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52441 Cysto insj trnsprstc 1 implt

What 52441 is

CMS fee schedule short descriptor: Cysto insj trnsprstc 1 implt.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 52441 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)3.9032.900.4837.28$1,245.19
Facility (hospital, ASC)3.901.130.485.51$184.04

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).

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Medically Unlikely Edit (MUE)

Medicare caps 52441 at 1 unit per date of service for practitioner claims (MAI 2 - date of service edit (absolute): units above the MUE never pay), rationale: Code Descriptor / CPT Instruction. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 52441? These codes are bundled into it

52441 is a Column 1 code in 267 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
00910Anes transurethral px nos0 - no modifier bypassCheck pair
00916Anes trurl px rescj bleeding0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj0 - no modifier bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt0 - no modifier bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
0941TCysto flx ins&xpns urtl scaf0 - no modifier bypassCheck pair
0942TCysto flx rmv&rplc urtl scaf0 - no modifier bypassCheck pair
0943TCysto flx rmvl urtl scaffold0 - no modifier bypassCheck pair
11000Dbrdmt ecz/infected skin<10%1 - modifier may bypassCheck pair
11001Dbrdmt ecz/infct skn ea addl1 - modifier may bypassCheck pair
11004Dbrdmt skin xtrnl gent&per1 - modifier may bypassCheck pair
11005Dbrdmt skin abdominal wall1 - modifier may bypassCheck pair
11006Dbrdmt skin xtrnl gent per1 - modifier may bypassCheck pair
11042Dbrdmt subq tis 1st 20sqcm/<1 - modifier may bypassCheck pair
11043Dbrdmt musc&/fsca 1st 20/<1 - modifier may bypassCheck pair
11044Dbrdmt bone 1st 20 sq cm/<1 - modifier may bypassCheck pair
11045Dbrdmt subq tiss each addl1 - modifier may bypassCheck pair
11046Dbrdmt musc&/fsca ea addl1 - modifier may bypassCheck pair
11047Dbrdmt bone each addl1 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair

Showing 30 of 267 column 2 codes. Use the pair checker for any specific combination.

52441 is bundled into these codes

52441 appears as a Column 2 code in 20 active edits. Reported with one of these Column 1 codes on the same date of service, 52441 is the code that denies.

Column 1 codeShort descriptionModifier indicator
0582TTrurl abltj mal prst8 tiss1Check pair
0655TTprnl focal abltj mal prst81Check pair
0714TTpla b9 prst8 hyprplsa<50ml1Check pair
0867TTpla b9 prst8 hyprplsa>=50ml1Check pair
51721Ins trurl ablt trnsdc thr us0Check pair
52282Cystoscopy implant stent0Check pair
52400Cysto cgen post urtl valves1Check pair
52402Cysto trurl rescj ejacul dux1Check pair
52450Transurethral inc prostate1Check pair
52500Trurl resection bladder neck1Check pair
52601Prostatectomy (turp)1Check pair
52630Remove prostate regrowth1Check pair
52640Relieve bladder contracture1Check pair
52648Laser surgery of prostate1Check pair
52649Prostate laser enucleation1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.