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See a sample rate comparisonCPT 52402 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.
Cystourethrosc W/ Transurethr Resct Or Ncision Of Ejaculat, Cystourethroscopy With Transurethral Resection Or Incision Of Ejaculat
| 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 SG - Scene to Hospital ESRD facility 51 - Multiple procedures |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52402 |
| Medicaid Fee Schedule | View Medicaid rates for 52402 |
National average reimbursement for CPT 52402 by major payers:
$338.40
$362.35
$367.29
$444.16
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CPT 52402
5 of 25 sample ratesHigher to lower in this preview
Indiana University Health Saxony Surgery Center LLC, Saxony Surgery Center
$8,705.00Published rateColorado Urologic Surgery Center LLC
$2,388.00Published rateHarmony Surgery Center, LLC, Harmony Ambulatory Surgery Center, LLC
Harmony Surgery Center LLC
$1,562.00Published rateOcala Fl Orthopaedic Asc LLC
Ocala Fl Orthopaedic Asc, LLC
$1,000.00Published rateRiverside Ambulatory Surgery Center LLC
$475.00Published rate
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See a sample payer proposalCPT 52402 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52402 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 52402 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 |
|---|---|---|
| 52402-CPT | Moderate | Cystourethrosc W/ Transurethr Resct Or Ncision Of Ejaculat, Cystourethroscopy With Transurethral Resection Or Incision Of Ejaculat |
| 52450-CPT | Moderate | Prostate Surgery, An Exam Of The Prostate Using A Scope (Cystourethroscopy) And Making A Cut To Allow For A Larger Passage For Urine To Flow. |
| 52500-CPT | Moderate | Transurethral Resection Of Bla, Transurethral Resection Of Bladder Neck (Separate Procedure)Transurethral Resection Of Bladder Neck (Separate Procedure) |
| 52601-CPT | Moderate | Prostatectomy Turp, Transurethral Electrosurgical Resection Of Prostate Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation And Internal Urethrotomy Are Included |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52402. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52402 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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