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See a sample rate comparisonCPT 52315 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.
Remove Object From Bladder, An Exam Of The Bladder Using A Scope (Cystourethroscopy). The Procedure Includes Removal Of A Foreign Object Stones Or An Implanted Device From The Bladder Or Upper Urinary Tract.
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 58 - Staged or related procedure during postoperative period 79 - Unrelated procedure - postop period |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52315 |
| Medicaid Fee Schedule | View Medicaid rates for 52315 |
National average reimbursement for CPT 52315 by major payers:
$548.77
$607.34
$664.82
$480.81
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CPT 52315
5 of 25 sample ratesHigher to lower in this preview
Munster Specialty Surgery Center, LLC, Munster Specialty Surgery Center
Munster Specialty Surgery Center, LLC
$3,608.00Published rateMiami Children'S Hospital Ambulatory Surgery Center, LLC
Miami Childrens Hospital Ambula
$2,048.00Published rateProvidence Interventional Associates II LLC, Providence Access Care
Providence Interventional Associates II LLC
$1,200.00Published rateLos Alamitos Surgery Center L P
$819.50Published rateBoston Ivf, Inc., The Surgery Center Of Waltham
Boston Ivf, LLC
$544.00Published rate
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See a sample payer proposalCPT 52315 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52315 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 52315 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 |
|---|---|---|
| 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 |
| 52305-CPT | Moderate | Surgery For Bulge In Bladder, Surgery Aided By A Scope (Cystourethroscopy) To Remove A Bulging Pouch (Diverticulum) From The Bladder. |
| 52315-CPT | Moderate | Remove Object From Bladder, An Exam Of The Bladder Using A Scope (Cystourethroscopy). The Procedure Includes Removal Of A Foreign Object Stones Or An Implanted Device From The Bladder Or Upper 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 52315. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52315 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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