How To Use CPT Code 50783

CPT 50783 describes the surgical procedure known as ureteroneocystostomy, which involves the transplantation of the ureter to a different site in the urinary bladder. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 50783?

CPT 50783 is used to describe a surgical procedure in which the provider transplants the ureter to a different location in the urinary bladder. This procedure is performed to ensure uninterrupted flow of urine and may also involve extensive reconstruction of the ureter.

2. Official Description

The official description of CPT code 50783 is: ‘Ureteroneocystostomy; with extensive ureteral tailoring.’

3. Procedure

1. The provider begins by making an incision in the abdominal skin over the location of the ureter.
2. They then dissect through the subcutaneous tissue or just under the skin to locate the ureter.
3. Once the area of obstruction in the ureter is identified, the nearby tissues and muscles are retracted to gain access to the area.
4. The provider proceeds to dissect the ureteral obstruction and reattach the remaining portion of the ureter to the bladder.
5. An opening is created in the roof of the bladder through a stab incision, and the ureter is fixed into the bladder using sutures.
6. Finally, the provider ensures hemostasis and closes the abdominal wound by suturing the layers of tissue together.

4. Qualifying circumstances

CPT 50783 is used for complex obstructions of the ureter that require extensive reconstruction. It is important to note that this procedure should only be performed by a qualified healthcare professional and is typically reserved for cases where other treatment options have been exhausted.

5. When to use CPT code 50783

CPT code 50783 should be used when the provider performs a ureteroneocystostomy procedure with extensive ureteral tailoring. It is important to ensure that this code accurately reflects the complexity of the procedure and the level of reconstruction involved.

6. Documentation requirements

To support a claim for CPT 50783, the provider must document the following information:

• Patient’s diagnosis and the need for ureteroneocystostomy
• Details of the extensive ureteral tailoring performed
• Date of the procedure
• Any complications or unexpected findings during the procedure
• Details of the closure of the abdominal wound
• Signature of the performing provider

7. Billing guidelines

When billing for CPT 50783, it is important to ensure that the procedure meets the criteria for this specific code. It should not be reported with other codes unless there are additional distinct procedures performed. It is also important to follow any specific guidelines provided by payers regarding the use of this code.

8. Historical information

CPT 50783 was added to the Current Procedural Terminology system on January 1, 1993. The code has undergone no updates since its addition. However, it is worth noting that Medicare has designated this procedure as an Inpatient Only (IPO) service since 2017.

9. Examples

1. A urologist performs a ureteroneocystostomy with extensive ureteral tailoring to address a complex obstruction in a patient’s ureter.
2. A patient with a history of recurrent urinary tract infections undergoes a ureteroneocystostomy procedure with extensive ureteral tailoring to improve urine flow and prevent future infections.
3. A surgeon performs a ureteroneocystostomy with extensive ureteral tailoring to address a congenital abnormality in a patient’s urinary system.
4. A patient with a history of kidney stones undergoes a ureteroneocystostomy procedure with extensive ureteral tailoring to prevent future stone formation and improve urinary flow.
5. A urologist performs a ureteroneocystostomy with extensive ureteral tailoring to address a ureteral stricture that has not responded to other treatment options.
6. A patient with a history of bladder cancer undergoes a ureteroneocystostomy procedure with extensive ureteral tailoring to address ureteral involvement and prevent further spread of the cancer.
7. A surgeon performs a ureteroneocystostomy with extensive ureteral tailoring to address a ureteral injury that occurred during a previous surgical procedure.
8. A patient with a history of urinary incontinence undergoes a ureteroneocystostomy procedure with extensive ureteral tailoring to improve bladder control and prevent urine leakage.
9. A urologist performs a ureteroneocystostomy with extensive ureteral tailoring to address a ureteral stricture caused by radiation therapy for prostate cancer.
10. A patient with a history of kidney transplant undergoes a ureteroneocystostomy procedure with extensive ureteral tailoring to ensure proper urine flow from the transplanted kidney.