2025 CPT code 50684
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Injection procedure for ureterography or ureteropyelography through a ureterostomy or indwelling ureteral catheter.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., bilateral procedure, multiple procedures).Refer to CPT modifier guidelines.
Medical necessity for 50684 is established by the presence of symptoms suggestive of ureterostomy or ureteral stent dysfunction (pain, leakage, obstruction).The procedure aids in diagnosis and guides management decisions.
The physician is responsible for prepping the patient, injecting the contrast material, obtaining x-ray images, and interpreting the results.This may involve collaboration with radiology staff.
In simple words: The doctor injects a special dye into a tube already placed in the ureter (tube that carries urine from kidney to bladder) or a surgically created opening.An x-ray is then taken to check for any problems with the tube or to find out why the patient has pain, blockage, or urine leakage.
This procedure involves injecting contrast material through an indwelling ureteral catheter or a previously created opening between the skin and ureter, followed by an x-ray examination of the ureter and renal pelvis.It is performed to evaluate a ureterostomy tube for defects or abnormal function, or to identify causes of pain, blockage, or urine leakage around the ureterostomy tube insertion site. The procedure includes preparation and anesthesia of the patient, washing the skin around the insertion site with an antibacterial solution, disconnecting the ureterostomy drainage bag, injecting contrast material into the ureterostomy tube, and obtaining x-ray imaging of the filled ureter and renal pelvis.
Example 1: A patient presents with pain and suspected blockage of a ureterostomy tube.The physician performs 50684 to visualize the ureter and identify the obstruction., A patient has an indwelling ureteral stent and experiences leakage around the insertion site. 50684 is used to evaluate the stent placement and integrity., Post-operative evaluation of a ureteral stent placement is needed to ensure proper function and drainage. The physician utilizes code 50684.
* Detailed patient history indicating symptoms (pain, blockage, leakage).* Pre-procedure and post-procedure notes describing preparation, contrast injection, and imaging results.* Radiologic images (x-rays) showing the ureter and renal pelvis.* Physician's interpretation of the imaging findings.
** This procedure is often performed in conjunction with other urological procedures.Accurate documentation of the specific technique used (ureterostomy vs. indwelling catheter) is important.
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Urology, Radiology
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center