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See a sample rate comparisonCPT 52300 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 Resect, Cystourethroscopy With Resection Or Fulguration Oforthotopic Ureterocele(S) Unilateral Or Bilateral Cystourethroscopy With Resection Or Fulguration Of
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 22 - On Campus Outpatient Hospital 24 - Ambulatory Surgical Center |
| Common Modifiers | None LT - Left side of body RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52300 |
| Medicaid Fee Schedule | View Medicaid rates for 52300 |
National average reimbursement for CPT 52300 by major payers:
$367.35
$380.46
$402.56
$457.23
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CPT 52300
5 of 25 sample ratesHigher to lower in this preview
Parkview Ortho Center, LLC
Parkview Ortho Center LLC
$4,186.00Published rateRiverside Ambulatory Surgery Center, LLC, The Endoscopy & Colonoscopy Center
Riverside Ambulatory Surgery Center LLC
$2,353.00Published rateNorth Suburban Spine Center Lp, North Metro Surgery Center
$2,119.00Published rateArthroscopic Surgery Center, LLC
Arthroscopic Surgery Center LLC
$1,171.00Published rateBoulevard Surgicenter, Inc.
Boulevard Surgicenter Inc
$819.50Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 52300 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52300 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 52300 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 |
|---|---|---|
| 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 |
| 52301-CPT | Moderate | Cystourethroscopy With Resect, Cystourethroscopy With Resection Or Fulguration Of Ectopic Ureterocele(S) Unilateral Or Bilateral Cystourethroscopy With Resection Or Fulguration Of Ectopic |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52300. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52300 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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