CPT® Code 52640

The procedure described by CPT® Code 52640 involves a transurethral resection specifically targeting a postoperative bladder neck contracture. A bladder neck contracture is a narrowing that occurs at the junction where the bladder meets the urethra, often as a complication following surgical procedures. This condition can lead to urinary obstruction and other complications, necessitating intervention. During the procedure, a cystourethroscope, which is a specialized endoscopic instrument, is inserted into the urethra to allow for direct visualization of the urethra and bladder. The physician carefully examines these areas, particularly focusing on the bladder neck, to assess the extent of the contracture. If necessary, preliminary procedures such as meatotomy (an incision in the meatus) or urethrotomy (an incision in the urethra) may be performed to facilitate access. Following this, an irrigating resectoscope is introduced to the bladder neck region, where scar tissue is meticulously incised and resected to alleviate the obstruction. The procedure concludes with the control of any bleeding and the removal of the surgical instruments, including the cystourethroscope, ensuring that the area is clear and that the patient is prepared for recovery.