52285 Cystoscopy and treatment
Also known as: cysto with ureteral balloon dilation
Cystourethroscopy with dilation of the ureter or ureteral stricture using endoscopic balloon catheter technique to restore urine flow from kidney to bladder.
In Plain Language
widening narrowed kidney tube with balloon
Clinical Context
Used for ureteral strictures from prior surgery, radiation, or trauma. Less invasive than open surgical correction.
RVU Breakdown
| Work RVU | 3.51 |
| Total RVU | 3.51 |
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 3.51, this code ranks in the 25th percentile among Surgery codes — 2.3x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52285?
CPT 52285 (Cystoscopy and treatment) is a Surgery code. Cystourethroscopy with dilation of the ureter or ureteral stricture using endoscopic balloon catheter technique to restore urine flow from kidney to bladder.
What is the wRVU value for CPT 52285?
The work RVU for CPT 52285 is 3.51. This code is primarily used by Urology.
When is CPT 52285 used?
Used for ureteral strictures from prior surgery, radiation, or trauma. Less invasive than open surgical correction.
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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.