CPT® Code 74450

Urethrocystography, retrograde, is a radiological procedure that involves the examination of the urethra and bladder using fluoroscopy and a radiopaque contrast medium. This procedure is essential for diagnosing various conditions affecting the urinary tract, including injuries, congenital anomalies, tumors, diverticula, stones, fistulas, strictures, and obstructions. During the procedure, the contrast medium is carefully instilled through the external urethral orifice, which allows for the distension and filling of both the urethra and bladder. This process is crucial as it enhances the visibility of these structures on X-ray images. The radiological supervision provided during this procedure ensures that the imaging is conducted accurately and safely, allowing for the capture of X-rays from one or more angles to obtain a comprehensive view of the urethra and bladder. After the initial imaging, the patient is permitted to void, and an additional X-ray is taken post-voiding to confirm that all contrast has been expelled from the urinary tract. The CPT® Code 74450 specifically reports the radiological supervision and interpretation of the urethrocystography procedure, which includes a thorough review of the obtained records and the generation of a written report detailing the findings.