Urology in the ASC: CPT Codes and Coverage Reference
Urology is one of the busiest specialties in the ASC, with much endoscopic and minimally invasive work, such as cystoscopy, stone management, and prostate procedures, moving through the outpatient setting on the same day.
Most urology procedures fall in the urinary system CPT range, 50000 to 55899, covering the kidney, ureter, bladder, urethra, and prostate. Common examples include 52000 (cystourethroscopy) and 52601 (TURP). Our dataset maps 495 ASC-relevant CPT codes to urology, so the codes below are a starting point. Whether Medicare pays a code in an ASC depends on the CMS addenda: Addendum AA is the ASC Covered Procedures List, meaning Medicare pays the code in the ASC, while Addendum EE lists codes excluded from ASC payment. Check a code against the current addenda, alongside payer prior authorization and documentation rules, before scheduling a case.
Urology codes(1–60 of 495)
- 52000Cystourethroscopy
- 52234Cystoscopy and treatment
- 52356Cysto/uretero w/lithotripsy
- 52601Prostatectomy (turp)
- 50010Renal exploration
- 50020Drg perirnl/renal absc open
- 50040Nfros nfrot w/drg
- 50045Nephrotomy w/exploration
- 50060Nl removal calculus
- 50065Nl sec surg operj calculus
- 50070Nl comp cgen kdn abnormality
- 50075Nl rmvl lg staghorn calculus
- 50080Perq nl/pl lithotrp smpl<2cm
- 50081Perq nl/pl lithotrp cplx>2cm
- 50100Trnsxj/repos abrrnt rnl vsls
- 50120Pyelotomy w/exploration
- 50125Pyelotomy w/drg pyelostomy
- 50130Pyelotomy w/removal calculus
- 50200Renal biopsy perq
- 50205Renal bx surg exposure kdn
- 50220Remove kidney open
- 50225Removal kidney open complex
- 50230Removal kidney open radical
- 50234Removal of kidney & ureter
- 50236Removal of kidney & ureter
- 50240Nephrectomy partial
- 50250Opn abltj 1/> rnl mas crysrg
- 50280Exc/unroofing cyst kidney
- 50290Excision perinephric cyst
- 50300Remove cadaver donor kidney
- 50320Remove kidney living donor
- 50323Prep cadaver renal allograft
- 50325Prep donor renal graft
- 50327Prep renal graft/venous
- 50328Prep renal graft/arterial
- 50329Prep renal graft/ureteral
- 50340Recipient nephrectomy
- 50360Rnl altrnsplj w/o rcp nfrct
- 50365Rnl altrnsplj w/rcp nfrct
- 50370Rmvl transplanted rnl algrft
- 50380Rnl autotrnsplj rimpltj kdn
- 50382Change ureter stent percut
- 50384Remove ureter stent percut
- 50385Change stent via transureth
- 50386Remove stent via transureth
- 50387Change nephroureteral cath
- 50389Remove renal tube w/fluoro
- 50390Drainage of kidney lesion
- 50391Instll rx agnt into rnal tub
- 50396Measure kidney pressure
- 50400Revision of kidney/ureter
- 50405Revision of kidney/ureter
- 50430Njx px nfrosgrm &/urtrgrm
- 50431Njx px nfrosgrm &/urtrgrm
- 50432Plmt nephrostomy catheter
- 50433Plmt nephroureteral catheter
- 50434Convert nephrostomy catheter
- 50435Exchange nephrostomy cath
- 50436Dilat xst trc ndurlgc px
- 50437Dilat xst trc new access rcs
Are urology procedures performed in an ambulatory surgery center?
Yes. Many urologic procedures, especially endoscopic and minimally invasive cases like diagnostic cystoscopy, ureteroscopy with stone treatment, and transurethral prostate resection, are routinely done in the ASC and discharged the same day. Whether Medicare pays a specific code in an ASC depends on whether it appears on the CMS ASC Covered Procedures List (Addendum AA), so each code should be checked against the current addenda.
What CPT codes does urology use?
Urology codes are concentrated in the urinary system range 50000 to 55899, which covers the kidney, ureter, bladder, urethra, and prostate. Examples include 52000 for cystourethroscopy, 52356 for cystoscopy with ureteroscopy and lithotripsy, 52601 for transurethral resection of the prostate, and 50010 for renal exploration. Our dataset maps 495 ASC-relevant CPT codes to this specialty.
How do I know if a urology code is covered in an ASC?
Coverage in the ASC setting follows the CMS addenda. A code on Addendum AA is on the ASC Covered Procedures List and is paid by Medicare in an ASC. Addendum BB covers ancillary services, and Addendum EE lists codes excluded from ASC payment. Beyond Medicare coverage, individual payers may add prior authorization and documentation requirements. DataLily's procedure library tracks CPT-specific prior authorization and documentation requirements to help teams prepare before the case.