CPT® Code 52300

This procedure, known as cystourethroscopy with resection or fulguration of orthotopic ureterocele(s), involves the endoscopic examination and treatment of ureteroceles, which are abnormal dilations of the ureter that can protrude into the bladder. An orthotopic ureterocele is characterized by its orifice being located in the normal anatomical position within the bladder, as opposed to an ectopic ureterocele, which has its orifice in an abnormal location, such as the bladder neck or urethra. The cystourethroscopy allows for direct visualization of the bladder and ureteral openings, facilitating the identification and treatment of the ureterocele. During the procedure, a cystoscope—either rigid or flexible—is inserted through the urethra into the bladder, often with the bladder filled with sterile saline to enhance visibility. The procedure may involve either fulguration, where an electrocautery device is used to destroy the ureterocele, or resection, where the abnormal tissue is surgically removed. The choice of technique depends on the specific characteristics of the ureterocele and the clinical judgment of the physician. This procedure is critical for addressing urinary obstruction and preventing potential complications associated with ureteroceles.