CPT® Code 52250

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. This enables the physician to inspect the bladder wall and identify any abnormalities, such as tumors. To enhance visibility, the bladder may be filled with sterile saline. In cases where tumors are detected, a biopsy may be performed using specialized forceps to obtain tissue samples for further analysis. Additionally, tumors can be treated during the same procedure through techniques such as electrocautery or laser ablation, which destroy the tumor tissue. A significant aspect of this procedure is the insertion of a radioactive substance directly at the tumor site, which serves as a form of internal radiation therapy aimed at targeting malignancies. After the procedure, the radioactive implant may remain in the bladder for several days to maximize treatment efficacy before being removed with the cystoscope. This comprehensive approach not only aids in diagnosis but also facilitates immediate therapeutic intervention, making cystourethroscopy a vital procedure in urological care.