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See a sample rate comparisonCPT 52441 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Once Per Dos Cystourethroscopy, W/Insertion Of Permanent Adjustable Transprostatic Implant; Single Implant- Rn Review >=5/1/2018; Deny Inv/N10=3/11/2016-4/30/2018
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 24 - Ambulatory Surgical Center 22 - On Campus Outpatient Hospital 11 - Office |
| Common Modifiers | None 59 - Distinct Procedural Service SG - Scene to Hospital ESRD facility |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 52441 |
| Medicaid Fee Schedule | View Medicaid rates for 52441 |
National average reimbursement for CPT 52441 by major payers:
$1,346.40
$1,718.33
$1,816.85
$472.36
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CPT 52441
5 of 25 sample ratesHigher to lower in this preview
Sepehr Oliaei
University Head Neck Surgeons
$5,283.54Published rateVirginia Mason Medical Center, Virginia Mason Medical Center-Radiology & Radiation Oncology
Virginia Mason Medical Center
$3,388.57Published rateSeattle Children'S Hospital, Seattle Children'S Hospital
The Association Of Chrmc And University Physicians
$2,268.52Published rateAshley Jerath Tatum
Northwest Asthma & Allergy Center
$1,616.43Published rateOptum Care Washington PLLC, Optum - Kemp Surgery Center
The Everett Clinic, PLLC
$105.00Published rate
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See a sample payer proposalCPT 52441 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52441 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 52441 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 |
|---|---|---|
| 52441-CPT | High | Once Per Dos Cystourethroscopy, W/Insertion Of Permanent Adjustable Transprostatic Implant; Single Implant- Rn Review >=5/1/2018; Deny Inv/N10=3/11/2016-4/30/2018 |
| 52442-CPT | Moderate | Cysto Ins Trnsprstc Implt Ea, Cystourethroscopy With Insertion Of Permanent Adjustable Transprostatic Implant; Each Additional Permanent Adjustable Transprostatic Implant (List Separately In Addition To Code For Primary 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 |
| 52630-CPT | Moderate | Remove Prostate Regrowth, Transurethral Resection Residual Or Regrowth Of Obstructive Prostate Tissue 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 52441. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52441 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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