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BackTable / Urology / Article
2025 Cystoscopy CPT Code
Bryant Schmitz • Updated Jun 30, 2025 • 362 hits
Cystoscopy (CPT code 52232) is performed by urologists to examine and treat the bladder or urethra using a scope, often including manipulation or removal of small lesions or urinary tract foreign bodies. This diagnostic and therapeutic endoscopic procedure allows direct visualization of the lower urinary tract. This article clarifies correct usage and billing of CPT code 52232.
Table of Contents
(1) CPT Code for Cystoscopy
(2) Detailed Description of CPT Code 52232
(3) Coding & Billing Considerations
(4) Why Proper Coding Is Important
(5) What is a CPT Code?
(6) Disclaimer
CPT Code for Cystoscopy
CPT code 52232 covers flexible or rigid cystoscopy with removal of ureteral catheter(s) and/or intravenous pyelogram rinse, diagnostic manipulation, or irrigation — typically involving minor lesion removal or foreign body manipulation.
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Detailed Description of CPT Code 52232
CPT Code: 52232
• Code Description: Cystourethroscopy (separate procedure); with removal of ureteral catheter(s), with or without irrigation, with or without instillation; diagnostic manipulation
• Inclusions: Insertion of cystoscope, irrigation or rinse, diagnostic maneuvers, removal of ureteral catheters; biopsy or minor lesion manipulation if included in definition
• Exclusions: Transurethral resection (use 52234–52235), ureteroscopy, major lesion removal, stent placement, urethral dilation beyond diagnostic catheter manipulation
Coding & Billing Considerations
• Append modifier 51 when this procedure is reported with multiple surgical services.
• Use modifier 59 if performed on the same date as another endoscopic or unrelated procedure.
• Document scope type (rigid vs flexible), findings, and any catheter removal.
• Distinguish from 52234–52235 when biopsies or resections exceed diagnostic scope.
• Ensure clear record of lesion type and scope technique in operative note.
Why Proper Coding Is Important
Accurate use of CPT code 52232 promotes appropriate billing and reimbursement for diagnostic cystoscopy procedures. It ensures clarity in claims, reducing denials related to improper code selection. Proper coding supports thorough clinical documentation and enhances communication with payers about the specific level of cystoscopic intervention performed.
What is a CPT Code?
CPT stands for Current Procedural Terminology. These codes are used by medical professionals to describe procedures and services performed. CPT codes are crucial for the billing process, allowing healthcare providers to communicate with insurance companies and other payers about the procedures performed.
Disclaimer
The information provided here reflects our understanding of the procedure(s) and/or device(s). This information should not be construed as authoritative. We encourage you to consult CMS.
Podcast Contributors
Cite This Podcast
BackTable, LLC (Producer). (2022, September 28). Ep. 57 – Blue Light Cystoscopy: Who, When, and How? [Audio podcast]. Retrieved from https://www.backtable.com
Disclaimer: The Materials available on BackTable.com are for informational and educational purposes only and are not a substitute for the professional judgment of a healthcare professional in diagnosing and treating patients. The opinions expressed by participants of the BackTable Podcast belong solely to the participants, and do not necessarily reflect the views of BackTable.
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