How To Use CPT Code 50750

CPT 50750 describes the surgical procedure known as ureterocalycostomy, which involves connecting the upper pole of a healthy nondilated ureter to the renal calyx for urinary drainage. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 50750?

CPT 50750 can be used to describe the surgical procedure in which a provider connects the upper pole of a healthy nondilated ureter to the renal calyx. This procedure, known as ureterocalycostomy, is performed to bypass a blockage in the upper part of the ureter and restore the continuity of the upper urinary tract.

2. Official Description

The official description of CPT code 50750 is: ‘Ureterocalycostomy, anastomosis of ureter to renal calyx.’

3. Procedure

1. The provider makes an incision in the abdomen and accesses the ureter and calyx, potentially removing a portion of a rib if necessary.
2. The provider separates and moves the ureter away from the area of blockage or stricture.
3. The provider exposes the calyx and makes an incision within it.
4. A stent is placed, and a surgical connection is created between the upper pole of the ureter and the lower pole of the calyces over the stent.
5. The provider sutures the calyx to the ureter.
6. The repair may be covered with adjacent tissue to aid in healing.
7. A drainage tube is inserted into the abdomen, and a bladder catheter is placed to monitor urine output from the kidneys.
8. The provider closes the incision by suturing the layers of tissue together.

4. Qualifying circumstances

CPT 50750 is performed when there is a blockage or obstruction in the upper part of the ureter, known as a ureteropelvic junction obstruction. The procedure is intended to restore the continuity of the upper urinary tract by connecting the upper pole of a healthy nondilated ureter to the renal calyx. This procedure is typically performed by a qualified surgeon.

5. When to use CPT code 50750

CPT code 50750 should be used when a provider performs the ureterocalycostomy procedure to bypass a blockage in the upper part of the ureter and restore urinary drainage. It is important to ensure that the procedure meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 50750, the provider must document the following information:

• Patient’s diagnosis and the need for ureterocalycostomy
• Details of the surgical procedure performed, including any additional steps or modifications
• Date of the procedure
• Any complications or unexpected findings during the procedure
• Post-operative care instructions
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 50750, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document and code the procedure to avoid any billing errors or denials. Additionally, be aware of any specific guidelines or requirements from insurance payers regarding the use of this code.

8. Historical information

CPT 50750 was added to the Current Procedural Terminology system on January 1, 1990. In 2017, it was added to the Inpatient Only (IPO) list for Medicare.

9. Examples

1. A surgeon performs a ureterocalycostomy to bypass a ureteropelvic junction obstruction in a patient.
2. A urologist connects the upper pole of a healthy nondilated ureter to the renal calyx to restore urinary drainage in a patient with a blockage.
3. A provider performs a ureterocalycostomy to address a ureteral stricture in a patient.
4. A surgeon performs an anastomosis of the ureter to the renal calyx to bypass a blockage in the upper urinary tract.
5. A urologist performs a surgical procedure to connect the ureter to the renal calyx for urinary drainage in a patient with a ureteropelvic junction obstruction.
6. A provider performs a ureterocalycostomy to restore the continuity of the upper urinary tract in a patient with a blockage in the ureter.
7. A surgeon connects the upper pole of the ureter to the renal calyx to bypass a blockage and restore urinary drainage in a patient.
8. A urologist performs a surgical procedure to connect the ureter to the renal calyx for urinary drainage in a patient with a ureteropelvic junction obstruction.
9. A provider performs a ureterocalycostomy to address a blockage in the upper urinary tract in a patient.
10. A surgeon performs an anastomosis of the ureter to the renal calyx to bypass a ureteropelvic junction obstruction in a patient.