2025 CPT code 52320
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Cystourethroscopy with removal of ureteral calculus.
Modifiers 50 (bilateral procedure) and 51 (multiple procedures) may apply depending on the circumstances.Check with the payer for specific requirements. Modifiers 58 (staged or related procedure) or 78 (unplanned return) may also apply based on the clinical course.
Medical necessity is established by the presence of a symptomatic ureteral stone confirmed by imaging studies.The procedure is necessary to alleviate pain, prevent infection, and restore normal urinary drainage.
The urologist performs the procedure, inserting the cystoscope, identifying and removing the ureteral calculus using appropriate instruments. Pre-operative and post-operative care may be provided by the urologist or other qualified healthcare personnel.
In simple words: The doctor uses a thin, lighted tube with a camera to examine the inside of your bladder and urethra.During this exam, a kidney stone is removed from one of the tubes connecting the kidney to the bladder.
Cystourethroscopy involves the insertion of a cystourethroscope through the urethra into the bladder to visualize and examine the urethra, bladder, and ureteral orifices.In this procedure (52320), a ureteral calculus (stone) is removed using instruments passed through the cystourethroscope.
Example 1: A 45-year-old female presents with severe flank pain and hematuria.Imaging reveals a 5mm stone obstructing the right ureter.Cystourethroscopy with removal of the ureteral calculus is performed., A 60-year-old male experiences recurrent urinary tract infections and imaging shows a small stone in his left ureter.Cystourethroscopy is undertaken, with successful stone removal., A 30-year-old female patient complains of flank pain and has a history of recurrent kidney stones. Diagnostic imaging shows a stone in the distal ureter.Cystourethroscopy is performed, identifying and removing the ureteral stone. A ureteral stent is placed to facilitate healing.
* Preoperative and postoperative diagnoses.* Imaging studies demonstrating the location and size of the stone.* Operative report detailing the procedure, including the type of instruments used, and the size and location of the removed stone.* Pathology report if any tissue was removed.
** The insertion and removal of a temporary ureteral catheter (52005) is included in this procedure and should not be separately reported. For bilateral procedures, modifier 50 may apply, but payer-specific guidelines should be consulted.The use of other modalities (e.g. laser lithotripsy) would require additional codes. This code represents the removal of a ureteral stone; if the stone is only manipulated, code 52330 should be used.
- Revenue Code: P8E (Endoscopy - Cystoscopy)
- RVU: Information not available in source.Consult the current CPT codebook or a relevant fee schedule for RVU values.
- Global Days: Information not available in source.Refer to the appropriate guidelines for global period considerations.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier does not apply to this code.
- Fee Schedule: Information not available in source. Consult a historical CPT codebook or fee schedule.
- Specialties:Urology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient and Outpatient)