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See a sample rate comparisonCPT 53852 Fee Schedule
Last Verified: October 2026
Healthcare providers use this code to document and receive reimbursement for visits that address high-level medical decision-making, often including multiple diagnoses or prescription management.
Transurethr Destruct Of Prostat Tissue; By Radiofrequ Thermo, Transurethral Destruction Of Prostate Tissue; By Radiofrequency Thermo
| 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 22 - Increased Procedural Services 59 - Distinct Procedural Service |
| Complexity Level | High |
| Medicare Fee Schedule | View Medicare rates for 53852 |
| Medicaid Fee Schedule | View Medicaid rates for 53852 |
National average reimbursement for CPT 53852 by major payers:
$2,063.91
$2,584.18
$2,352.76
$1,105.53
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CPT 53852
5 of 25 sample ratesHigher to lower in this preview
Aurora Surgery Centers, LLC
Aurora Surgery Centers LLC
$11,972.00Published rateUchealth Ambulatory Surgery Centers, Uchealth Cherry Creek North Surgery Center
Uchealth Ambulatory Surgery Centers
$3,810.00Published rateYankton Medical Clinic PC
Yankton Medical Clinic, P.C.
$2,790.00Published rateGastroenterology & Hepatology Consultants, PA, Wake Forest Endoscopy Center
Gastroenterology And Hepatology Consultants, P.A.
$1,445.00Published rateWinter Haven-Sebring Fl Ophthalmology Asc LLC, Eye Surgery & Laser Center Of Sebring
$660.00Published rate
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See a sample payer proposalCPT 53852 vs. Other Surgical Procedures on the Urinary System Codes
The CPT 53852 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 53852 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 |
|---|---|---|
| 53850-CPT | High | Transurethr Destruct Of Prostat Tissue; By Microwav Thermothera, Transurethral Destruction Of Prostate Tissue; By Microwave Thermothera |
| 53852-CPT | High | Transurethr Destruct Of Prostat Tissue; By Radiofrequ Thermo, Transurethral Destruction Of Prostate Tissue; By Radiofrequency Thermo |
| 53854-CPT | High | Trurl Dstrj Prst8 Tiss Rf Wv, Destruction Of Prostate Tissue Accessed Through Urethra Using Radiofrequency Generated Water Vapor Heat Therapy |
| 53855-CPT | Moderate | Insert Device To Pass Urine, Insertion Of A Temporary Device To Hold Open The Urinary Tract (Stent). This Helps Urine Flow Past An Enlarged Prostate Gland. |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 53852. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 53852 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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