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CPT 52400: Cystourethroscopy via Cystoscope
CPT code 52400 represents cystourethroscopy, an endoscopic diagnostic procedure that inspects the bladder, urethra, prostatic urethra, and ureteric openings via a cystoscope passed through the urethra. As a brief, frequently performed urologic procedure, it is important across outpatient, ambulatory surgery center, and hospital outpatient settings for evaluation of hematuria, recurrent urinary tract infections, bladder cancer surveillance, and lower urinary tract symptoms. Nationally, CPT code 52400 matters because it underpins utilization, coding consistency, and payment across a wide range of outpatient urology services.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise clinical context for the procedure, typical sites of service, and an overview of payer coverage scope. The publication also outlines common modifiers and service-line considerations, summarizes typical procedure duration and clinical indications, and highlights where data is not available in the input. This material is intended to inform coding, billing reconciliation, and administrative planning for organizations that manage outpatient urology services.
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Billing Code Overview
CPT code 52400 describes cystourethroscopy, the endoscopic inspection of the interior of the bladder, the urethra, the prostatic urethra, and the ureteric orifices using a cystoscope passed through the urethra into the bladder. This is a diagnostic endoscopic urology procedure commonly used to evaluate hematuria, recurrent urinary tract infections, lower urinary tract symptoms, surveillance after bladder cancer treatment, and other bladder or urethral conditions.
Service type: Diagnostic cystoscopic procedure
Typical site of service: Outpatient clinic procedure room or ambulatory surgery center; may also be performed in hospital outpatient settings