# CPT 52235: Cystourethroscopy with fulguration/resection of small bladder tumor(s)

Medicare CPT 52235 pays $254.51 in a non-facility setting and $254.51 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $235.78 in Arkansas to $336.39 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/52235-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $254.51 |
| National facility | $254.51 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $336.39 | $336.39 |
| New York | $277.40 | $277.40 |
| District of Columbia | $276.39 | $276.39 |
| Florida | $276.20 | $276.20 |
| Illinois | $273.98 | $273.98 |
| New Jersey | $272.41 | $272.41 |
| Connecticut | $267.04 | $267.04 |
| Washington | $262.96 | $262.96 |
| Massachusetts | $262.77 | $262.77 |
| Maryland | $260.91 | $260.91 |
| California | $260.50 | $260.50 |
| Michigan | $260.43 | $260.43 |
| Rhode Island | $257.23 | $257.23 |
| West Virginia | $257.13 | $257.13 |
| Georgia | $256.73 | $256.73 |
| Pennsylvania | $256.55 | $256.55 |
| Colorado | $255.17 | $255.17 |
| Puerto Rico | $254.78 | $254.78 |
| Virgin Islands | $254.78 | $254.78 |
| New Mexico | $254.53 | $254.53 |
| Montana | $254.47 | $254.47 |
| New Hampshire | $253.92 | $253.92 |
| Texas | $253.02 | $253.02 |
| Oregon | $252.58 | $252.58 |
| Hawaii | $252.46 | $252.46 |
| Delaware | $252.45 | $252.45 |
| Louisiana | $250.82 | $250.82 |
| Nevada | $250.78 | $250.78 |
| Ohio | $249.93 | $249.93 |
| Missouri | $249.65 | $249.65 |
| Arizona | $249.55 | $249.55 |
| Utah | $248.91 | $248.91 |
| Wyoming | $248.61 | $248.61 |
| South Carolina | $246.94 | $246.94 |
| Virginia | $246.91 | $246.91 |
| Kentucky | $246.50 | $246.50 |
| Maine | $243.60 | $243.60 |
| Oklahoma | $243.59 | $243.59 |
| Vermont | $242.75 | $242.75 |
| North Carolina | $242.65 | $242.65 |
| North Dakota | $241.02 | $241.02 |
| Mississippi | $240.97 | $240.97 |
| Minnesota | $240.11 | $240.11 |
| South Dakota | $239.43 | $239.43 |
| Tennessee | $239.01 | $239.01 |
| Indiana | $238.84 | $238.84 |
| Idaho | $238.16 | $238.16 |
| Kansas | $237.99 | $237.99 |
| Alabama | $237.81 | $237.81 |
| Wisconsin | $236.50 | $236.50 |
| Nebraska | $236.17 | $236.17 |
| Iowa | $236.16 | $236.16 |
| Arkansas | $235.78 | $235.78 |

## Related codes

- 50010: Renal exploration, not necessitating other specific procedures — https://www.med-reveal.com/rates/50010-cpt-fee-schedule
- 50060: Nephrolithotomy, removal of calculus — https://www.med-reveal.com/rates/50060-cpt-fee-schedule
- 50120: Pyelotomy, with exploration — https://www.med-reveal.com/rates/50120-cpt-fee-schedule
- 50200: Renal biopsy, percutaneous, needle — https://www.med-reveal.com/rates/50200-cpt-fee-schedule
- 50230: Nephrectomy, radical, transperitoneal or retroperitoneal — https://www.med-reveal.com/rates/50230-cpt-fee-schedule
- 50240: Nephrectomy, partial — https://www.med-reveal.com/rates/50240-cpt-fee-schedule
- 50250: Cryosurgical ablation of renal mass, percutaneous — https://www.med-reveal.com/rates/50250-cpt-fee-schedule
- 50320: Donor nephrectomy, open, from living donor — https://www.med-reveal.com/rates/50320-cpt-fee-schedule

Commercial negotiated rates for 52235 by payer and state: https://www.med-reveal.com/solutions/rate-benchmarking

## Sources

- CMS Medicare fee schedules (2026 Q4): https://www.cms.gov/medicare/payment/fee-schedules