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CPT 52275: Cystoscopy with Internal Urethrotomy for Urethral Stricture
Headline: CPT code 52275: Endoscopic cystoscopy with internal urethrotomy for male urethral stricture
Lead: CPT code 52275 denotes an endoscopic procedure used to inspect the male urethra and bladder and to incise an internal urethral stricture. This code captures a common urologic intervention that addresses obstructive lower urinary tract symptoms due to focal urethral narrowing.
CPT code 52275 represents an interventional cystoscopy with internal urethrotomy. It matters nationally because urologic endoscopic management of urethral strictures is frequently performed across hospital outpatient departments and ambulatory surgery centers, with implications for coding accuracy, site-of-service classification, and payer coverage policies. Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare.
Readers will learn the clinical scope of the code, typical sites of service, and the national relevance for billing and coverage workflows. The publication provides benchmarks for utilization and reimbursement patterns where available, notes common coding and documentation considerations, and summarizes recent policy or payment updates impacting endoscopic urologic procedures. Data limitations: Data not available in the input for associated taxonomies, specific ICD-10 diagnoses, related codes, and payer-specific reimbursement rates.
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Billing Code Overview
CPT code 52275 describes a diagnostic and therapeutic endoscopic procedure in which a cystoscope is passed through the male urethra to inspect the urethra, prostatic urethra, bladder interior, and ureteric openings, and an incision is made to release a narrowed area (internal urethral stricture).
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Service type: Endoscopic urethrocystoscopy with internal urethrotomy (stricture incision)
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Typical site of service: Operative suite or ambulatory surgery center for an endoscopic urologic procedure on an adult male