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See a sample rate comparisonCPT 52224 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 With Fulgur, Cystourethroscopy With Fulguration (Including Cryosurgeryor Laser Surgery) Or Treatment Of Minor (Less Than 0.5 Cm) Lesion(S) With Or Without Biopsy
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52224 |
| Medicaid Fee Schedule | View Medicaid rates for 52224 |
National average reimbursement for CPT 52224 by major payers:
$968.83
$1,064.06
$1,152.31
$414.73
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CPT 52224
5 of 25 sample ratesHigher to lower in this preview
Carolina Regional Surgery Center. Ltd
Carolina Regional Surgery Center Ltd
$6,649.00Published rateSurgcenter Of Southern Maryland, LLC
Surgcenter Of Southern Maryland
$2,307.00Published rateHoly Redeemer Ambulatory Surgery Center, LLC
Holy Redeemer Ambulatory Surgery Center LLC
$1,490.00Published rateSouthern Indiana Surgery Center, LLC, Southern Indiana Surgery Center
Southern Indiana Surgery Center
$1,202.00Published rateArizona Surgical Specialists Center, LLC, Arizona Surgical Specialists Center, LLC - Scottsdale
Arizona Surgical Specialists Center LLC
$630.00Published rate
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See a sample payer proposalCPT 52224 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52224 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 52224 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 |
|---|---|---|
| 52214-CPT | Moderate | Cystoscopy And Treatment, Cystourethroscopy With Fulguration Including Cryosurgery Or Laser Surgery Of Trigone Bladder Neck Prostatic Fossa Urethra Or Periurethral Glands |
| 52224-CPT | Moderate | Cystourethroscopy With Fulgur, Cystourethroscopy With Fulguration (Including Cryosurgeryor Laser Surgery) Or Treatment Of Minor (Less Than 0.5 Cm) Lesion(S) With Or Without Biopsy |
| 52234-CPT | Moderate | Cystoscopy And Treatment, Cystourethroscopy With Fulguration (Including Cryosurgery Or Laser Surgery) And/Or Resection Of; Small Bladder Tumor(S) (0.5 Up To 2.0 Cm) |
| 52235-CPT | Moderate | Cystourethroscopy With Fulgur, Cystourethroscopy With Fulguration (Including Cryosurgeryor Laser Surgery) Andor Resection Of Medium Bladder Tumor(S) (2.0 To 5.0 Cm) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52224. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52224 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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