# CPT 52400: Cystourethroscopy with incision/resection of congenital obstruction (ureterocele)

Medicare CPT 52400 pays $428.20 in a non-facility setting and $428.20 in a facility setting under the 2026 Medicare Physician Fee Schedule, before geographic adjustment. After geographic adjustment, state amounts run from $395.19 in Arkansas to $560.38 in Alaska, a 42% spread.

Web page: https://www.med-reveal.com/rates/52400-cpt-fee-schedule
Section: Surgery and Procedures

## Medicare rates

| | Amount |
| --- | --- |
| National non-facility | $428.20 |
| National facility | $428.20 |
| Conversion factor | 33.4009 |
| Release | 2026 Q4 (effective 2026-10-01) |

## By state

| State | Non-facility | Facility |
| --- | --- | --- |
| Alaska | $560.38 | $560.38 |
| New York | $467.29 | $467.29 |
| District of Columbia | $466.97 | $466.97 |
| Florida | $463.03 | $463.03 |
| New Jersey | $459.49 | $459.49 |
| Illinois | $458.68 | $458.68 |
| Connecticut | $449.89 | $449.89 |
| Washington | $444.67 | $444.67 |
| Massachusetts | $444.02 | $444.02 |
| California | $441.63 | $441.63 |
| Maryland | $439.33 | $439.33 |
| Michigan | $436.39 | $436.39 |
| Rhode Island | $433.24 | $433.24 |
| Pennsylvania | $431.03 | $431.03 |
| Georgia | $430.77 | $430.77 |
| Colorado | $430.59 | $430.59 |
| West Virginia | $429.63 | $429.63 |
| Puerto Rico | $428.85 | $428.85 |
| Virgin Islands | $428.85 | $428.85 |
| Montana | $428.13 | $428.13 |
| New Hampshire | $428.11 | $428.11 |
| Hawaii | $427.79 | $427.79 |
| New Mexico | $426.48 | $426.48 |
| Oregon | $426.22 | $426.22 |
| Texas | $425.48 | $425.48 |
| Delaware | $424.63 | $424.63 |
| Nevada | $422.23 | $422.23 |
| Louisiana | $420.44 | $420.44 |
| Arizona | $419.58 | $419.58 |
| Ohio | $419.02 | $419.02 |
| Wyoming | $418.73 | $418.73 |
| Missouri | $418.67 | $418.67 |
| Utah | $417.95 | $417.95 |
| Virginia | $415.64 | $415.64 |
| South Carolina | $414.46 | $414.46 |
| Kentucky | $413.02 | $413.02 |
| Maine | $409.76 | $409.76 |
| Vermont | $409.13 | $409.13 |
| Oklahoma | $408.43 | $408.43 |
| North Carolina | $407.76 | $407.76 |
| North Dakota | $406.57 | $406.57 |
| Minnesota | $405.73 | $405.73 |
| South Dakota | $404.03 | $404.03 |
| Mississippi | $403.56 | $403.56 |
| Indiana | $401.54 | $401.54 |
| Tennessee | $401.43 | $401.43 |
| Idaho | $400.30 | $400.30 |
| Kansas | $399.69 | $399.69 |
| Alabama | $398.79 | $398.79 |
| Wisconsin | $398.43 | $398.43 |
| Nebraska | $397.17 | $397.17 |
| Iowa | $396.99 | $396.99 |
| Arkansas | $395.19 | $395.19 |

## 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 52400 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