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See a sample rate comparisonCPT 52005 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.
Cystoscopy Ureter Catheter, Cystourethroscopy With Ureteral Catheterization With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 21 - Inpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52005 |
| Medicaid Fee Schedule | View Medicaid rates for 52005 |
National average reimbursement for CPT 52005 by major payers:
$356.25
$385.13
$438.59
$240.52
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CPT 52005
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Eagle Highlands Surgery Center
$8,705.00Published rateSurgcenter Of White Marsh, LLC
$2,353.00Published rateOrthoatlanta Surgery Center Of Fayetteville, LLC
Orthoatlanta Surgery Center Of Fayetteville LLC
$1,339.00Published rateHendi Ambulatory Surgery Center, PC
Hendi Ambulatory Surgery Center PC
$846.00Published rateGeorge Hemstreet
Bama Heart Doc, PC Dba Alabama Heart & Vascular Medicine
$159.74Published rate
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See a sample payer proposalCPT 52005 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52005 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 52005 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 |
|---|---|---|
| 51865-CPT | High | Cystorrhaphy Suture Of Bladder Wound Njury Or Rupture; Complic, Cystorrhaphy Suture Of Bladder Wound Injury Or Rupture; Complicated |
| 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 52005. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52005 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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