No office rate
Choose 52353 when the stone is fragmented using lithotripsy during ureteroscopy or pyeloscopy; this code covers removal or manipulation without lithotripsy.
On this page
CMS RVU26D · Effective 2026-10-01
52352 Ureteroscopy Medicare reimbursement rates in Wyoming
Report this service when a urologist uses ureteroscopy or pyeloscopy to remove or manipulate a urinary stone without lithotripsy. Compare 52352 office and facility rates across CMS payment localities in Wyoming.
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 52352 in Wyoming?
Wyoming 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
$304.25
1 of 1 localities have a supported rate.
Payment area: Wyoming**
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.
Urology
About 52352: Ureteroscopic calculus removal or manipulation
Report this service when a urologist uses ureteroscopy or pyeloscopy to remove or manipulate a urinary stone without lithotripsy.
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.
CMS billing rules for 52352
- 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 RVU6.58 · 71%
- Practice expense (office) RVU1.90 · 20%
- Malpractice RVU0.85 · 9%
19.8K
Medicare services in 2024 · #1155 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.
52352 compared with similar codes
Office rates for Wyoming, from the same CMS release.
No office rate
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.
No office rate
52320 describes cystoscopic removal of a ureteral calculus without the ureteroscopic or pyeloscopic access involved here.
$584.81
52330 is for cystoscopic manipulation of a ureteral calculus without removal; this code involves ureteroscopy or pyeloscopy and may include extraction.
Compare 52352 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
Wyoming** →
Office / nonfacility
Unavailable
Facility
$304.25
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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 52352 in Wyoming**.
PPRRVU2026_Oct_nonQPP.csv
6,151
- Code
- 52352
- Physician work
- 6.58
- Practice expense
- 1.90
- Malpractice
- 0.85
GPCI2026.csv
112
- Locality
- Wyoming**
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.740
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 6.58 | × 1.000 | 6.5800 |
| Practice expense | 1.90 | × 1.000 | 1.9000 |
| Malpractice | 0.85 | × 0.740 | 0.6290 |
| Total RVUs | 9.1090 | ||
| Conversion factor | × 33.4009 | ||
Facility rate, Wyoming**$304.25
Explore RVUs, geographic factors and the full formula
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 6.58 | 1 |
| Practice expense | 1.9 | 1 |
| Malpractice | 0.85 | 0.74 |
(6.58 × 1 + 1.9 × 1 + 0.85 × 0.74) × $33.4009 = $304.25
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.
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 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.
6,14852345,,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
6,15352354,,Cystouretero w/biopsy,A,,7.80,2.15,NA,2.15,,1.02,10.97,10.97,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
6,15452355,,Cystouretero w/excise tumor,A,,8.78,2.36,NA,2.36,,1.13,12.27,12.27,0,000,0.00,0.00,0.00,3,1,1,0,0,9,52351,33.4009,09,0,99,0.00,0.00,0.00
10902402,WA,99,REST OF WASHINGTON,1.013,1.053,0.761
11011402,WV,16,WEST VIRGINIA,1.000,0.869,1.431
11106302,WI,00,WISCONSIN,1.000,0.958,0.308
11203602,WY,21,WYOMING**,1.000,1.000,0.740
113"MAC Assignments as of November 22, 2023",,,,,,
114,,,,,,
115*Work GPCI reflects a 1.5 floor in Alaska established by the MIPPA.,,,,,,