2025 CPT code 50695
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Percutaneous placement of ureteral stent and nephrostomy catheter; new access.
Modifiers may be applicable depending on the specific circumstances of the procedure.Consult the CPT manual for appropriate modifier usage.
Medical necessity is established by a documented diagnosis of ureteral obstruction or other urologic condition that requires percutaneous nephrostomy and ureteral stent placement.The documentation should show that less invasive options have been considered and are not appropriate in this case.
The physician is responsible for pre-operative assessment,percutaneous access, catheter placement (both nephrostomy and ureteral stent), imaging guidance (ultrasound and/or fluoroscopy), radiological supervision and interpretation, and post-operative care.Anesthesiology services, if rendered, are billed separately.
In simple words: The doctor inserts a tube (stent) into the ureter (tube that carries urine from kidney to bladder) and another tube (nephrostomy catheter) into the kidney to drain urine. This is done through a tiny incision in the skin using imaging guidance (ultrasound or X-ray). The procedure helps improve urine flow and drainage.
This CPT code encompasses the percutaneous placement of both a ureteral stent and a nephrostomy catheter into a ureter and its associated renal pelvis during the same session, achieved through a newly created percutaneous renal access.The procedure includes access creation, drainage, catheter manipulations, diagnostic nephrostogram and/or ureterogram (if performed), imaging guidance (ultrasound and/or fluoroscopy), and all associated radiological supervision and interpretation.It does not include codes 50430-50435, 50684, or 74425 for the same renal collecting system and/or associated ureter.
Example 1: A patient presents with a ureteral stricture causing hydronephrosis. The physician performs a percutaneous nephrostomy and ureteral stent placement to relieve the obstruction and improve urine drainage., A patient with a kidney stone obstructing the ureter requires both nephrostomy tube placement for drainage and ureteral stent placement to facilitate stone passage.The physician performs the procedure using fluoroscopy guidance., A patient with recurrent urinary tract infections due to ureteral obstruction undergoes percutaneous placement of a ureteral stent and nephrostomy tube to decompress the kidney and allow for improved drainage, reducing the risk of infection.
* Pre-operative diagnosis justifying the need for the procedure.* Detailed operative report describing the technique used, including the creation of percutaneous access, placement of both catheters, and any imaging used.* Post-operative course and follow-up.* Imaging studies (pre and post-procedure if obtained).* Consent form for the procedure.
** The description of the procedure is detailed and comprehensive, but specific details regarding anesthesia and other potential ancillary services (e.g., pathology) are not addressed. Those services should be reported using the appropriate codes.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: This information is not available in the provided text.Refer to the current year's CPT codebook or Medicare Physician Fee Schedule for RVU values.
- Global Days: This information is not provided. The global period will depend on payer-specific guidelines.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided text.TC modifiers may or may not apply. Refer to your payer's guidelines for clarification.
- Fee Schedule: This information is not available in the provided text. Fee schedules vary by payer and geographic location. Consult your payer's fee schedule.
- Specialties:Urology, Radiology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center