2025 CPT code 52346
(Active) Effective Date: N/A Surgery - Ureter and Pelvis Transurethral Surgical Procedures Surgery Feed
Cystourethroscopy with ureteroscopy and treatment of intra-renal stricture.
Modifiers may be applicable depending on the specific circumstances of the procedure. Refer to CPT modifier guidelines.
Medical necessity is established by demonstrating the presence of an intra-renal stricture causing obstruction of urine flow, leading to symptoms or potential complications.Supporting documentation, such as imaging studies and urinalysis, may be required.
The physician inserts a cystoscope and ureteroscope to visualize and access the urinary tract. They then perform the chosen treatment for the intra-renal stricture, ensuring proper dilation and restoration of urine flow.
In simple words: The doctor examines your bladder and the tubes that carry urine from your kidneys (ureters) using a small camera. They also fix a narrowing (stricture) inside your kidney using a tiny balloon, laser, or other tools. This helps urine flow normally.
Cystourethroscopy with ureteroscopy is performed, involving the insertion of a cystoscope through the urethra into the bladder to inspect the bladder, urethra, prostatic urethra, and ureteric openings. A ureteroscope is then advanced through the ureters to the intrarenal structures to treat an intra-renal stricture using methods such as balloon dilation, laser, electrocautery, or incision.
Example 1: A patient with a narrowing in the kidney's urine drainage system undergoes this procedure to widen the passage and improve urine flow., Following kidney stone removal, a patient develops a stricture that requires treatment to prevent blockage and complications., A patient experiencing recurrent urinary tract infections due to a blockage caused by a stricture undergoes this procedure.
Documentation should include details of the cystourethroscopy and ureteroscopy findings, the location and characteristics of the intra-renal stricture, the method used for treatment (balloon dilation, laser, electrocautery, incision), and the outcome of the procedure.The medical necessity of the procedure should also be clearly documented.
- Revenue Code: P8E (ENDOSCOPY - CYSTOSCOPY)
- Payment Status: Active
- Specialties:Urology
- Place of Service:Ambulatory Surgical Center, Hospital Inpatient, Hospital Outpatient