2025 CPT code 50690
(Active) Effective Date: N/A Revision Date: N/A Surgery - Urinary System Procedures Surgery Feed
Injection procedure to visualize the ileal conduit and/or perform ureteropyelography; radiological services are not included.
Modifiers may apply depending on the circumstances of the service. For example, modifier 51 (Multiple procedures) may be used if the procedure is performed in conjunction with other procedures during the same session.Modifiers 26 (professional component) should be used for the professional interpretation of the images.
Medical necessity is established based on clinical presentation consistent with suspected ureteral or renal pelvis pathology.The procedure is medically necessary to evaluate suspected obstruction, leakage, or other functional abnormalities and to guide further management decisions.
The urologist or other qualified physician performs this procedure. This includes patient preparation, injection of the contrast medium, and interpretation of the resulting images (although the interpretation is typically billed separately).
In simple words: This is an X-ray procedure to check the tubes that carry urine from the kidneys to the bladder. A special dye is injected into these tubes through a pre-existing opening or a catheter to allow for better visualization of the structures during the x-ray. The doctor will look for blockages or other problems.
This procedure involves injecting contrast material into the ureter or renal pelvis through an existing artificial opening (stoma) or catheter.The injection is used to evaluate the ileal conduit and/or the ureter and renal pelvis for defects or dysfunction in the renal collecting system.This may help identify causes of pain, ureteropelvic junction obstruction, urine leakage, or assess the connection point of the ureter to the ileum.Radiological supervision and interpretation are not included in this code and should be billed separately using codes 74420 (retrograde) or 74425 (antegrade) as appropriate. The procedure includes catheter placement, if necessary, contrast injection, and imaging acquisition to visualize the structures of interest.
Example 1: A patient with a history of ileal conduit urinary diversion presents with flank pain and suspected obstruction.The physician performs a 50690 to evaluate the conduit and identify the cause of obstruction., A patient post-ureteral stent placement has persistent flank pain. A 50690 is performed to assess stent patency and rule out any complications such as ureteral stricture or stone formation., A patient with a history of renal transplantation presents with suspected ureteral obstruction. A 50690 is performed to rule out ureteral stricture or other complications related to the transplant.
Pre-procedure and post-procedure diagnoses, indications for the procedure, description of the technique used (including type of access and contrast agent), results of the imaging study, and any complications encountered.
** This code excludes radiological supervision and interpretation, which must be reported separately using the appropriate imaging codes (74420 or 74425).The selection of the radiology code depends on the direction of contrast injection (antegrade or retrograde).
- Revenue Code: I1F (STANDARD IMAGING - OTHER)
- Payment Status: Active
- Modifier TC rule: Modifier TC (Technical Component) does not apply.The technical component of this procedure is typically included in the radiology codes used to bill for imaging services.
- Specialties:Urology, Radiology
- Place of Service:Office, Hospital (Inpatient or Outpatient), Ambulatory Surgical Center