{
    "code": "52287",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/52287/2023/A",
    "release_specific_url": "https://localishealth.com/cpt/52287/2023/D",
    "description": "A scope is passed up the urethra into the bladder and a long needle is threaded through it to inject botulinum toxin into the bladder muscle at many points around the wall. The toxin partly quiets the nerve signals that make the bladder squeeze, so the muscle contracts less forcefully and less often. The effect wears off over months, so the treatment is usually repeated.",
    "answer": {
        "question": "How much did Medicare pay for CPT 52287 in Q4 2023?",
        "text": "Medicare paid $395.46 for CPT 52287 in the office (non-facility) setting and $168.08 in a facility under the Q4 2023 Physician Fee Schedule, effective October 2023. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2023, when it decreased 3.1%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2023,
        "quarter": "D",
        "label": "Q4 2023",
        "effective": "October 1 – December 31, 2023",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 395.46,
        "facility": 168.08,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 3.2,
        "practice_expense_non_facility": 8.06,
        "practice_expense_facility": 1.35,
        "malpractice": 0.41
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 33.8872,
    "source": {
        "label": "Physician relative value file (Q4 2023)",
        "cms_url": "https://www.cms.gov/files/zip/rvu23d.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2023/D",
        "file": "PPRRVU23_OCT.csv",
        "row": 11294,
        "sha256": "6558dc4fa634f462f996db05a7e6af5cbe365e93e508b8e24d1cbfb1f610dcbd"
    },
    "modified_at": "2026-08-04T03:13:13+00:00"
}