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See a sample rate comparisonCPT 52290 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 Ureter, Cystourethroscopy With Ureteral Meatotomy Unilateral Orbilateral Cystourethroscopy With Ureteralmeatotomy Unilateral Or
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 19 - Off Campus Outpatient Hospital 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service LT - Left side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52290 |
| Medicaid Fee Schedule | View Medicaid rates for 52290 |
National average reimbursement for CPT 52290 by major payers:
$328.95
$330.19
$333.76
$397.05
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CPT 52290
5 of 25 sample ratesHigher to lower in this preview
Hudson Yards Surgery Center, LLC, Hudson Specialty Surgery Center
Hudson Yards Surgery Center LLC
$3,000.00Published rateBethesda Chevy Chase Surgery Center, LLC
Bethesda Chevy Chase Surgery Cen
$2,307.00Published rateSan Ramon Endoscopy Center Inc
$1,486.00Published ratePerkins Plaza Ambulatory Surgery Center LLC, Lake Surgery Center
Lake Asc
$885.00Published rateInland Outpatient Surgery Center, Inc.
$576.00Published rate
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See a sample payer proposalCPT 52290 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52290 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 52290 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 |
|---|---|---|
| 52283-CPT | Moderate | Cystourethroscopy With Steroi, Cystourethroscopy With Steroid Injection Into Stricturecystourethroscopy With Steroid Injection Into Stricture |
| 52287-CPT | Moderate | Treatment To Relax Bladder, An Examination Of The Bladder Using A Scope (Cystourethroscopy). The Procedure Includes One Or More Injections Of Botulinum Toxin A Drug That Relaxes Spasms Of The Bladder. |
| 52290-CPT | Moderate | Cystourethroscopy With Ureter, Cystourethroscopy With Ureteral Meatotomy Unilateral Orbilateral Cystourethroscopy With Ureteralmeatotomy Unilateral Or |
| 52300-CPT | Moderate | Cystourethroscopy With Resect, Cystourethroscopy With Resection Or Fulguration Oforthotopic Ureterocele(S) Unilateral Or Bilateral Cystourethroscopy With Resection Or Fulguration Of |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52290. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52290 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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