CPT® Code 52240

Cystourethroscopy is a diagnostic and therapeutic procedure that allows for the visualization of the interior of the bladder and urethra. This procedure is particularly important for identifying and treating bladder tumors. During cystourethroscopy, a cystoscope, which can be either rigid or flexible, is inserted through the urethra into the bladder. 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 inside, the bladder is thoroughly inspected, and the ureteral orifices are identified and examined for any potential issues. When bladder tumors are located, an electrocautery device is advanced through the cystoscope to the tumor site. This device utilizes high-frequency electrical currents to destroy the tumors effectively. Alternatively, other methods such as laser surgery or cryosurgery may be employed to achieve the same result. After the tumors are treated, the bladder is re-inspected to confirm that all tumors have been adequately destroyed. The cystoscope is then carefully removed from the urethra. This procedure is categorized based on the size of the tumors being treated. For instance, smaller lesions measuring less than 0.5 cm are coded differently than larger tumors. Specifically, CPT® Code 52240 is designated for the treatment of large bladder tumors that exceed 5 cm in size, which may involve either destruction or resection of the tumors. The resection process involves the use of a resectoscope, which is advanced to the tumor site after the initial cystoscope is removed, allowing for the complete removal of the tumor through irrigation and evacuation techniques. Throughout the procedure, bleeding is managed as necessary using electrocoagulation or laser coagulation methods.