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See a sample rate comparisonCPT 52325 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.
Removal Of Urinary Stones, An Exam Of The Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Removes Stones From The Upper Urinary Tract (Ureters) Leading To The Bladder.
| 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 RT - Right side of body |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52325 |
| Medicaid Fee Schedule | View Medicaid rates for 52325 |
National average reimbursement for CPT 52325 by major payers:
$430.72
$435.83
$451.97
$524.33
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CPT 52325
5 of 25 sample ratesHigher to lower in this preview
Beltway Surgery Centers, LLC, Meridian South Surgery Center
$8,705.00Published rateMemorial Surgery Center, LLC
Memorial Surgery Center LLC
$2,388.00Published rateEast Fort Lauderdale Asc LLC, Ft. Lauderdale Heart & Rhythm Surgery Center
East Fort Lauderdale Asc LLC
$1,312.00Published rateOhi West, Inc, Bayfront Health Ambulatory Surgery Center
Ohi West Inc
$1,059.00Published rateWest Florida Surgery Center Inc
$650.00Published rate
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See a sample payer proposalCPT 52325 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52325 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 52325 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 |
|---|---|---|
| 52317-CPT | High | Litholapaxy Crushing Or Fragm, Litholapaxy Crushing Or Fragmentation Of Calculusby Anymeans In Bladder And Removal Of Fragments Simple Or Small (Less Than 2.5 Cm) |
| 52318-CPT | Moderate | Litholapaxy Crushing Or Fragm, Litholapaxy Crushing Or Fragmentation Of Calculusby Anymeans In Bladder And Removal Of Fragments Complicated Or Large (Over 2.5 Cm) |
| 52320-CPT | Moderate | Removal Of Urinary Stones, An Exam Of The Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Removes Stones From The Upper Urinary Tract (Ureters) Leading To The Bladder. |
| 52325-CPT | Moderate | Removal Of Urinary Stones, An Exam Of The Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Removes Stones From The Upper Urinary Tract (Ureters) Leading To The Bladder. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52325. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52325 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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