No office rate
This code treats vesicoureteral reflux by injection. Code 52300 is used for cystoscopic incision or resection of a ureterocele.
On this page
CMS RVU26D · Effective 2026-10-01
52327 Reflux injection Medicare reimbursement rates in Virginia
Cystoscopic injection of bulking material treats vesicoureteral reflux by supporting the ureteral opening into the bladder. Compare 52327 office and facility rates across CMS payment localities in Virginia.
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 52327 in Virginia?
Virginia 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
$218.24–$242.89
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 52327: Cystoscopic injection for reflux
Cystoscopic injection of bulking material treats vesicoureteral reflux by supporting the ureteral opening into the bladder.
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.
CMS billing rules for 52327
- 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 RVU5.05 · 75%
- Practice expense (office) RVU1.05 · 16%
- Malpractice RVU0.64 · 9%
47
Medicare services in 2024 · #5393 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.
52327 compared with similar codes
Office rates for Virginia, from the same CMS release.
$364.65–$426.93
Use 52327 for reflux treatment by injection; use 52332 when the service includes placement of an indwelling ureteral stent.
No office rate
Code 52352 addresses endoscopic ureteral stone removal, not injection treatment of vesicoureteral reflux.
No office rate
Code 52354 describes ureteroscopic biopsy; it is not the reflux injection service.
Compare 52327 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
Dc + Md/Va Suburbs →
Office / nonfacility
Unavailable
Facility
$242.89
Virginia →
Office / nonfacility
Unavailable
Facility
$218.24
Need rates for a whole code list?
Fee-sheet and API access are in early access. Tell us which codes and locations your team needs.
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 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.
6,13752318,,Remove bladder stone,A,,8.95,2.29,NA,2.29,,1.16,12.40,12.40,0,000,0.00,0.00,0.00,3,0,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13852320,,Cystoscopy and treatment,A,,4.57,1.33,NA,1.33,,0.58,6.48,6.48,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,13952325,,Cystoscopy stone removal,A,,6.00,1.65,NA,1.65,,0.78,8.43,8.43,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14052327,,Cystoscopy inject material,A,,5.05,1.05,NA,1.05,,0.64,6.74,6.74,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52000,33.4009,09,0,99,0.00,0.00,0.00
6,14152330,,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