Billing code 52277: Bladder neck incisionMedicare rate & RVUs in Wyoming
A urologist uses cystoscopy to incise a narrowed bladder neck contracture, commonly to restore urinary flow after prior prostate treatment.
CMS doesn’t publish an office rate for 52277 in Wyoming.
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 52277 covers
This procedure treats a bladder neck contracture, a scar-related narrowing at the bladder outlet. A urologist passes a cystoscope through the urethra and makes an incision in the contracted bladder neck, commonly with an endoscopic cutting instrument or energy device. It is typically performed in an operating room or ambulatory surgery setting for patients with obstructive urinary symptoms after prior prostate surgery or other treatment affecting the bladder outlet.
Report the code when the documented procedure is incision of a bladder neck contracture; a urethral stricture treated at a different site is not the same service. The operative report should identify the contracture and describe its endoscopic incision. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When related endoscopies are performed together, endoscopy family pricing applies. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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.
52277 in Wyoming**
| Payment locality | Office | Facility |
|---|---|---|
| Wyoming** | Unavailable | $278.38 |
How the 52277 rate is calculated
Each of 52277’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 · 52277
RVUs × geographic indexes × conversion factor
Work6.01
6.01 RVUs× 1.000 GPCI
Practice expense1.74
1.74 RVUs× 1.000 GPCI
Malpractice0.79
0.79 RVUs× 1.000 GPCI
Adjusted RVUs
8.5400
Conversion factor
$33.4009
Medicare rate
$285.24
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 52277
The CMS indicators that decide how 52277 is paid alongside other services.
CMS payment indicators · 52277
Bladder neck incision
| 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) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 0 | Not paid without supporting documentation. |
| 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 51 · payment effect
With and without the modifier
52277 without 51 · national facility
$285.24
Bladder neck incision
52277-51 · Second procedure: 50%
$142.62
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
52277 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 52276Urethral stricture treatment
- Use 52277 for incision of a bladder neck contracture. Code 52276 is for direct-vision internal incision of a urethral stricture.
- 52281Urethral dilation
- Code 52281 addresses urethral stricture or stenosis with calibration or dilation. It is not the code for incision of a bladder neck contracture.
- 52640Bladder neck treatment
- Code 52640 describes transurethral resection of bladder neck tissue. Choose based on the procedure performed: resection versus endoscopic incision of a contracture.
52277 billing questions
How does this differ from 52276?
52277 is for incision of a bladder neck contracture. Code 52276 describes direct-vision incision of a urethral stricture, a different anatomic site.
Can bladder neck incision be billed with another endoscopy?
When related endoscopies are performed together, CMS endoscopy family pricing applies. Document each procedure performed and the anatomy treated.
Does this code have a global period?
It has a 0-day global period. Same-day preoperative and postoperative care is included.
Should modifier 50 be used for bilateral treatment?
No. CMS bilateral adjustment does not apply, and modifier 50 is inappropriate for this service.
Can an assistant surgeon or co-surgeon be reported?
Assistant-at-surgery payment is available only when medical necessity is documented. Co-surgeons and team surgery are not permitted under the CMS rules for this code.
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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