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See a sample rate comparisonCPT 52640 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 Po, Transurethral Resection Of Postoperative Bladder Neckcontracture Transurethral Resection Of Postoperative Bladder Neck
| 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 52 - Reduced Services SG - Scene to Hospital ESRD facility |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 52640 |
| Medicaid Fee Schedule | View Medicaid rates for 52640 |
National average reimbursement for CPT 52640 by major payers:
$424.44
$441.70
$456.92
$540.56
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CPT 52640
5 of 25 sample ratesHigher to lower in this preview
St Joseph Center For Outpatient Surgery, LLC
St Joseph Center For Outpatient Surgery LLC
$2,927.00Published rateBcc West Valley LLC
$1,968.00Published rateLaser & Surgical Eye Center LLC
$1,380.00Published rateDiscover Eye Surgery Center, LLC, Eye Surgery Center - The Cliffs
Discover Eye Surgery Center LLC
$1,146.00Published rateArizona Digestive Center, P.C.
Arizona Digestive Center PC
$528.00Published rate
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See a sample payer proposalCPT 52640 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 52640 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 52640 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 |
|---|---|---|
| 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 |
| 52640-CPT | Moderate | Transurethral Resection Of Po, Transurethral Resection Of Postoperative Bladder Neckcontracture Transurethral Resection Of Postoperative Bladder Neck |
| 52648-CPT | High | Laser Surgery Of Prostate, Laser Vaporization Of Prostate Including Control Of Postoperative Bleeding Complete Vasectomy Meatotomy Cystourethroscopy Urethral Calibration And Or Dilation Internal Urethrotomy And Transurethral Resection Of Prostate Are Included If Performed |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 52640. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 52640 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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