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CPT 52330: Cystourethroscopy with Ureteral Stone Manipulation
CPT code 52330 covers cystourethroscopy with ureteral catheter insertion and manipulation of a ureteral stone without extraction. This endoscopic urology procedure is used to evaluate the bladder and urethra and to manipulate ureteral stones when removal is not performed. The code is relevant nationally as a common urologic diagnostic and limited therapeutic intervention that influences site-of-service decisions, procedure reporting, and payer coverage determinations.
Key payers in the analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of clinical intent for CPT code 52330, typical settings where the procedure is performed, and the billing context that affects reimbursement and reporting. The publication outlines benchmarking considerations, common modifiers used in practice, and clinical context for appropriate coding and documentation. Data not provided in the input—such as specific payer policies, fee schedules, and ICD-10 diagnosis pairings—are noted as unavailable. The material is intended for coding professionals, billing managers, and clinical leaders seeking a national-level summary of CPT code 52330 and its operational implications.
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Billing Code Overview
CPT code 52330 describes a cystourethroscopy procedure in which a provider inspects the interior of the bladder, the urethra (including the prostatic urethra), and the ureteric orifices using a cystoscope passed through the urethra into the bladder. The service also includes insertion of a catheter into the ureter and manipulation of a ureteral stone without removing it from the ureter.
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Service type: Diagnostic and endoscopic urologic procedure with limited therapeutic manipulation
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Typical site of service: Ambulatory surgery center or hospital outpatient department; may also be performed in an office setting when appropriate equipment and clinical circumstances allow