CPT® Code 52214

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands

Cystourethroscopy is a minimally invasive procedure that allows healthcare professionals to visualize the interior of the bladder and urethra. This procedure is particularly important for diagnosing and treating various conditions affecting these areas. During cystourethroscopy, abnormal tissue located in critical regions such as the bladder trigone, bladder neck, prostatic fossa, urethra, or periurethral glands can be targeted for destruction. The technique involves the use of a high-frequency electrical current, which is applied to eliminate the abnormal tissue effectively. Prior to the procedure, the urethral orifice is cleansed with an antiseptic solution to minimize the risk of infection. A cystoscope, which can be either rigid or flexible, is then inserted through the urethra into the bladder. To enhance visualization, sterile saline may be introduced into the bladder, allowing for a clearer view of the bladder wall and its structures. The procedure includes a thorough inspection of the bladder and identification of the ureteral orifices. Following this, the cystoscope is withdrawn to examine the prostatic fossa, urethra, and periurethral glands, where any abnormal tissue is documented. An electrocautery device is subsequently advanced through the urethroscope to the site of the abnormal tissue, where it is activated to destroy the lesion. In some cases, alternative methods such as laser or cryosurgery may be employed to achieve the same goal. After the destruction of the abnormal tissue, the bladder trigone, neck, prostatic fossa, urethra, and periurethral glands are re-inspected to confirm that all targeted tissue has been adequately treated before the cystoscope is removed.