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See a sample rate comparisonCPT 52007 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 And Biopsy, Cystourethroscopy With Ureteral Catheterization With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Brush Biopsy Of Ureter And Or Renal Pelvis
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None RT - Right side of body 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52007 |
| Medicaid Fee Schedule | View Medicaid rates for 52007 |
National average reimbursement for CPT 52007 by major payers:
$579.94
$649.13
$644.47
$293.33
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CPT 52007
5 of 25 sample ratesHigher to lower in this preview
Ochsner Medical Center, Ochsner Outpatient Surgery Suite
Ochsner Clinic Foundation
$8,170.00Published rateSurgery Center Of Georgetown, LLC, Georgetown Surgery Center
Surgery Center Of Georgetown LLC
$2,101.00Published rateBarnet Dulaney Perkins Eye Center, PC, Bdpec Asc Safford
Barnet Dulaney Perkins Eye Center PLLC
$1,505.00Published rateUrology Surgical Partners, LLC
$1,206.00Published rateNorth Bend Medical Center Inc, Nbmc-Day Surgery
$520.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 52007 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52007 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 52007 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 |
|---|---|---|
| 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 |
| 52007-CPT | Moderate | Cystoscopy And Biopsy, Cystourethroscopy With Ureteral Catheterization With Or Without Irrigation Instillation Or Ureteropyelography Exclusive Of Radiologic Service With Brush Biopsy Of Ureter And Or Renal Pelvis |
| 52010-CPT | Moderate | Cystoscopy Duct Catheter, Cystourethroscopy With Ejaculatory Duct Catheterization With Or Without Irrigation Instillation Or Duct Radiography 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 52007. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52007 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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