2025 CPT code 60650
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Endocrine System Surgery Feed
Laparoscopic surgical adrenalectomy (partial or complete), or exploration with or without biopsy, via transabdominal, lumbar, or dorsal approach.
Modifiers may apply depending on the circumstances of the procedure.Modifiers such as 50 (Bilateral Procedure), 51 (Multiple Procedures), 59 (Distinct Procedural Service), or others may be indicated in specific cases.Consult the CPT manual and payer guidelines for appropriate modifier selection.
The medical necessity for an adrenalectomy (or exploration and biopsy) is typically established by the presence of a functioning or suspected non-functioning adrenal adenoma, pheochromocytoma, metastasis, or adrenal carcinoma.The choice between laparoscopic and open surgery will be determined by factors such as tumor size, location, patient factors, and surgeon expertise.Detailed clinical indications must be documented to support medical necessity.
The surgeon is responsible for the complete procedure.This includes pre-operative planning, selecting the appropriate surgical approach, performing the laparoscopic adrenalectomy or exploration/biopsy, ensuring hemostasis, and post-operative care instructions.
In simple words: This procedure uses a small camera (laparoscope) and tiny incisions to remove part or all of an adrenal gland, which sits above the kidneys.The doctor may also check the gland or take a small tissue sample for testing. The doctor might operate through your belly, side, or back, depending on your body and the situation.
This CPT code encompasses laparoscopic surgical procedures involving the adrenal glands.The procedure may include partial or complete adrenalectomy, exploration of the adrenal gland, or biopsy.Surgical access can be achieved through a transabdominal, lumbar, or dorsal approach. The surgeon utilizes a laparoscope and specialized instruments to visualize and manipulate the adrenal gland(s), meticulously dissecting and removing tissue as necessary.Hemostasis is ensured, and the surgical site is irrigated and closed.Biopsy samples, if obtained, are sent for pathological examination.The choice of approach (transabdominal, lumbar, or dorsal) is determined by the surgeon based on individual patient anatomy and clinical needs.
Example 1: A 45-year-old female patient presents with symptoms of hyperaldosteronism.A laparoscopic adrenalectomy (60650) is performed to remove a unilateral adrenal adenoma. , A 60-year-old male patient with a suspected adrenal cortical carcinoma undergoes a laparoscopic adrenal exploration (60650) with a biopsy of a suspicious mass. Pathology confirms malignancy.Further surgical intervention will be determined based on the biopsy results., A 30-year-old patient with a history of Cushing's syndrome requires a bilateral adrenalectomy.This may necessitate a modified approach and potentially additional codes.
** Always cross-reference with other relevant codes and modifiers to ensure complete and accurate billing.Adherence to payer specific guidelines and coding standards is crucial for correct reimbursement.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: Information not available in source.Consult current fee schedules and RVU databases for up-to-date values.
- Global Days: Information not available in source. Consult relevant guidelines and payer policies for details on the global surgical package.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may apply depending on the specifics of the surgical scenario.Consult the CPT manual for detailed guidance.
- Fee Schedule: Information not available in source. Refer to historical CPT fee schedules for relevant data.
- Specialties:General Surgery, Endocrine Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital