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See a sample rate comparisonCPT 52500 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.
Transurethral Resection Of Bla, Transurethral Resection Of Bladder Neck (Separate Procedure)Transurethral Resection Of Bladder Neck (Separate Procedure)
| 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 59 - Distinct Procedural Service XU - Unusual Non-Overlapping Service |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52500 |
| Medicaid Fee Schedule | View Medicaid rates for 52500 |
National average reimbursement for CPT 52500 by major payers:
$656.56
$667.15
$718.25
$813.17
Compare published rates across providers.
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CPT 52500
5 of 25 sample ratesHigher to lower in this preview
Lexington Health Inc, Lmc Irmo Asc
Lexington Health Inc
$4,707.00Published rateSapling Grove Ambulatory Surgery Center, LLC
Sapling Grove Ambulatory Surgery Center LLC
$1,954.00Published rateRaleigh Nc Endoscopy Asc LLC, Raleigh Endoscopy Center - North
Raleigh Nc Endoscopy Asc LLC
$1,267.00Published rateCpmsc Roswell, LLC
Cpmsc Roswell LLC
$900.00Published ratePalmetto Endoscopy Center LLC
$534.00Published rate
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See a sample payer proposalCPT 52500 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52500 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 52500 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 |
|---|---|---|
| 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 |
| 53000-CPT | Low | Urethrotomy Or Urethrostomy Xtrnal (Sepa Proc); Pendulous, Urethrotomy Or Urethrostomy External (Separate Procedure); Pendulous |
| 53010-CPT | Moderate | Urethrotomy Or Urethrostomy Xtrnal (Sepa Proc); Perineal, Urethrotomy Or Urethrostomy External (Separate Procedure); Perineal U |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52500. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52500 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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