CPT® Code 52005

Cystourethroscopy, with ureteral catheterization, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service;

Cystourethroscopy is a medical procedure that allows healthcare professionals to visualize the interior of the bladder and urethra. This is achieved through the use of a cystoscope, which can be either rigid or flexible, and is inserted through the urethra into the bladder. Prior to the procedure, the urethra is typically cleansed with an antiseptic solution to minimize the risk of infection. During the cystourethroscopy, the bladder may be filled with sterile saline, enhancing the visibility of the bladder wall and any potential abnormalities. The procedure described by CPT® Code 52005 specifically involves the catheterization of the ureters, which are the tubes that carry urine from the kidneys to the bladder. After inspecting the bladder, a guidewire is introduced through the cystoscope and advanced into the first ureter, reaching the renal pelvis. A catheter is then advanced over this guidewire into the renal pelvis, allowing for further diagnostic or therapeutic interventions. The ureter may be irrigated with normal saline, or other diagnostic solutions may be instilled. Additionally, contrast material can be injected for ureteropyelography, which is a separate reportable service. This procedure can also be performed on the opposite ureter if necessary. At the conclusion of the procedure, both the catheter and guidewire are removed, completing the cystourethroscopy with ureteral catheterization.