2025 CPT code 52343
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Cystourethroscopy with treatment of intrarenal stricture (e.g., balloon dilation, laser, electrocautery, and incision).
Modifiers 50 (bilateral procedure) and 51 (multiple procedures) may be applicable depending on the circumstances.
Medical necessity for this procedure is established by the presence of an intrarenal stricture causing obstructive uropathy, hydronephrosis, recurrent urinary tract infections, or other clinically significant symptoms.The chosen treatment method must be appropriate for the specific stricture characteristics.
The urologist or qualified healthcare professional performs the cystourethroscopy, identifies the stricture, and performs the chosen treatment method (balloon dilation, laser, electrocautery, or incision).
In simple words: The doctor uses a thin, flexible tube with a camera (cystoscope) to examine the bladder and urethra. If a narrowing (stricture) is found in the kidney's drainage tubes, the doctor uses tools to widen it.
Cystourethroscopy involves the inspection of the bladder, urethra, prostatic urethra, and ureteric openings using a cystoscope.The procedure includes inserting the catheter tip into and through the ureter up to the intrarenal structures to treat an intrarenal stricture using methods such as balloon dilation, laser, electrocautery, or incision.The scope and instruments are removed after the procedure, and the bladder is drained.
Example 1: A patient presents with symptoms of hydronephrosis and a history of recurrent urinary tract infections. Cystourethroscopy reveals a stricture in the left ureter, which is treated with balloon dilation., A patient undergoes a nephrostomy tube placement, and during follow-up, a stricture is identified during cystourethroscopy and treated with laser ablation., A patient with a known history of ureteral stricture from previous surgery undergoes a cystourethroscopy, and the stricture is managed with electrocautery.
* Preoperative diagnosis and indication for the procedure.* Detailed operative report describing the findings and techniques used, including the type of stricture and method of treatment.* Anesthesia record.* Pathology report (if any tissue was removed).* Postoperative management and follow-up plan.
** This code encompasses various techniques to treat intrarenal strictures.Accurate documentation of the specific method used is crucial for appropriate coding and reimbursement.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Urology
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient or Outpatient)