Odyssey Clinical Information

Endourology Reference Articles

Bagley, D., and Erhard, M., Use of the Holmium Laser in the Upper Urinary Tract. Techniques in Urology, Vol. 1, No. 1, pp. 25-30, 1995.
Beaghler, M., Poon, N., Ruckle, H., Stewart, S. and Weil, D., Complications employing the Holmium: YAG Laser. Journal of Endourology, Vo. 12, No. 6, December 1998.
Das. A., Gilling, P., and Fraundorfer, M.: Holmium Laser Resection of Bladder Tumors (HoLRBT). Techniques in Urology, Vol. 4.No.1. pp.12-14., 1998
Grasso, M., Experience with the Holmium Laser as an endoscopic lithotrite. Adult Urology, Elsevier Science Inc., 1996.
Kourambas, J., Delvecchio, F. C., and Preminger, G. M., Low-Power Holmium Laser for the Management of Urinary Tract Calculi, Strictures, and Tumors. Journal of Endourology, Vol. 15, No. 5, June 2001.
Razvi, H. A., Chun, S. S., Denstedt, J. D. and Sales, J. L.; Soft-Tissue Applications of the Holmium: YAG Laser in Urology. Journal of Endourology, Vol. 9, No. 5, October 1995.
Young, G. S., Ball, R.; Urologic Applications of the Holmium Laser. Urologic Nursing, December 1999, Vol. 19., No. 4.
Grasso, M., Caruso, R.; Lasers in Urology. Textbook of Surgery, eMedicine, February 2000.

Endourology Reimbursement Codes

CPT Code Description
Urethra and Bladder

52214 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) of trigone, bladder neck, prostatic fossa, urethra, or periurethral glands.

52224 Cystourethroscopy, with fulguration: (including cryosurgery or laser surgery) or treatment of MINOR (less than 0.5 cm) lesion (s) with or without biopsy.

52234 Cystourethroscopy, with fulguration (including cryosurgery or laser surgery) and/or resection of SMALL bladder tumor(s) (0.5 to 2.0 cm)

52235 ...MEDIUM bladder tumor(s) (2.0 to 5.0 cm)

52240 ...LARGE bladder tumor(s)

52250 Cystourethroscopy with insertion of radioactive substance, with or without biopsy or fulguration.

52270 Cystourethroscopy, with internal urethrotomy; female.

52275 ...male.

52282 Cystourethroscopy, with insertion of urethral stent.

52285 Cystourethroscopy for treatment of the female urethral syndrome with any or all of the following: urethral meatotomy, urethral dilation, internal urethrotomy, lysis of urethrovaginal septal fibrosis, lateral incisions of the bladder neck, and fulguration of polyp(s) of urethra, bladder neck, and/or trigone.

52300 Cystourethroscopy with resection or fulguration of orthotopic ureterocele(s), unilateral or bilateral.

52301 Cystourethroscopy with resection or fulguration of ectopic ureterocele(s) unilateral or bilateral.

52310 Cystourethroscopy, with removal of foreign body, calculus, or ureteral stent from urethra or bladder (separate procedure) simple.

52315 ...complicated.

52317 Litholapaxy: crushing or fragmentation of calculus by any means in bladder and removal of fragments; simple or small (less than 2.5 cm).

52318 ...complicated or large (over 2.5 cm).

Ureter and Pelvis

52320 Cystourethroscopy (including ureteral catheterization) with removal of ureteral calculus.

52325 ...with fragmentation of ureteral calculus (e.g., ultrasonic or electro-hydraulic technique).

52330 ...with manipulation, without removal or ureteral calculus).

52332 Cystourethroscopy, with insertion of indwelling ureteral stent (e.g., Gibbons or double-J type).

52341 Cystourethroscopy, with treatment or ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52342 ...with treatment of ureteropelvic junction stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52343 ...with treatment of intra-renal stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52344 Cystourethroscopy with ureteroscopy: with treatment of ureteral stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52345 ...with treatment of ureteropelvic junction stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52346 ...with treatment of intra-renal stricture (e.g., balloon dilation, laser, electrocautery, and incision).

52351 Cystourethroscopy, with ureteroscopy and/or pyeloscopy; diagnostic.

52352 ...with removal or manipulation of calculus (ureteral catheterization is included).

52353 ...with lithotripsy (ureteral catheterization is included).

52354 ...with biopsy and/or fulguration of lesion.

52355 ...with resection of tumor.

Vesical Neck and Prostate

52400 Cystourethroscopy with incision, fulguration or resection of congenital posterior urethral valves, or congenital obstructive hypertrophic mucosal folds.

Transurethral Resection of Prostate, Complete

52606 Transurethral fulguration for postoperative bleeding occurring after the usual follow-up time.

52647 Non-contact laser coagulation of prostate including control of postoperative bleeding, complete (vasectomy, meatotomy, Cystourethroscopy, urethral calibration and/or dilation, and internal urethrotomy are included).