2025 CPT code 52352
Effective Date: N/A Surgical Procedures on the Urinary System - Urinary System Surgery Feed
Cystourethroscopy with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included).
Modifiers may be applicable. Modifier 51 is used for multiple procedures, modifier 50 for bilateral procedures, and modifier 59 for distinct procedural services.
Medical necessity for this procedure is established by the presence of a symptomatic ureteral or renal calculus causing obstruction, pain, infection, or other complications. Documentation should clearly demonstrate the clinical rationale for intervention.
The physician inserts a cystoscope into the urethra and advances it into the bladder to visualize the bladder wall and ureteral openings. A ureteroscope may then be used to examine the ureters and, if necessary, the renal pelvis. If a stone is found, the physician uses specialized instruments to remove it or manipulate its position. The bladder is irrigated to clear any fragments.
In simple words: This procedure involves examining your bladder, urethra, and possibly your ureters and kidneys using a small camera inserted through your urinary tract. If a stone is found, the doctor will either remove it or reposition it so it can pass naturally. A small tube may be temporarily placed to help with urine flow.
This code describes a procedure where a cystourethroscopy (examination of the bladder and urethra) is performed, along with a ureteroscopy (examination of the ureters) and/or pyeloscopy (examination of the renal pelvis). During the procedure, a calculus (stone) is either removed or manipulated to facilitate its passage or reduce obstruction. The insertion and removal of a ureteral catheter is included in this code.
Example 1: A patient presents with right flank pain and hydronephrosis. A CT scan reveals a ureteral stone. The physician performs a cystourethroscopy, ureteroscopy, and removes the stone using a basket., A patient with a history of kidney stones experiences recurrent urinary tract infections. Cystourethroscopy, ureteroscopy, and pyeloscopy are performed, and a small stone is manipulated into a position where it's expected to pass naturally., A patient undergoing a routine checkup is found to have a bladder stone during a cystourethroscopy. Ureteroscopy is then performed to rule out any ureteral stones, and the bladder stone is removed.
Documentation should include the location and size of the stone, the method used for removal or manipulation, any complications encountered, and the post-operative condition of the patient. Pre-operative imaging studies confirming the presence of the stone should also be included.
- Revenue Code: P8E
- Specialties:Urology
- Place of Service:Ambulatory Surgical Center, Hospital, Outpatient Hospital