CPT® Code 52402

The procedure described by CPT® Code 52402 involves a cystourethroscopy combined with either a transurethral resection or incision of the ejaculatory ducts. This surgical intervention is primarily aimed at addressing obstructions that may arise due to various factors such as scar tissue, prostatic cysts, or the presence of stones. The ejaculatory ducts are critical structures that transport sperm from the testes to the urethra, and any obstruction in these ducts can lead to significant reproductive issues. The term "TURED" refers to the transurethral resection of the ejaculatory ducts, while "TUIED" denotes the transurethral incision of the ejaculatory ducts. Additionally, the procedure may involve resection of the verumontanum, which is a small anatomical feature located at the distal end of the prostatic urethra where the ejaculatory ducts enter. During the procedure, a cystourethroscope is utilized to visualize the urethra and bladder, allowing the physician to carefully examine the prostatic urethra and the openings of the ejaculatory ducts. The use of a resectoscope equipped with a hook electrode or loop electrode facilitates the incision or resection of the ejaculatory ducts, ensuring that any obstruction is effectively addressed. The procedure is completed with the placement of a Foley catheter to aid in bladder drainage postoperatively.