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2025 CPT code 52330

Cystourethroscopy (including ureteral catheterization); with manipulation, without removal of ureteral calculus.

Therapeutic cystourethroscopy always includes diagnostic cystourethroscopy.Modifier 50 should be appended for bilateral procedures. Per CPT guidelines, do not report 52330 in conjunction with 52000.

Modifiers may be applicable. Modifier 50 is used for bilateral procedures. Other modifiers, such as those for increased procedural services or staged procedures, may also be applicable depending on the specific circumstances.

Medical necessity for this procedure must be established by documenting the patient's symptoms, such as pain or obstruction, and the presence of a ureteral calculus confirmed by imaging or visualized during the procedure. The rationale for manipulating but not removing the stone should also be documented, for example, if the stone is too large or impacted for immediate removal.

The physician performs the procedure after the patient is prepped and anesthetized.This includes inserting the cystoscope, examining the bladder and urethra, advancing a catheter into the ureter, and manipulating the stone. The physician also ensures proper visualization throughout the procedure and removes all instruments upon completion.

In simple words: The doctor uses a small camera to look inside your bladder and the tube that carries urine out of your body.They also put a small tube into the tube that connects your kidney to your bladder to try to move a kidney stone, but they don't take the stone out during this procedure.

This code describes a procedure where a cystourethroscope (a thin, lighted tube with a camera) is inserted through the urethra into the bladder to visualize the bladder, urethra, and ureteral openings.A catheter is then advanced into the ureter to manipulate a ureteral calculus (stone) but the stone is not removed during this procedure.

Example 1: A patient presents with flank pain and hydronephrosis due to a ureteral stone. The physician performs a cystourethroscopy with ureteral catheterization and manipulates the stone in an attempt to facilitate its passage, but does not remove it during this procedure., A patient has a history of recurrent ureteral stones. They present with symptoms suggestive of another stone, but imaging is inconclusive. The physician performs cystourethroscopy with manipulation of a suspected stone lodged in the ureter, but removal is deferred to a later date., During a cystourethroscopy for evaluation of hematuria, a small ureteral stone is discovered incidentally. The physician attempts to reposition the stone with a catheter to relieve potential obstruction, but it is not removed at this time.

Documentation should include details of the cystourethroscopy, ureteral catheterization, the size and location of the stone, the manipulation technique used, and the reason for not removing the stone during the procedure.Operative reports and supporting imaging studies should also be included.

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