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See a sample rate comparisonCPT 52000 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Cystourethroscopy (Separate Procedure)
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52000 |
| Medicaid Fee Schedule | View Medicaid rates for 52000 |
National average reimbursement for CPT 52000 by major payers:
$259.94
$274.93
$326.79
$359.93
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CPT 52000
5 of 25 sample ratesHigher to lower in this preview
Waverley Surgery Center LLC
Waverley Surgery Center, L.P.
$2,239.00Published rateMerced Ambulatory Surgery Center, LLC
$708.00Published rateArcadia Outpatient Surgery Center Lp
$524.00Published rateValencia Specialty Surgery PC
$370.00Published rateSani Eye Center, Inc.
Sani Eye Center Inc
$254.00Published rate
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See a sample payer proposalCPT 52000 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52000 code is part of the Surgery services used for Surgical Procedures on the Urinary System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 52000 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 51860-CPT | Moderate | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Smple, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Simple |
| 51900-CPT | High | Close Fistula Vesicovaginal Abd |
| 51990-CPT | Moderate | Surgery For Bladder Control, Surgery To Relieve Stress Incontinence (Urine Leakage). The Procedure May Modify The Bladder Muscles Or The Bladder Opening And Urethra. |
| 52000-CPT | Moderate | Cystourethroscopy (Separate Procedure) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52000. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52000 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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