Find policies, billing codes, payers, states, and providers
CPT 52320: Cystourethroscopy with Ureteral Catheterization and Stone Removal
CPT code 52320 represents cystourethroscopy with ureteral catheterization and removal of a ureteral stone, an endoscopic urologic procedure that combines diagnostic visualization of the lower urinary tract with therapeutic stone extraction. This procedure is widely performed in hospital operating rooms and ambulatory surgery centers and is clinically important for relieving ureteral obstruction, resolving pain, and preventing complications such as infection or renal impairment.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides a national overview of coding and billing context, common service sites, typical clinical indications, and reimbursement and utilization benchmarks where available. Readers will find concise clinical context for appropriate use of CPT code 52320, comparisons of payer coverage tendencies, common billing modifiers, and pointers on documentation elements typically relevant for claim submission.
This resource is intended for billing managers, urology clinicians, and revenue cycle professionals seeking a clear, national-level summary of CPT code 52320 for clinical coding, billing workflow alignment, and payer communication.
Customize your policy alerts
Sign up for cpt 52320 policy alerts
Get alerted when payer policies referencing 52320 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 52320 describes a cystourethroscopy with ureteral catheterization and ureteral stone removal. The procedure involves inspection of the interior of the bladder, the urethra (including the prostatic urethra), and the ureteric orifices using a cystoscope passed through the urethra into the bladder, followed by insertion of a catheter into the ureter and extraction of a ureteral stone.
-
Service type: Endoscopic urologic procedure for diagnostic visualization and therapeutic removal of ureteral calculi
-
Typical site of service: Hospital operating room or ambulatory surgery center where endoscopic urologic procedures are performed