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CPT 52345: Cystourethroscopy with Ureteroscope to UPJ for Stricture Treatment
CPT code 52345 describes a cystourethroscopy with ureteroscope passage to the ureteropelvic junction (UPJ) for treatment of a UPJ stricture. Nationally, this code captures endoscopic diagnostic and therapeutic management of UPJ obstructions and strictures, procedures that affect access to the upper urinary tract and can impact renal function if not managed. The code is relevant across hospital outpatient departments, ambulatory surgical centers, and operating rooms where urologists perform endoscopic interventions.
Key payers reflected in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find an overview of the clinical context for 52345, typical sites of service, and the service type. The publication outlines common billing practices and reporting considerations associated with endoscopic UPJ procedures, and provides benchmarking and policy-oriented context relevant to national payer programs. Data not available in the input will be identified explicitly where applicable.
This resource is intended for coding professionals, urology clinicians, and payer policy staff seeking a concise reference for the clinical scope and billing context of CPT code 52345.
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Billing Code Overview
CPT code 52345 describes a cystourethroscopy with passage of a ureteroscope to the ureteropelvic junction (UPJ) for treatment of a UPJ stricture. The procedure includes inspection of the bladder, urethra, prostatic urethra, and ureteric orifices using a cystoscope passed through the urethra, followed by advancement of a ureteroscope to the UPJ where the provider selects an appropriate method to treat the stricture.
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Service type: Endoscopic diagnostic and therapeutic urologic procedure targeting the ureteropelvic junction
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Typical site of service: Operating room or ambulatory surgical center, often performed by a urologist under endoscopic guidance