2025 CPT code 50920
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Closure of a ureterocutaneous fistula, an abnormal connection between the ureter and the skin.
Modifiers may be applicable depending on the circumstances of the procedure.For example, modifier 51 (multiple procedures) may be used if other procedures are performed during the same operative session.Consult the most current CPT coding guidelines for modifier usage.
Surgical repair is medically necessary to restore urinary continence, prevent skin breakdown and infection, and improve the patient's quality of life. Medical necessity will be supported by documentation of symptoms (e.g., urinary leakage, skin irritation), imaging studies demonstrating the fistula, and clinical judgment.
The surgeon is responsible for the pre-operative evaluation, surgical procedure (including incision, identification and excision of the fistula, and tissue repair), and post-operative care. Anesthesia services are usually billed separately.
In simple words: This surgery repairs an abnormal connection between the tube that carries urine from your kidney to your bladder (ureter) and your skin. The surgeon will make a cut in your lower abdomen, remove the abnormal connection, and stitch the healthy tissue back together to seal the opening.
This procedure involves the surgical closure of a ureterocutaneous fistula, an abnormal connection between the ureter (the tube carrying urine from the kidney to the bladder) and the skin.The surgeon makes an incision in the lower abdomen to expose the ureter and the fistula tract. The abnormal passage is identified and excised. Healthy tissues are then sutured together to close the tract. Hemostasis (stopping bleeding) is achieved, and the skin incision is closed in layers.
Example 1: A patient presents with a ureterocutaneous fistula following a previous abdominal surgery.The fistula is causing urine leakage onto the skin, leading to skin irritation and infection., A patient develops a ureterocutaneous fistula as a complication of radiation therapy for pelvic malignancy. The fistula requires surgical repair to restore urinary continence., A patient has a congenital ureterocutaneous fistula, discovered shortly after birth. Surgical closure is necessary to prevent ongoing urinary tract infections and skin complications.
** This procedure may be performed through various access points, and the approach may vary depending on the location and extent of the fistula. Additional codes may be necessary to report associated services such as imaging guidance, access creation, or other interventions.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires reference to a specific year's Relative Value Units (RVUs) published by CMS.RVUs vary annually and by geographic location. Consult the official CMS data for the most accurate information.
- Global Days: The global period for this procedure is not explicitly defined in available sources.Consult the payer's guidelines for this information.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Historical fee schedule data is not available in the provided sources.Consult a fee schedule database for this information.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center