CPT 52282 Fee Schedule
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.
| 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 LT - Left side of body 50 - Bilateral Procedure |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52282 |
National average reimbursement for CPT 52282 by major payers:
$451.92
$464.76
$474.40
$551.61
| Payer | Code | Rate | NPI | Tax ID | State | Specialty |
|---|---|---|---|---|---|---|
United | 52282 | $454.00 | 1851531248 - LASER SURGERY HOLDING COMPANY, LTD | 550882748 - (AZ) LASER SURGERY HOLDING COMPANY LT | AZ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $2300.00 | 1992343610 - VANCE THOMPSON VISION SURGERY CENTER NE, LLC | 843878941 | NE | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1650.00 | 1154839678 - R&R SURGICAL INSTITUTE | 820815470 - (CA) RR SURGICAL INSTITUTE | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $4141.00 | 1700838190 - WALNUT HILL SURGERY CENTER, LLC | 364499777 - (TX) WALNUT HILL SURGERY CENTER LLC | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $609.00 | 1164697009 - BOX HILL SURGERY CENTER LLC | 262454678 - (MD) BOX HILL SURGERY CENTER LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1700.00 | 1043271604 - NORTH FULLERTON SURGERY CENTER, LLC | 223849885 - (NJ) NORTH FULLERTON SURGERY CENTER, LLC | NJ | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1700.00 | 1134218167 - WASHINGTON ORTHOPAEDIC CENTER, INC, PS | 910905625 - (WA) WASHINGTON ORTHOPAEDIC CENTER, INC. P.S. | WA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1377.00 | 1912965963 - PASTEUR PLAZA SURGERY CENTER LP, PASTEUR PLAZA SURGERY CENTER | 631275972 - (TX) PASTEUR PLAZA SURGERY CENTER LP | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $2385.00 | 1225091630 - GRAMERCY SURGERY CENTER, LTD | 752399524 | TX | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $5507.00 | 1346649480 - HACIENDA OUTPATIENT SURGERY CENTER, LLC, HACIENDA SURGERY CENTER | 320439356 | CA | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1564.00 | 1912267592 - SURGCENTER AT NATIONAL HARBOR, LLC, HARBORSIDE SURGERY CENTER | 454110190 - (MD) HARBORSIDE SURGERY CENTER | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1648.00 | 1184072308 - MARYLAND SURGERY CENTER FOR WOMEN | 522215638 - (MD) MARYLAND SURGERY CENTER FOR WOMEN, LLC | MD | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $2388.00 | 1881905792 - SURGCENTER PINELLAS, LLC | 271372259 - (FL) SURGCENTER PINELLAS, LLC | FL | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $775.00 | 1811168164 - UROLOGIC SPECIALISTS OF NEW ENGLAND LLC | 208951188 - (RI) UROLOGIC SPECIALISTS OF NEW ENGLAND, LLC | RI | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 52282 | $1050.00 | 1679134795 - GREELEY ENDOSCOPY CENTER, LLC, NORTHERN COLORADO ENDOSCOPY CENTER | 842114924 - (CO) GREELEY ENDOSCOPY CENTER LLC | CO | Ambulatory Surgical Clinic/Center (261QA1903X) |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
United | 99202 | $100.00 | 1234567890 | 1234567890 | CA | Cardiologist |
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CPT 52282 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52282 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 52282 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 |
|---|---|---|
| 52275-CPT | Moderate | Scope Surgery On Urinary Tract, Surgery Aided By A Scope (Cystourethroscopy) To Find And Remove A Blockage From The Urinary Tract. |
| 52276-CPT | Moderate | Cystourethroscopy With Direct, Cystourethroscopy With Direct Vision Internal Urethrotomycystourethroscopy With Direct Vision Internal Urethrotomy |
| 52281-CPT | Moderate | Cystoscopy And Treatment, Cystourethroscopy With Calibration And Or Dilation Of Urethral Stricture Or Stenosis With Or Without Meatotomy With Or Without Injection Procedure For Cystography Male Or Female |
| 52282-CPT | Moderate | Insert Urinary Tract Support, A Bladder Exam Using A Scope (Cystourethroscope). The Procedure Inserts A Support Device (Stent) Into 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 52282. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52282 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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