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See a sample rate comparisonCPT 52351 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.
Cystouretero & Or Pyeloscope, Diagnostic Examination Of The Bladder Bladder Canal (Urethra) And Urinary Duct (Ureter) Or Kidney Using An Endoscope
| 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 52351 |
| Medicaid Fee Schedule | View Medicaid rates for 52351 |
National average reimbursement for CPT 52351 by major payers:
$425.50
$414.07
$451.63
$496.20
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CPT 52351
5 of 25 sample ratesHigher to lower in this preview
Methodist Ambulatory Surgery Center Of Landmark, LLC
Methodist Ambulatory Surgery Center Of Landmark LLC
$5,402.00Published ratePalmetto Surgery Center LLC
Palmetto Surgery Center, LLC
$1,698.00Published rateFox Valley Orthopaedic Associates, S.C., Fox Valley Orthopaedic Ambulatory Surgical Center
Fox Valley Orthopaedic Associates, S.C.
$1,463.00Published rateEast Paris Surgical Center, LLC
East Paris Surgical Center LLC
$958.00Published rateTyler Unfried
Deaconess Hospital Inc
$250.16Published rate
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See a sample payer proposalCPT 52351 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52351 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 52351 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 |
|---|---|---|
| 52341-CPT | Moderate | Treat Narrowed Urinary Tract, Exam Of The Upper Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Treats A Section Of The Urinary Tract That Has Become Too Narrow For Urine To Flow Freely. |
| 52342-CPT | Moderate | Treat Narrowed Urinary Tract, Exam Of The Upper Urinary Tract Using A Scope (Cystourethroscopy). The Procedure Treats A Section Of The Urinary Tract That Has Become Too Narrow For Urine To Flow Freely. |
| 52351-CPT | Moderate | Cystouretero & Or Pyeloscope, Diagnostic Examination Of The Bladder Bladder Canal (Urethra) And Urinary Duct (Ureter) Or Kidney Using An Endoscope |
| 52352-CPT | Moderate | Cystourethroscopy With Uretero, Cystourethroscopy With Ureteroscopy Andor Pyeloscopy With Removal Or Manipulation Or Calculus (Ureteral Catheterization Is Included) |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52351. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52351 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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