# CPT 52353: Cystourethroscopy with ureteroscopy and laser lithotripsy

Medicare CPT 52353 pays $343.70 in a non-facility setting and $343.70 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $318.98 in Arkansas to $456.28 in Alaska, a 43% spread.

Web page: https://www.med-reveal.com/rates/52353-cpt-fee-schedule
Section: Surgery and Procedures
Billed by: Urology

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $343.70 |
| National facility | $343.70 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $456.28 | $456.28 |
| New York | $374.35 | $374.35 |
| Florida | $373.33 | $373.33 |
| District of Columbia | $372.58 | $372.58 |
| Illinois | $370.54 | $370.54 |
| New Jersey | $367.46 | $367.46 |
| Connecticut | $360.37 | $360.37 |
| Washington | $354.42 | $354.42 |
| Massachusetts | $354.25 | $354.25 |
| Maryland | $352.19 | $352.19 |
| Michigan | $352.18 | $352.18 |
| California | $350.78 | $350.78 |
| West Virginia | $348.11 | $348.11 |
| Rhode Island | $347.24 | $347.24 |
| Georgia | $347.02 | $347.02 |
| Pennsylvania | $346.63 | $346.63 |
| New Mexico | $344.26 | $344.26 |
| Colorado | $344.20 | $344.20 |
| Puerto Rico | $343.98 | $343.98 |
| Virgin Islands | $343.98 | $343.98 |
| Montana | $343.63 | $343.63 |
| New Hampshire | $342.62 | $342.62 |
| Texas | $341.77 | $341.77 |
| Delaware | $340.96 | $340.96 |
| Oregon | $340.73 | $340.73 |
| Hawaii | $340.00 | $340.00 |
| Louisiana | $339.20 | $339.20 |
| Nevada | $338.58 | $338.58 |
| Ohio | $337.99 | $337.99 |
| Missouri | $337.57 | $337.57 |
| Arizona | $337.10 | $337.10 |
| Utah | $336.42 | $336.42 |
| Wyoming | $335.62 | $335.62 |
| South Carolina | $333.83 | $333.83 |
| Kentucky | $333.45 | $333.45 |
| Virginia | $333.40 | $333.40 |
| Oklahoma | $329.44 | $329.44 |
| Maine | $329.05 | $329.05 |
| North Carolina | $327.89 | $327.89 |
| Vermont | $327.67 | $327.67 |
| Mississippi | $326.07 | $326.07 |
| North Dakota | $325.24 | $325.24 |
| Minnesota | $323.81 | $323.81 |
| Tennessee | $323.08 | $323.08 |
| South Dakota | $323.07 | $323.07 |
| Indiana | $322.73 | $322.73 |
| Idaho | $321.85 | $321.85 |
| Kansas | $321.71 | $321.71 |
| Alabama | $321.66 | $321.66 |
| Wisconsin | $319.32 | $319.32 |
| Iowa | $319.14 | $319.14 |
| Nebraska | $319.10 | $319.10 |
| Arkansas | $318.98 | $318.98 |

## 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 52353 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