CPT® Code 52235

Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of; MEDIUM bladder tumor(s) (2.0 to 5.0 cm)

Cystourethroscopy is a medical procedure that allows healthcare professionals to visualize the interior of the bladder and urethra. This is achieved by inserting a cystoscope, which can be either rigid or flexible, through the urethra into the bladder. The procedure is particularly important for diagnosing and treating bladder tumors. During cystourethroscopy, the urethral orifice 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 expand the bladder wall and provides a clearer view of any abnormalities. Once the bladder is adequately prepared, the healthcare provider inspects the bladder and identifies the ureteral orifices for examination. When bladder tumors are detected, they can be treated using various methods, including fulguration, which involves the application of a high-frequency electrical current to destroy the tumors. An electrocautery device is advanced through the cystoscope to the tumor site, where it is activated to eliminate the tumor tissue. Alternatively, other techniques such as laser surgery or cryosurgery may be employed to achieve the same result. After the tumors are treated, the bladder is re-examined to confirm that all tumor tissue has been successfully destroyed. The cystoscope is then carefully removed from the urethra. This procedure is categorized based on the size of the tumors being treated, with specific codes assigned for small, medium, and large tumors, ensuring accurate documentation and billing for the services rendered.