52354 Cystouretero with biopsy
Also known as: cysto with upper tract biopsy, ureteroscopic biopsy
Cystoureteroscopy with insertion of ureteroscope and tissue biopsy from upper urinary tract for diagnosis of hematuria, suspected malignancy, or other pathology.
In Plain Language
scope with kidney tube tissue sample
Clinical Context
Essential for diagnosis of upper urinary tract malignancy and selected benign conditions. Biopsy accuracy supports cancer staging.
RVU Breakdown
| Work RVU | 7.80 |
| Total RVU | 7.80 |
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 7.80, this code ranks in the 49th percentile among Surgery codes — 1.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52354?
CPT 52354 (Cystouretero with biopsy) is a Surgery code. Cystoureteroscopy with insertion of ureteroscope and tissue biopsy from upper urinary tract for diagnosis of hematuria, suspected malignancy, or other pathology.
What is the wRVU value for CPT 52354?
The work RVU for CPT 52354 is 7.80. This code is primarily used by Urology, Uro-Oncology.
When is CPT 52354 used?
Essential for diagnosis of upper urinary tract malignancy and selected benign conditions. Biopsy accuracy supports cancer staging.
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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.