52353 Cystouretero with lithotripsy
Also known as: cysto with ureteral stone lithotripsy, ureteroscopic lithotripsy, cystoscopy with laser lithotripsy, laser stone treatment, ureteroscopy with lithotripsy
Cystoureteroscopy with insertion of ureteroscope and use of lithotripsy device (laser, ultrasonic, or pneumatic) to fragment upper urinary tract stones.
In Plain Language
breaking up kidney stone with scope
Clinical Context
Used for large or hard stones exceeding passive extraction capability. Laser lithotripsy preferred for stone-free rates.
RVU Breakdown
| Work RVU | 7.31 |
| Total RVU | 7.31 |
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 7.31, this code ranks in the 47th percentile among Surgery codes — 1.1x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52353?
CPT 52353 (Cystouretero with lithotripsy) is a Surgery code. Cystoureteroscopy with insertion of ureteroscope and use of lithotripsy device (laser, ultrasonic, or pneumatic) to fragment upper urinary tract stones.
What is the wRVU value for CPT 52353?
The work RVU for CPT 52353 is 7.31. This code is primarily used by Urology.
When is CPT 52353 used?
Used for large or hard stones exceeding passive extraction capability. Laser lithotripsy preferred for stone-free rates.
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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.