53200 Biopsy of urethra
Also known as: urethral biopsy
Tissue biopsy of the urethra for diagnosis of urethral malignancy, stricture etiologies, or other pathologic conditions.
In Plain Language
urethral tissue sample
Clinical Context
Used for diagnosis of urethral carcinoma, stricture source identification, or evaluation of chronic urethritis.
RVU Breakdown
| Work RVU | 2.53 |
| Total RVU | 2.53 |
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 2.53, this code ranks in the 17th percentile among Surgery codes — 3.2x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 53200?
CPT 53200 (Biopsy of urethra) is a Surgery code. Tissue biopsy of the urethra for diagnosis of urethral malignancy, stricture etiologies, or other pathologic conditions.
What is the wRVU value for CPT 53200?
The work RVU for CPT 53200 is 2.53. This code is primarily used by Urology.
When is CPT 53200 used?
Used for diagnosis of urethral carcinoma, stricture source identification, or evaluation of chronic urethritis.
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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.