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Cystourethroscopy is a diagnostic and therapeutic procedure that allows healthcare professionals to visualize the internal structures of the bladder, urethra, and ureteral orifices. This procedure is particularly useful for identifying and addressing issues such as foreign bodies, calculi (stones), or ureteral stents that may be present within the bladder or urethra. 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 carefully introduced through the urethra and advanced into the bladder. Once inside, the bladder is thoroughly inspected to locate any foreign objects or stones. If a foreign body, calculus, or ureteral stent is identified, a specialized grasping device is maneuvered through the working channel of the cystoscope to capture and remove the obstruction. After the removal, the bladder and ureteral orifices are re-examined to ensure that no injuries have occurred during the procedure. Finally, the cystoscope is withdrawn, completing the process. It is important to note that CPT® Code 52315 is specifically designated for complicated removals, while simpler removals are coded under CPT® Code 52310.
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