CPT® Code 52290

Cystourethroscopy is a diagnostic and therapeutic procedure that allows for the visualization of the interior of the bladder, ureteral orifices, and urethra. This procedure is particularly useful for identifying and addressing issues related to the ureteral openings, which may be restricted or obstructed. During cystourethroscopy, a healthcare professional uses either a rigid or flexible cystoscope, a specialized instrument equipped with a camera and light, which is inserted through the urethra and into the bladder. This enables the physician to inspect the bladder's lining and the ureteral orifices thoroughly. If a ureteral opening is found to be narrowed, a ureteral meatotomy can be performed, which involves making an incision to widen the opening. This incision is made using a retractable blade that is advanced to the ureteral orifice through the cystoscope. The procedure may be performed unilaterally or bilaterally, depending on the patient's specific condition and the findings during the examination. After the incisions are made, they are inspected for any bleeding, which is then controlled before the cystoscope is removed, ensuring that the procedure is completed safely and effectively.