52342 Cysto with up stricture treatment
Also known as: cysto with mid-ureteral stricture treatment
Cystourethroscopy with incision, resection, or dilation of middle ureteral stricture, addressing obstruction in the proximal ureter or ureteropelvic region.
In Plain Language
fixing middle section of kidney tube
Clinical Context
Less successful than intramural strictures via endoscopic approach. Combined retrograde and antegrade techniques may improve outcomes.
RVU Breakdown
| Work RVU | 5.70 |
| Total RVU | 5.70 |
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 5.70, this code ranks in the 38th percentile among Surgery codes — 1.4x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52342?
CPT 52342 (Cysto with up stricture treatment) is a Surgery code. Cystourethroscopy with incision, resection, or dilation of middle ureteral stricture, addressing obstruction in the proximal ureter or ureteropelvic region.
What is the wRVU value for CPT 52342?
The work RVU for CPT 52342 is 5.70. This code is primarily used by Urology.
When is CPT 52342 used?
Less successful than intramural strictures via endoscopic approach. Combined retrograde and antegrade techniques may improve outcomes.
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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.