CPT procedure code

52597

Medicare payment

$548.44

2026 Physician Fee Schedule · non-facility

Source: CMS Physician Fee Schedule (PPRRVU 2026). CMS fee schedules ↗ · PFS status indicator A

National amount before geographic adjustment. Your MAC's locality rate will differ.

Code definition

Code

52597

Code system

CPT (Current Procedural Terminology)

This CPT code is not in our curated reference. CPT codes are maintained by the American Medical Association (AMA). Full descriptions require an AMA license.

Category

Short description sourced from CMS publicly available fee schedule data. Full CPT descriptions are copyright AMA. Not a substitute for the official CPT codebook.

Policy activity for CPT 52597

CLV Intelligence is tracking 8 policy changes that cite CPT 52597 most recently on 2026-06-05, drawn from 7 LCD/NCD coverage updates and 1 proposed LCD. The changes span Multi-specialty and Urology. 1 is flagged critical or high priority.

LCD/NCD coverage updates
7
proposed LCD
1

Counts reflect the source documents CLV has matched to CPT 52597 to date; each links to the government publication that is authoritative. Monitored daily from CMS, the Federal Register, and Medicare Administrative Contractor publications.

Policy changes matched to 52597

Matched to this code by CLV analysis of each policy. The linked source document is authoritative.

LCD L38367: Fluid Jet System Treatment for LUTS/BPH — NGS

Urology · LCD-L38367

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38705: Transurethral Waterjet Ablation of the Prostate — Noridian

Urology · LCD-L38705

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L35490: Category III Codes — WPS

Multi-specialty · LCD-L35490

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38682: Transurethral Waterjet Ablation of the Prostate — WPS

Urology · LCD-L38682

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38549: Transurethral Waterjet Ablation of the Prostate — Palmetto GBA

Urology · LCD-L38549

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38378: Fluid Jet System in the Treatment of Benign Prostatic Hyperplasia (BPH) — CGS

Urology · LCD-L38378

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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LCD L38707: Transurethral Waterjet Ablation of the Prostate — Noridian

Urology · LCD-L38707

Government source· CMS / MACverify ↗
Routine

Full analysis available with a CLV subscription.

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Proposed LCD DL38682: Transurethral Waterjet Ablation of the Prostate — WPS

Urology · LCD-DL38682

Government source· CMS / MACverify ↗
High

Full analysis available with a CLV subscription.

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Audit documentation

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