CPT® Code 52325

Cystourethroscopy (including ureteral catheterization); with fragmentation of ureteral calculus (eg, ultrasonic or electro-hydraulic technique)

CPT® Code 52325 refers to a specific medical procedure known as cystourethroscopy, which includes the process of ureteral catheterization and the fragmentation of a ureteral calculus. This procedure is performed to address the presence of stones located in the ureter, which can cause significant discomfort and complications if not treated. The term 'cystourethroscopy' indicates that the procedure involves the examination of the bladder and urethra using a cystoscope, a specialized instrument that allows for direct visualization. The procedure begins with the cleansing of the urethra using an antiseptic solution to minimize the risk of infection. A rigid or flexible cystoscope is then inserted through the urethra into the bladder, where the bladder may be filled with sterile saline to enhance the visibility of the bladder wall. Following the inspection of the bladder, the ureters are catheterized to facilitate access to the ureteral stone. The fragmentation of the calculus is achieved using either ultrasonic or electrohydraulic techniques, which involve the application of shock waves to break the stone into smaller, more manageable pieces. This allows for easier retrieval of the stone fragments, which can then be irrigated from the ureter. The procedure concludes with the removal of the cystoscope, guidewire, and any catheters used during the process, ensuring that the patient is left in a stable condition post-procedure.