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CPT 52343: Cystourethroscopy with Intrarenal Stricture Treatment
CPT code 52343 represents an endoscopic urologic procedure in which a cystoscope is used to inspect the bladder and urethra and a catheter tip is advanced into the ureter up to intrarenal structures to treat an intrarenal stricture. This code captures both diagnostic visualization and therapeutic intervention on intrarenal strictures, making it important for coding accuracy, cost reporting, and clinical documentation in urology.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. The publication provides clinicians, billing professionals, and policy analysts with a concise overview of the procedure’s clinical context, coding scope, and common billing considerations used by major payers.
Readers will learn the clinical indication and procedural elements encompassed by the code, typical sites of service where the procedure is performed, and which payers commonly adjudicate claims for this service. Where available, benchmark and policy summaries are presented to clarify payer expectations and documentation priorities. Data not available in the input is explicitly noted as such when relevant.
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Billing Code Overview
CPT code 52343 describes a cystourethroscopy with insertion of a catheter tip through the ureter up to intrarenal structures and treatment of an intrarenal stricture. The procedure involves inspection of the interior of the bladder, urethra, prostatic urethra, and ureteric orifices using a cystoscope passed through the urethra into the bladder, followed by catheter access into the ureter and selection of a method to treat the intrarenal stricture.
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Service type: Endoscopic urologic procedure for intrarenal stricture management
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Typical site of service: Ambulatory surgery center or hospital outpatient department