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See a sample rate comparisonCPT 52010 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 Duct Catheter, Cystourethroscopy With Ejaculatory Duct Catheterization With Or Without Irrigation Instillation Or Duct Radiography Exclusive Of Radiologic Service
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 24 - Ambulatory Surgical Center 21 - Inpatient Hospital |
| Common Modifiers | None 51 - Multiple procedures 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52010 |
| Medicaid Fee Schedule | View Medicaid rates for 52010 |
National average reimbursement for CPT 52010 by major payers:
$470.70
$529.53
$526.67
$640.22
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CPT 52010
5 of 25 sample ratesHigher to lower in this preview
Memorial Hermann Surgery Center Texas Medical Center, LLP, Memorial Hermann Surgery Center Texas Medical Center
Memorial Hermann Surgery Center Texas Medical Center LLP
$2,666.00Published rateHill Country Surgery Center, LLC, Surgery Center Of Boerne
Hill Country Surgery Center LLC
$953.00Published rateSurgery Center Of California -LLC
Surgery Center Of California LLC
$540.00Published rateAcute & Chronic Pain Management Center PA, Acute & Chronic Pain And Spine Center
Acute And Chronic Pain And Spine Center
$344.00Published ratePodiatry Group Of Annapolis Ambulatory Surgical Center, Podiatry Group Of Annapolis Ambulatory Surgical Center LLC
Podiatry Group Of Annapolis Ambulatory Surgical Center
$144.00Published rate
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See a sample payer proposalCPT 52010 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52010 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 52010 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 |
|---|---|---|
| 51920-CPT | High | Repair Bladder Passage, Surgery To Repair An Abnormal Passage (Fistula) In The Uterus. The Procedure May Include Removal Of The Uterus (Hysterectomy). |
| 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 52010. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52010 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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