CPT® Code 52204

Cystourethroscopy is a diagnostic and therapeutic procedure that allows healthcare professionals to visualize the internal structures of the bladder and urethra. This procedure is essential for evaluating various urological conditions. During cystourethroscopy, a specialized instrument known as a cystoscope, which can be either rigid or flexible, is inserted through the urethra and into the bladder. The urethra is first cleansed with an antiseptic solution to minimize the risk of infection. To enhance visibility, the bladder may be filled with sterile saline, which helps to distend the bladder wall and provides a clearer view of its interior. The procedure involves a thorough inspection of the bladder, including the identification and examination of the ureteral orifices, which are the openings where the ureters enter the bladder. If any abnormalities are detected, biopsy forceps are introduced through the cystoscope to obtain tissue samples for further analysis. After the biopsy is performed, the bladder and urethra are re-inspected to ensure that there is no significant bleeding, and any bleeding that may have occurred is controlled before the cystoscope is carefully removed. This procedure is crucial for diagnosing conditions such as bladder tumors, inflammation, or other abnormalities within the urinary tract.