CPT 52317
Global 000 ActiveRemove bladder stone
CPT 52317 Billing & Documentation Guide
CPT code 52317 (Remove bladder stone) is classified under Surgery (Urinary/Reproductive) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 6.54, a non-facility practice expense RVU of 18.61, and a malpractice RVU of 0.85, a total non-facility RVU of 26 and facility RVU of 9.11. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $895.92, though rates vary from $767.01 to $1154.02 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 52317, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 52317 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 52317 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 52317
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 6.54 | 6.54 |
| Practice Expense RVU | 18.61 | 1.72 |
| Malpractice RVU | 0.85 | 0.85 |
| Total RVU | 26 | 9.11 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 52317
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $977.18 | $309.65 | $918.64 - $1154.02 | 29 |
| Florida | $897.37 | $331.35 | $855.35 - $937.32 | 3 |
| Georgia | $845.74 | $307.54 | $806.74 - $884.73 | 2 |
| Illinois | $874.07 | $328.97 | $830.33 - $909.83 | 4 |
| Michigan | $842.08 | $312.35 | $818.01 - $866.14 | 2 |
| North Carolina | $816.53 | $290.18 | $816.53 - $816.53 | 1 |
| New York | $960.84 | $331.49 | $828.91 - $1024.22 | 5 |
| Ohio | $814.57 | $299.51 | $814.57 - $814.57 | 1 |
| Pennsylvania | $859.61 | $307.03 | $815.89 - $903.32 | 2 |
| Texas | $857.97 | $302.57 | $810.46 - $901.68 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 52317
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 52317 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 00910 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00916 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 00918 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0213T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0216T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0228T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0230T | Column 1 (primary), can be billed with modifier | No | Standards of medical/surgical practice |
| 0596T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0597T | Column 1 (primary), can be billed with modifier | No | CPT Manual or CMS manual coding instruction |
| 0708T | Column 1 (primary), can be billed with modifier | Yes | Standards of medical/surgical practice |
Frequently Asked Questions, CPT 52317
What does CPT code 52317 mean? +
CPT code 52317 represents: Remove bladder stone. It's in the Surgery (Urinary/Reproductive) category with a global period of 000.
What is the Medicare reimbursement for CPT 52317? +
The 2026 Medicare national average non-facility payment for CPT 52317 is $895.92. Rates range from $767.01 to $1154.02 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 52317? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 52317? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
Get the full PayerReady toolkit
Free access to CPT/ICD-10 lookup, denial appeals, fee comparator, and claim auditing with credentialing enrollment.
Start free →Run this code through our claim audit tool
Check NCCI bundling, MUE limits, and modifier logic before submission.
Try the auditor →Did this page help?
Quick signal so we know what to improve.
If you want a code reference page that doesn't exist yet, email coding@payerready.com.
Tell us what's missing or wrong: coding@payerready.com. We respond within 5 business days.
Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
Powered by 11K CPT · 98K ICD-10 · 860K MPFS rates · 4.5M NCCI edits · 9.5M NPIs. Our data methodology · About our coding team