{
    "code": "52310",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/52310/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/52310/2020/D",
    "description": "A lighted scope is passed through the urethra so the surgeon can find and pull out something that does not belong there - most often a ureteral stent left from an earlier procedure, but also a stone fragment or other foreign object sitting loose in the bladder or urethra. Grasping forceps or a basket are passed down the scope and the object is drawn out whole. This is the straightforward version, where the item is easy to see and comes out without additional cutting, crushing, or extended manipulation; a harder retrieval is coded separately.",
    "answer": {
        "question": "How much did Medicare pay for CPT 52310 in Q4 2020?",
        "text": "Medicare paid $298.10 for CPT 52310 in the office (non-facility) setting and $156.99 in a facility under the Q4 2020 Physician Fee Schedule, effective October 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2020, when it increased 7.7%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "D",
        "label": "Q4 2020",
        "effective": "October 1 – December 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 298.1,
        "facility": 156.99,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 2.81,
        "practice_expense_non_facility": 5.13,
        "practice_expense_facility": 1.22,
        "malpractice": 0.32
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q4 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20d-updated-11232020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/D",
        "file": "PPRRVU20_OCT.csv",
        "row": 10581,
        "sha256": "504fd19a9bc1d2eeebb290adac2d7de6c56d4e86cde7532df1862fe42494d319"
    },
    "modified_at": "2026-08-04T03:10:00+00:00"
}