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Official Description

Cystourethroscopy, with insertion of permanent urethral stent

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

CPT® Code 52282 refers to the procedure known as cystourethroscopy with the insertion of a permanent urethral stent. This procedure is specifically designed to address a persistent stricture, which is a narrowing of the urethra that can impede the flow of urine. The use of a permanent urethral stent serves to alleviate this obstruction, allowing for improved urinary function. During the procedure, the urethral orifice, which is the external opening of the urethra, is first cleansed using an antiseptic solution to minimize the risk of infection. A cystoscope, which is a thin, telescope-like instrument equipped with a light and camera, is then carefully introduced through the urethra and into the bladder. This instrument enables the physician to visualize the internal structures of the urethra and bladder on a monitor, facilitating accurate assessment and intervention. To enhance the visibility of the bladder wall, sterile saline or water may be instilled into the bladder. After evaluating the narrowed segment of the urethra, a suitably sized permanent urethral stent is selected and inserted through the working channel of the cystoscope. The stent is then positioned within the narrowed area and deployed to maintain patency. Finally, the cystoscope is removed, completing the procedure.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure described by CPT® Code 52282 is indicated for patients experiencing a persistent stricture or narrowing of the urethra. This condition can lead to various urinary symptoms, including difficulty urinating, urinary retention, or recurrent urinary tract infections. The insertion of a permanent urethral stent is performed to alleviate these symptoms and restore normal urinary flow.

  • Persistent Stricture A condition characterized by a continuous narrowing of the urethra that obstructs urine flow.
  • Urinary Retention The inability to completely empty the bladder, often resulting from urethral obstruction.
  • Recurrent Urinary Tract Infections Frequent infections that may occur due to urinary stasis caused by urethral narrowing.

2. Procedure

The procedure begins with the cleansing of the urethral orifice using an antiseptic solution to reduce the risk of infection. Following this, a rigid or flexible cystoscope, which is a thin, telescope-like tube equipped with a light and camera, is introduced through the urethra and advanced into the bladder. This instrument allows the physician to visualize the internal structures of the urethra and bladder on a computer or television monitor. To enhance the visualization of the bladder wall, sterile saline or water may be instilled into the bladder. Once the bladder is filled, the saline or water is drained, and the physician evaluates the narrowed portion of the urethra. After assessing the stricture, an appropriately sized permanent urethral stent is selected. This stent is then introduced into the urethra through the working channel of the cystoscope. The physician carefully positions the stent within the narrowed segment of the urethra and deploys it to maintain patency. Upon successful placement of the stent, the cystoscope is removed, completing the procedure.

  • Step 1: Cleansing of the urethral orifice with antiseptic solution to minimize infection risk.
  • Step 2: Introduction of the cystoscope through the urethra into the bladder for visualization.
  • Step 3: Instillation of sterile saline or water into the bladder to improve visualization.
  • Step 4: Evaluation of the narrowed portion of the urethra after draining the bladder.
  • Step 5: Selection and introduction of the appropriately sized permanent urethral stent through the cystoscope.
  • Step 6: Positioning and deployment of the stent in the narrowed segment of the urethra.
  • Step 7: Removal of the cystoscope to complete the procedure.

3. Post-Procedure

After the procedure, patients may be monitored for any immediate complications or adverse reactions. It is important to assess the patient's urinary function and ensure that the stent is functioning properly. Patients may experience some discomfort or mild pain following the procedure, which can typically be managed with prescribed analgesics. Follow-up appointments are essential to evaluate the effectiveness of the stent and to monitor for any potential complications, such as infection or stent migration. Patients should be advised on signs of complications, including fever, increased pain, or changes in urinary patterns, and instructed to seek medical attention if these occur.

Short Descr CYSTOSCOPY IMPLANT STENT
Medium Descr CYSTOURETHROSCOPY INSERTION PERM URETHRAL STENT
Long Descr Cystourethroscopy, with insertion of permanent urethral stent
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 3 - Special payment adjustment rules for multiple endoscopic procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 09 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Endoscopic Base Code 52000  Cystourethroscopy (separate procedure)
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Hospital Part B services paid through a comprehensive APC
ASC Payment Indicator Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight.
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P8E - Endoscopy - cystoscopy
MUE 1
CCS Clinical Classification 109 - Procedures on the urethra
GC This service has been performed in part by a resident under the direction of a teaching physician
RT Right side (used to identify procedures performed on the right side of the body)
51 Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d).
53 Discontinued procedure: under certain circumstances, the physician or other qualified health care professional may elect to terminate a surgical or diagnostic procedure. due to extenuating circumstances or those that threaten the well being of the patient, it may be necessary to indicate that a surgical or diagnostic procedure was started but discontinued. this circumstance may be reported by adding modifier 53 to the code reported by the individual for the discontinued procedure. note: this modifier is not used to report the elective cancellation of a procedure prior to the patient's anesthesia induction and/or surgical preparation in the operating suite. for outpatient hospital/ambulatory surgery center (asc) reporting of a previously scheduled procedure/service that is partially reduced or cancelled as a result of extenuating circumstances or those that threaten the well being of the patient prior to or after administration of anesthesia, see modifiers 73 and 74 (see modifiers approved for asc hospital outpatient use).
58 Staged or related procedure or service by the same physician or other qualified health care professional during the postoperative period: it may be necessary to indicate that the performance of a procedure or service during the postoperative period was: (a) planned or anticipated (staged); (b) more extensive than the original procedure; or (c) for therapy following a surgical procedure. this circumstance may be reported by adding modifier 58 to the staged or related procedure. note: for treatment of a problem that requires a return to the operating/procedure room (eg, unanticipated clinical condition), see modifier 78.
59 Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25.
LT Left side (used to identify procedures performed on the left side of the body)
Date
Action
Notes
2011-01-01 Changed Short description changed.
2010-01-01 Changed Code description changed.
1998-01-01 Added First appearance in code book in 1998.
1984-12-31 Deleted Code deleted.
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