CPT® Code 52265

Interstitial cystitis (IC), commonly known as painful bladder syndrome, is a chronic condition characterized by recurring pain in the bladder and pelvic region, often accompanied by a frequent urge to urinate. The procedure coded as CPT® 52265 involves cystourethroscopy, which is a diagnostic and therapeutic procedure that allows for direct visualization of the bladder and urethra. During this procedure, 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's interior, identify the ureteral orifices, and assess any areas of inflammation, scarring, or fibrosis that may be present. Additionally, any ulcerations in the bladder wall are documented. A key component of this procedure is the dilation of the bladder, which is performed to alleviate symptoms associated with interstitial cystitis. This dilation is achieved by introducing a catheter and filling the bladder with either normal saline or gas, sometimes mixed with a local anesthetic agent to enhance patient comfort. The saline or gas is retained in the bladder for a duration of 10 to 15 minutes before being removed, followed by a re-examination of the bladder and urethra using the cystoscope. It is important to note that this specific code is applicable when the procedure is performed under local anesthesia, distinguishing it from similar procedures that may utilize general or conduction anesthesia.