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See a sample rate comparisonCPT 52270 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 Intern, Cystourethroscopy With Internal Urethrotomy Femalecystourethroscopy With Internal Urethrotomy Female
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 24 - Ambulatory Surgical Center |
| Common Modifiers | None SG - Scene to Hospital ESRD facility 59 - Distinct Procedural Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52270 |
| Medicaid Fee Schedule | View Medicaid rates for 52270 |
National average reimbursement for CPT 52270 by major payers:
$523.62
$534.58
$554.15
$637.74
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CPT 52270
5 of 25 sample ratesHigher to lower in this preview
Tuscan Surgery Center At Las Colinas, LLC, Tuscan Surgery Center At Las Colinas
$1,955.00Published rateSummit Ambulatory Surgical Center, LLC
$1,476.00Published rateThe Polyclinic, The Polyclinic Mohs Surgery
The Polyclinic, PLLC
$1,050.00Published rateEvergreen Eye Center, PLLC, Evergreen Eye Surgery Center
Evergreen Eye Center, Inc. P.S.
$646.00Published rateDelaware Eye Surgery Center, LLC
$358.00Published rate
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See a sample payer proposalCPT 52270 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52270 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 52270 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 |
|---|---|---|
| 52260-CPT | Moderate | Cystourethroscopy With Dilati, Cystourethroscopy With Dilation Of Bladder For Interstitialcystitis General Or Conduction (Spinal)Anesthesia Cystourethroscopy With Dilation Of B Ladder For Interstitial |
| 52265-CPT | Moderate | Cystourethroscopy With Dilati, Cystourethroscopy With Dilation Of Bladder For Interstitialcystitis Local Anesthesia Cystourethroscopy With Dilation Of Bladder For Interstitial |
| 52270-CPT | Moderate | Cystourethroscopy With Intern, Cystourethroscopy With Internal Urethrotomy Femalecystourethroscopy With Internal Urethrotomy Female |
| 52275-CPT | Moderate | Scope Surgery On Urinary Tract, Surgery Aided By A Scope (Cystourethroscopy) To Find And Remove A Blockage From The Urinary Tract. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52270. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52270 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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