CPT® Code 52270

CPT® Code 52270 refers to the procedure known as cystourethroscopy with internal urethrotomy specifically for females. This procedure is primarily indicated for the treatment of internal urethral stricture, a condition where the urethra becomes narrowed, leading to difficulties in urination. The process begins with cystourethroscopy, which allows the physician to visualize the interior of the bladder and urethra, facilitating the identification of the stricture location. During the procedure, the urethral orifice is first cleansed with an antiseptic solution to minimize the risk of infection. A cystoscope, which can be either rigid or flexible, is then introduced through the urethra into the bladder. This instrument enables the physician to inspect the bladder and examine the ureteral orifices. Once the bladder is thoroughly inspected, the cystoscope is carefully withdrawn to locate the area of stricture. At this point, a cold knife incision is made at the 12 o'clock position, or multiple radial incisions may be performed at the stricture site. If additional areas of stricture are detected, the procedure is repeated until all narrowed sections of the urethra are adequately incised. Following the incisions, the urethra is re-examined using the cystoscope to ensure that the procedure has been effective. Finally, a Foley catheter is placed through the urethra into the bladder to help maintain the diameter of the treated areas, promoting healing and preventing re-narrowing.