52204 Cystoscopy with biopsy(s)
Also known as: cysto with biopsy, bladder biopsy
Cystourethroscopy with tissue biopsy (one or more samples) of bladder lesions or abnormalities, allowing histologic diagnosis of inflammation, infection, or malignancy.
In Plain Language
bladder scope with tissue sample
Clinical Context
Essential for diagnosis of bladder cancer, tuberculosis, chronic cystitis, and other bladder pathology. Multiple biopsies from different sites improve diagnostic yield.
RVU Breakdown
| Work RVU | 2.53 |
| Total RVU | 2.53 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 2.53, this code ranks in the 17th percentile among Surgery codes — 3.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52204?
CPT 52204 (Cystoscopy with biopsy(s)) is a Surgery code. Cystourethroscopy with tissue biopsy (one or more samples) of bladder lesions or abnormalities, allowing histologic diagnosis of inflammation, infection, or malignancy.
What is the wRVU value for CPT 52204?
The work RVU for CPT 52204 is 2.53. This code is primarily used by Urology, Uro-Oncology.
When is CPT 52204 used?
Essential for diagnosis of bladder cancer, tuberculosis, chronic cystitis, and other bladder pathology. Multiple biopsies from different sites improve diagnostic yield.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.