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See a sample rate comparisonCPT 52001 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.
Remove Clots From Bladder, An Exam Of The Bladder Using A Scope (Cystourethroscope). The Procedure Is Done To Remove Clots Blocking Urine Flow.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 21 - Inpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52001 |
| Medicaid Fee Schedule | View Medicaid rates for 52001 |
National average reimbursement for CPT 52001 by major payers:
$495.95
$534.78
$601.65
$477.87
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CPT 52001
5 of 25 sample ratesHigher to lower in this preview
Hunt Memorial Hospital District, Hunt Regional Healthcare
Hunt Memorial Hospital District
$2,209.00Published rateSummit Ambulatory Surgical Center, LLC
$1,276.00Published rateSpeedway Surgical Specialists, LLC
Speedway Surgical Specialists LLC
$775.00Published ratePhoenix Endoscopy LLC
$648.00Published rateRetina Institute Of Indiana Surgery Center, LLC
Retina Institute Of Indiana Surgery Center LLC
$435.00Published rate
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See a sample payer proposalCPT 52001 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52001 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 52001 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 |
|---|---|---|
| 51999-CPT | High | Bladder Procedure With Scope, A Bladder Procedure Using A Scope (Laparoscope). |
| 52000-CPT | Moderate | Cystourethroscopy (Separate Procedure) |
| 52001-CPT | Moderate | Remove Clots From Bladder, An Exam Of The Bladder Using A Scope (Cystourethroscope). The Procedure Is Done To Remove Clots Blocking Urine Flow. |
| 52005-CPT | Moderate | Cystoscopy Ureter Catheter, Cystourethroscopy With Ureteral Catheterization With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52001. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52001 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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