Cystourethroscopy, with insertion of ureteral stent (eg, Gibbons or double-J type)

CPT 52332 is the billing code for "Cystourethroscopy, with insertion of ureteral stent (eg, Gibbons or double-J type)". Cystourethroscopy with insertion of ureteral stent for urinary obstruction

Medicare pays approximately $362.60 for CPT 52332 (national average). Actual payment varies by geographic location due to GPCI adjustments. Hospital and commercial insurance rates are typically 2-4x higher than Medicare rates.

CPT 52332 has a total RVU of 8.82, broken down as: Work RVU 4.00, Practice Expense RVU 4.50, and Malpractice RVU 0.32. RVUs (Relative Value Units) determine Medicare reimbursement rates.

Key documentation requirements for CPT 52332 include: Cystoscopy performed documented; Ureteral stent insertion documented; Type of stent documented; Location of stent documented. Missing or incomplete documentation is a leading cause of claim denials for this code.

Bundling considerations for CPT 52332: Includes cystoscopy and stent insertion. Includes local or regional anesthesia Use an NCCI bundling checker to verify specific code combinations before billing.

Common modifiers for CPT 52332 include: 59 (Distinct procedural service when multiple procedures performed), 50 (Bilateral procedure), LT (Left side). Modifiers indicate special circumstances and can affect reimbursement or prevent claim denials.

The typical time requirement for CPT 52332 is Typically 30-45 minutes. Time-based codes require documentation of the actual time spent providing the service.