27
- Malpractice
- 1.08
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 8.37 | × 1.000 | 8.3700 |
| Practice expense | 2.27 | × 0.990 | 2.2473 |
| Malpractice | 1.08 | × 0.506 | 0.5465 |
| Total RVUs | 11.1638 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Vermont$372.88
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 8.37 | 1 |
| Practice expense | 2.27 | 0.99 |
| Malpractice | 1.08 | 0.506 |
(8.37 × 1 + 2.27 × 0.99 + 1.08 × 0.506) × $33.4009 = $372.88
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.
52346 billing questions
How is 52346 different from 52343?
Both address an intrarenal stricture, but 52346 includes ureteroscopy and/or pyeloscopy. Choose 52343 when the procedure does not include that endoscopic approach.
When should 52344 or 52345 be used instead?
Those codes treat strictures in different locations: 52344 is for a ureteral stricture, and 52345 is for a ureteropelvic junction stricture. 52346 is for a stricture within the kidney.
Is diagnostic inspection separately reported with the treatment?
The code includes ureteroscopy and/or pyeloscopy with treatment of the intrarenal stricture. Document the inspection and treatment performed as part of that service.
How is 52346 handled when another related endoscopy is performed?
CMS endoscopy family pricing applies when related endoscopies are performed together. Report the procedures performed and document their distinct clinical purposes.
Can modifier 50 be used for bilateral treatment?
Yes. CMS pays bilateral procedures reported with modifier 50 at 150%.
What documentation supports assistant-at-surgery payment?
Document the medical necessity for the assistant’s participation. CMS pays an assistant at surgery for this code only when that necessity is documented.
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.
6,14652343,,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
6,14852345,,Cysto/uretero w/up stricture,A,,7.36,2.06,NA,2.06,,0.95,10.37,10.37,0,000,0.00,0.00,0.00,3,1,0,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,14952346,,Cystouretero w/renal strict,A,,8.37,2.27,NA,2.27,,1.08,11.72,11.72,0,000,0.00,0.00,0.00,3,1,0,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15052351,,Cystouretero & or pyeloscope,A,,5.61,1.66,NA,1.66,,0.71,7.98,7.98,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,15152352,,Cystouretero w/stone remove,A,,6.58,1.90,NA,1.90,,0.85,9.33,9.33,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15252353,,Cystouretero w/lithotripsy,A,,7.31,2.05,NA,2.05,,0.93,10.29,10.29,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817