How To Use CPT Code 50948

CPT 50948 describes the laparoscopic procedure of ureteroneocystostomy without cystoscopy and ureteral stent placement. 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 50948?

CPT 50948 can be used to describe a laparoscopic surgical procedure called ureteroneocystostomy. This procedure involves reimplanting the ureter into the bladder using a laparoscopic approach. It is typically performed to treat ureteral injury, stricture, and/or obstruction.

2. Official Description

The official description of CPT code 50948 is: ‘Laparoscopy, surgical; ureteroneocystostomy without cystoscopy and ureteral stent placement.’

3. Procedure

1. The provider makes a small incision near the navel and accesses the abdominal cavity.
2. A disposable trocar is introduced, and the abdomen is inflated with carbon dioxide.
3. A laparoscope is passed through the trocar to view the ureter and bladder.
4. The tissue surrounding the ureter is dissected to free it.
5. The provider incises the bladder in a direction that allows the ureter to lie without kinking.
6. A small opening is made in the mucous membrane of the bladder, and the ureter is laid into the trough.
7. The ureter is connected to the new position, and the trough is closed.
8. The repair is tested by filling the bladder and checking for leaks using the laparoscope.
9. All instrumentation is removed, and the abdominal opening is closed in multiple layers.

4. Qualifying circumstances

CPT 50948 is performed when there is a need to reimplant the ureter into the bladder using a laparoscopic approach. This procedure is typically indicated for patients with ureteral injury, stricture, or obstruction. It is important to note that this code specifically refers to the procedure without cystoscopy and ureteral stent placement.

5. When to use CPT code 50948

CPT code 50948 should be used when a laparoscopic ureteroneocystostomy is performed without cystoscopy and ureteral stent placement. It is important to accurately document the procedure and ensure that it meets the specific criteria outlined in the code description.

6. Documentation requirements

To support a claim for CPT 50948, the following documentation is required:

• Patient’s diagnosis indicating the need for ureteroneocystostomy
• Description of the laparoscopic approach used
• Date of the procedure
• Details of the procedure, including the specific steps performed
• Any complications or additional procedures performed
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 50948, ensure that the procedure meets the specific criteria outlined in the code description. It is important to accurately document the procedure and any additional services provided. CPT code 50948 should not be reported with codes for cystoscopy or ureteral stent placement. It is important to review the specific billing guidelines and requirements of the payer to ensure proper reimbursement.

8. Historical information

CPT 50948 was added to the Current Procedural Terminology system on January 1, 2001. There have been no updates to the code since its addition.

9. Examples

1. A patient with ureteral injury undergoes a laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement.
2. A laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement is performed to treat ureteral stricture in a patient.
3. A laparoscopic procedure is performed to reimplant the ureter into the bladder without cystoscopy and ureteral stent placement in a patient with ureteral obstruction.
4. A laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement is performed to correct a congenital ureteral anomaly in a patient.
5. A patient with recurrent urinary tract infections undergoes a laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement to improve urinary flow.
6. A laparoscopic procedure is performed to reimplant the ureter into the bladder without cystoscopy and ureteral stent placement in a patient with ureteral strictures caused by radiation therapy.
7. A patient with ureteral obstruction due to a previous surgery undergoes a laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement.
8. A laparoscopic procedure is performed to reimplant the ureter into the bladder without cystoscopy and ureteral stent placement in a patient with ureteral injury caused by trauma.
9. A patient with ureteral stricture undergoes a laparoscopic ureteroneocystostomy without cystoscopy and ureteral stent placement to restore normal urinary flow.
10. A laparoscopic procedure is performed to reimplant the ureter into the bladder without cystoscopy and ureteral stent placement in a patient with ureteral obstruction caused by a tumor.