CPT® Code 52010

Cystourethroscopy, with ejaculatory duct catheterization, with or without irrigation, instillation, or duct radiography, exclusive of radiologic service

Cystourethroscopy is a diagnostic and therapeutic procedure that allows for the visualization of the interior of the bladder and urethra. This procedure involves the catheterization of the ejaculatory ducts, which are critical for male reproductive health. Prior to the procedure, the urethra is typically cleansed with an antiseptic solution to minimize the risk of infection. A cystoscope, which can be either rigid or flexible, is then introduced through the urethra and advanced into the bladder. To enhance the visualization of the bladder wall, sterile saline may be instilled into the bladder, allowing for a clearer view during inspection. The procedure includes a thorough examination of the bladder and identification of the ureteral orifices, which are the openings where urine exits the kidneys into the bladder. As the cystoscope is retracted into the proximal urethra, the urethra itself is inspected, and the ejaculatory ducts are located. Guidewires are then advanced through the urethra and into the ejaculatory ducts, facilitating the subsequent placement of catheters. Each ejaculatory duct is catheterized, and the guidewires are removed. The ducts may be flushed with sterile saline, or contrast material may be injected for radiographic evaluation, which is reported separately. After the procedure is completed, the catheters are removed, and a final inspection of the bladder, urethra, and ejaculatory duct orifices is performed using the cystoscope before its removal. This comprehensive approach ensures that any abnormalities can be identified and addressed appropriately.