52356 Cysto/uretero with lithotripsy
Also known as: cysto with ureteral stone lithotripsy
Cystoureteroscopy with insertion of ureteroscope and use of lithotripsy technique to fragment and remove upper urinary tract stones of significant size.
In Plain Language
scope method for breaking large kidney stones
Clinical Context
Alternative to 52353 code; same procedure. Reflects variations in documentation of complex stone treatment.
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 52356?
CPT 52356 (Cysto/uretero with lithotripsy) is a Surgery code. Cystoureteroscopy with insertion of ureteroscope and use of lithotripsy technique to fragment and remove upper urinary tract stones of significant size.
What is the wRVU value for CPT 52356?
The work RVU for CPT 52356 is 7.80. This code is primarily used by Urology.
When is CPT 52356 used?
Alternative to 52353 code; same procedure. Reflects variations in documentation of complex stone treatment.
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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.