Find policies, billing codes, payers, states, and providers
CPT 52001: Cystourethroscopy With Suction/Irrigation for Clot Evacuation
CPT code 52001 denotes a cystourethroscopy with suction and irrigation performed to evacuate multiple obstructing bladder clots. This endoscopic urologic procedure is used when clot retention or obstructing intravesical material requires direct visualization and mechanical removal. Nationally, the code is relevant for acute urologic care pathways, facility utilization patterns, and procedure-level billing for both outpatient surgical centers and inpatient operating rooms.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical context for clot evacuation via cystourethroscopy, typical sites of service, and common billing practices. The publication summarizes available benchmarks, common modifiers used with the code, and coding caveats relevant to facility and professional claims. It also provides guidance on where to locate supporting documentation and clinical indicators that commonly accompany this procedure code.
The content is intended to help billing managers, coders, and policy analysts understand how CPT code 52001 is used in routine urologic practice and payer engagement, without making clinical recommendations.
Customize your policy alerts
Sign up for cpt 52001 policy alerts
Get alerted when payer policies referencing 52001 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 52001 describes a cystourethroscopy with suction and irrigation to evacuate multiple obstructing clots. The procedure involves insertion of a cystourethroscope — a thin flexible or rigid tube with a camera — to examine the interior of the bladder, urethra, and ureteric orifices, followed by use of a suction and irrigation probe to remove clots.
-
Service type: Endoscopic urologic procedure for clot evacuation
-
Typical site of service: Ambulatory surgical center or hospital operating room