CPT® Code 52352

Cystourethroscopy, with ureteroscopy and/or pyeloscopy; with removal or manipulation of calculus (ureteral catheterization is included)

CPT® Code 52352 refers to a specific urological procedure known as cystourethroscopy with ureteroscopy and/or pyeloscopy, which involves the removal or manipulation of a calculus, or stone, located in the ureter or renal pelvis. This procedure is performed using a cystoscope, a specialized instrument that allows for direct visualization of the bladder and ureters. The process begins with the cleansing of the urethra using an antiseptic solution to minimize the risk of infection. A rigid or flexible cystoscope is then introduced through the urethra into the bladder, which may be filled with sterile saline to enhance visibility of the bladder wall. Once the bladder is inspected, the ureters are catheterized to facilitate access to the ureteral stones. A guidewire is advanced through the cystoscope into the ureter, reaching the site of the calculus. The cystoscope is subsequently removed, and a ureteroscope is advanced over the guidewire to the calculus location. During this procedure, the calculus can either be manipulated or removed using a grasping or retrieval device. If removal is not feasible, the calculus may be repositioned within the ureter. This procedure is essential for treating ureteral stones, which can cause significant pain and complications if not addressed. The inclusion of ureteral catheterization in this code indicates that the procedure encompasses the necessary steps to ensure effective access and treatment of the calculus.