52400 Cysto cgen posterior urtl valves
Also known as: cysto with posterior urethral valve ablation, valve ablation
Cystoscopy with congenital posterior urethral valve ablation or resection in infants and children, relieving congenital lower urinary tract obstruction.
In Plain Language
removing membrane blocking urine flow in boys
Clinical Context
Most common cause of lower urinary tract obstruction in male infants. Treatment critical to prevent chronic kidney disease.
RVU Breakdown
| Work RVU | 8.47 |
| Total RVU | 8.47 |
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 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 8.47, this code ranks in the 52nd percentile among Surgery codes — 1.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 52400?
CPT 52400 (Cysto cgen posterior urtl valves) is a Surgery code. Cystoscopy with congenital posterior urethral valve ablation or resection in infants and children, relieving congenital lower urinary tract obstruction.
What is the wRVU value for CPT 52400?
The work RVU for CPT 52400 is 8.47. This code is primarily used by Urology, Pediatric Urology. It has a 90-day global period.
When is CPT 52400 used?
Most common cause of lower urinary tract obstruction in male infants. Treatment critical to prevent chronic kidney disease.
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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.