2025 CPT code 50688
(Active) Effective Date: N/A Surgery - Urinary System Surgery Feed
Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit.
Modifiers may be applicable in certain situations. Common modifiers used with this code include 22 (Increased procedural services), 52 (Reduced services), 59 (Distinct procedural service), 76 (Repeat procedure by same physician), and 77 (Repeat procedure by another physician). The appropriate modifier should be appended to the code to accurately reflect the services provided.
Medical necessity for this procedure is based on the prevention of complications associated with long-term indwelling ureteral stents or ureterostomy tubes, such as infection, blockage, and encrustation.The frequency of exchange is determined by the patient's individual circumstances and clinical presentation.
The physician prepares the patient, removes the old tube or stent, inserts the new one, and confirms proper placement with imaging.
In simple words: This procedure replaces a tube that helps drain urine.The doctor removes the old tube and puts in a new one.This helps prevent infection and keeps the urine flowing properly.
This procedure involves the exchange of a ureterostomy tube or an externally accessible ureteral stent via an ileal conduit.The existing tube or stent is removed, and a new one is inserted in its place. This procedure may include imaging guidance and radiological supervision and interpretation.If imaging guidance is performed, use 75984.
Example 1: A patient with a ureterostomy tube requires a routine exchange of the tube due to encrustation and potential infection., A patient with an ileal conduit requires replacement of an externally accessible ureteral stent due to blockage., A patient experiences discomfort due to their ureteral stent and requires a replacement stent for symptom relief.
Documentation should include the reason for the tube/stent exchange, the type of tube/stent used, the method of insertion, any imaging guidance used, and confirmation of proper placement. Any complications encountered during the procedure should also be documented.
- Revenue Code: P6C
- Specialties:Urology, Interventional Radiology
- Place of Service:Ambulatory Surgical Center, Hospital Outpatient, Office