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Urethrotomy or urethrostomy is a surgical procedure that provides access to the urethra, specifically targeting the penile or perineal regions, as well as the bladder neck and bladder itself. In male anatomy, the urethra is categorized into two main segments: the anterior and posterior urethra. The anterior urethra encompasses the meatus, fossa navicularis, pendulous urethra, and bulbar urethra, while the posterior urethra includes the membranous and prostatic urethra, which is also known as the perineal urethra. The procedure coded under CPT® 53000 specifically involves an incision of the spongiosum to expose and incise the pendulous urethra. This allows for the placement of a catheter into the bladder through the incision, facilitating urine drainage. This procedure is essential in managing conditions that obstruct or complicate normal urinary function, providing a critical intervention for patients requiring access to the urinary tract for therapeutic or diagnostic purposes.
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