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See a sample rate comparisonCPT 52450 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.
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.
| 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 51 - Multiple procedures 59 - Distinct Procedural Service SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52450 |
| Medicaid Fee Schedule | View Medicaid rates for 52450 |
National average reimbursement for CPT 52450 by major payers:
$627.30
$632.32
$685.82
$775.81
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CPT 52450
5 of 25 sample ratesHigher to lower in this preview
Iu Health Arnett Hospital, Inc, Arnett Surgery Center, LLC
Indiana University Health Arnett Inc
$10,061.00Published rateCarolinas Endoscopy Center LLC
$2,621.00Published rateSouthpark Surgery Center LLC, Southpark Surgery Center
Southpark Surgery Center LLC
$1,521.00Published rateLaurel Md Endoscopy Asc LLC, Ambulatory Endoscopy Center Of Maryland
Laurel Md Endoscopy Asc LLC
$1,064.00Published rateHotchkiss And Katzen Ambulatory Surgical Center, Metro Ambulatory Surgical Center
Hotchkiss And Katzen Ambulatory Surgical Center
$533.00Published rate
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See a sample payer proposalCPT 52450 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52450 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 52450 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. |
| 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 52450. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52450 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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