2025 CPT code 52341
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Cystourethroscopy with treatment of ureteral stricture using methods like balloon dilation, laser, electrocautery, or incision.
Modifiers 50 (bilateral procedure) and 51 (multiple procedures) may be applicable depending on the circumstances.Consult payer guidelines.
Medical necessity is established by clinical findings of ureteral obstruction demonstrated by imaging (e.g., hydronephrosis, dilation of the ureter) with symptoms such as flank pain, recurrent UTIs, or hematuria.The procedure is medically necessary to relieve the obstruction and prevent further kidney damage.
Urologist
In simple words: The doctor uses a thin, flexible tube with a camera (cystoscope) to examine the bladder and urethra. If a narrowed area (stricture) in the tube connecting the kidney to the bladder is found, the doctor will use techniques like a balloon, laser, or small surgical tool to widen it so urine can flow normally.
This procedure involves a cystourethroscopic examination of the bladder, urethra, prostatic urethra, and ureteral openings using a cystoscope.The procedure then addresses a ureteral stricture (narrowing) using one or more techniques, such as balloon dilation, laser treatment, electrocautery, or incision to widen the ureter.The choice of technique depends on the nature and location of the stricture.
Example 1: A patient presents with symptoms of hydronephrosis (swelling of the kidney) due to a ureteral stricture caused by a previous kidney stone. The urologist performs a cystourethroscopy and uses a balloon catheter to dilate the stricture., A patient with a history of pelvic surgery experiences persistent flank pain and is diagnosed with a ureteral stricture.A cystourethroscopy with laser treatment to incise the stricture is performed by the urologist., During a routine cystourethroscopy, a short ureteral stricture is discovered. The urologist utilizes electrocautery to open the narrowed area in the ureter.
* Preoperative and postoperative diagnosis* Detailed operative report including the type of ureteral stricture, location, length and treatment methods used* Imaging studies (e.g., KUB, CT scan, IVP) demonstrating the stricture before and after the procedure* Any complications encountered during or after the procedure
** The information provided is for general guidance only and does not constitute medical advice.Always consult current CPT and payer guidelines for the most up-to-date coding information.The specific codes and modifiers used may vary based on the details of each case.Accurate documentation is critical for proper billing and reimbursement.
- Revenue Code: P8E (Endoscopy - Cystoscopy)
- RVU: RVUs will vary based on geographic location, facility type, and other factors. Consult a relevant fee schedule for specific values.
- Global Days: The global period for this procedure will depend on the specific services provided and local payer policies.Clarification might be needed based on individual circumstances.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Historical fee schedule data is not provided. Consult your local fee schedule.
- Specialties:Urology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)