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See a sample rate comparisonCPT 52597 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.
Trurl Rbtc Wtrjt Rescj Prst8, Transurethral Robotic-Assisted Waterjet Resection Of Prostate Including Intraoperative Planning Ultrasound Guidance Control Of Postoperative Bleeding Complete Including Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And/Or Dilation And Internal Urethrotomy When Performed
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52597 |
| Medicaid Fee Schedule | View Medicaid rates for 52597 |
National average reimbursement for CPT 52597 by major payers:
$850.65
$1,032.46
$1,647.18
$N/A
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CPT 52597
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See a sample payer proposalCPT 52597 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52597 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 52597 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 |
|---|---|---|
| 52597-CPT | Moderate | Trurl Rbtc Wtrjt Rescj Prst8, Transurethral Robotic-Assisted Waterjet Resection Of Prostate Including Intraoperative Planning Ultrasound Guidance Control Of Postoperative Bleeding Complete Including Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And/Or Dilation And Internal Urethrotomy When Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52597. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52597 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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