CPT® Code 52355

CPT® Code 52355 refers to a specific medical procedure known as cystourethroscopy with ureteroscopy and/or pyeloscopy, which includes the resection of a tumor located in the ureter or renal pelvis. This procedure is performed to diagnose and treat tumors or abnormal tissues found in the urinary tract. The process begins with the cleansing of the urethra using an antiseptic solution to minimize the risk of infection. A cystoscope, which can be either rigid or flexible, is then inserted through the urethra into the bladder. To enhance visibility, sterile saline may be introduced into the bladder, allowing for a clearer view of the bladder wall. Once the bladder is inspected, the ureters are catheterized to facilitate access to the urinary system. A guidewire is introduced through the cystoscope and advanced into the ureter or renal pelvis, guiding the physician to the site of the lesion or abnormal tissue. After the cystoscope is removed, a ureteroscope is advanced over the guidewire to the tumor site. This procedure may involve obtaining tissue samples for biopsy or directly treating the tumor using various techniques such as electrocautery, laser, or cryotherapy. In the case of CPT® Code 52355, the focus is on the resection of the tumor, which involves the use of a resectoscope to excise the tumor, followed by the removal of the tumor using irrigation and an endoscopic evacuation device. Throughout the procedure, measures are taken to control any bleeding that may occur, ensuring patient safety and effective treatment of the tumor.