2025 CPT code 52325
(Active) Effective Date: N/A Surgical Procedures on the Urinary System - Ureter and Pelvis Transurethral Surgical Procedures Surgery Feed
Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (e.g., ultrasonic or electrohydraulic technique)
Modifiers may be applicable.For example, modifier 51 is used for multiple procedures, modifier 50 for bilateral procedures (check payer rules for this code), and modifier 59 for distinct procedural services.
Medical necessity must be established by documenting the symptoms, signs, or conditions that justify the procedure, such as pain, obstruction, or recurrent infections caused by the ureteral calculus.
The physician preps and anesthetizes the patient, inserts the cystoscope, examines the bladder and urethra, inserts the catheter into the ureter, fragments the stone, removes the fragments, and then removes the instruments.
In simple words: The doctor examines your bladder and urethra with a small camera on a tube, and then uses that same tube to insert a small tool into your ureter to break up and remove a stone.
The provider performs a cystourethroscopy, which involves inspecting the interior of the bladder, the urethra, prostatic urethra, and ureteric openings using a cystoscope passed through the urethra and into the bladder.The procedure also includes inserting a catheter into the ureter to fragment and remove a stone from the ureter using a technique such as ultrasonic (high-frequency sound waves) or electrohydraulic lithotripsy (shock waves produced by electric discharges).
Example 1: A patient presents with a symptomatic ureteral stone lodged in the distal ureter. The urologist performs a cystourethroscopy with ureteral catheterization and uses ultrasonic lithotripsy to fragment the stone and remove the fragments., A patient has a ureteral stone that is causing recurrent urinary tract infections. The physician performs a cystourethroscopy, inserts a catheter into the ureter, and fragments the stone using electrohydraulic lithotripsy. The fragments are then removed., During a cystourethroscopy for hematuria, a small ureteral stone is discovered. The physician decides to proceed with fragmentation and removal of the stone using a holmium laser during the same procedure.
Documentation should include details of the cystourethroscopy, ureteral catheterization, the method of stone fragmentation used, size and location of the stone, and any complications encountered.
- Revenue Code: P8E (ENDOSCOPY - CYSTOSCOPY)
- Specialties:Urology
- Place of Service:Ambulatory Surgical Center, Hospital Inpatient, Hospital Outpatient