CPT® Code 52275

CPT® Code 52275 refers to a medical procedure known as cystourethroscopy with internal urethrotomy specifically performed on males. 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 involves the use of a cystoscope—a specialized instrument that allows visualization of the bladder and urethra. This visualization is crucial for identifying the precise location and extent of the urethral stricture. Prior to the procedure, the urethral orifice is cleansed with an antiseptic solution to minimize the risk of infection. A rigid or flexible cystoscope is then carefully introduced through the urethra into the bladder, allowing the physician to inspect the bladder and examine the ureteral orifices. Once the area of stricture is located, a cold knife incision is made at the 12 o'clock position, or multiple radial incisions may be performed at the site of the stricture. If there are multiple stricture sites, the procedure is repeated until all narrowed areas 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, facilitating proper healing and function. It is important to note that different codes are used for similar procedures in females and for direct vision urethrotomy, which involves a different technique for visualizing and treating the stricture.