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See a sample rate comparisonCPT 53025 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.
Meatotomy Infant
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Urinary System |
| Common Place of Service | 11 - Office 22 - On Campus Outpatient Hospital |
| Common Modifiers | None 59 - Distinct Procedural Service 51 - Multiple procedures |
| Complexity Level | Low |
| Medicare Fee Schedule | View Medicare rates for 53025 |
| Medicaid Fee Schedule | View Medicaid rates for 53025 |
National average reimbursement for CPT 53025 by major payers:
$88.98
$102.72
$98.29
$114.24
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CPT 53025
5 of 25 sample ratesHigher to lower in this preview
Aurora Gi Asc LLC, Wisconsin Digestive Health Center
Aurora Gi Asc LLC
$7,810.00Published rateUniversity Hospitals Management Services Organization Inc, Uhhs Westlake Surgery Center
University Hospitals Health System Inc
$1,632.00Published rateChesapeake Eye Surgery Center, LLC
$1,148.00Published rateNew Vision Cataract Center LLC, New Vision Cataract Center
New Vision Cataract Center LLC
$850.00Published rateArham Zavery
Deaconess Hospital Inc
$122.12Published rate
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See a sample payer proposalCPT 53025 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53025 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 53025 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 |
|---|---|---|
| 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 |
| 53025-CPT | Low | Meatotomy Infant |
| 53040-CPT | Moderate | Drain Urine Tract Infection, Surgery To Drain An Abscess (Pocket Of Pus) In The Urinary Tract. The Abscess Is The Result Of An Infection Or Injury. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53025. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53025 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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