Endoscopy

52000 - RVUs & Medicare payment (2026)

Cystourethroscopy, diagnostic.

Component	Non-facility	Facility
Work RVU	1.49	1.49
Practice expense RVU	4.77	0.44
Malpractice RVU	0.20	0.20
Total RVUs	6.46	2.13
National payment (CF $33.4009)	$215.77	$71.14
Qualifying APM payment (CF $33.5675)	$216.85	$71.50

How 52000 payment varies by locality

Medicare adjusts payment with geographic practice cost indices, so the same code pays differently across the 109 fee schedule localities. In 2026, non-facility payment for 52000 ranges from $190.07 in Arkansas (AR) to $288.57 in San Jose-Sunnyvale-Santa Clara (CA); calculate 52000 for your locality.

San Jose-Sunnyvale-Santa Clara (CA) $288.57 San Jose-Sunnyvale-Santa Clara (CA) $287.64 San Francisco-Oakland-Berkeley (CA) $282.21 San Francisco-Oakland-Berkeley (CA) $281.98 Napa (CA) $266.28 Vallejo (CA) $265.96 NYC Suburbs/Long Island (NY) $254.79 Seattle (WA) $253.20 National average $215.77 … 97 more localities between … Rest Of Missouri (MO) $193.61 Alabama (AL) $192.96 Mississippi (MS) $191.88 Arkansas (AR) $190.07

Non-facility payment for 52000 in the 2026 fee schedule ($33.4009 conversion factor), before sequestration. Gray bar = national average.

Global period: 000

Same-day global period: related visits on the day of the procedure are included in the payment.

Related codes - endoscopy

43239 · upper gi endoscopy with biopsy
45378 · colonoscopy, diagnostic
45380 · colonoscopy with biopsy
45385 · colonoscopy with snare polypectomy
G0121 · screening colonoscopy, not high risk (medicare)
G0105 · screening colonoscopy, high risk (medicare)

Frequently asked questions

How much does Medicare pay for 52000 in 2026?

The national non-facility payment is $215.77 and the facility payment is $71.14, using the standard $33.4009 conversion factor. Actual amounts vary by Medicare locality; use the RVU calculator for your area.

What is the work RVU for 52000?

The 2026 work RVU for 52000 is 1.49. Total RVUs are 6.46 in the non-facility setting and 2.13 in the facility setting.

Why are the facility and non-facility amounts different?

Only the practice expense component changes by setting. In an office (non-facility) the practice bears the overhead, so the PE RVU is higher; in a hospital or ASC the facility bills its own overhead separately.

Source: CMS Physician Fee Schedule relative value file (rvu26c.zip, retrieved 2026-07-11). Service description is an original plain-English summary, not CPT descriptor text. CPT® is a registered trademark of the American Medical Association. Amounts are estimates before sequestration and claim-level adjustments.