2025 CPT code 50236
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Nephrectomy with total ureterectomy and bladder cuff excision through separate incisions.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 50 for bilateral procedures, 59 for distinct procedural services, etc.).Refer to the CPT manual for appropriate modifier selection.
Medical necessity for this procedure is established by the presence of a malignant or severely obstructing lesion affecting the kidney, ureter, and bladder cuff.The extent of the lesion necessitates the removal of all three structures.The choice of separate incisions is determined by the surgical approach to achieve optimal surgical margins.
The surgeon is responsible for all aspects of the procedure, including pre-operative planning, intra-operative execution, and post-operative care.
In simple words: This surgery removes a kidney, its connecting tube (ureter), and a small part of the bladder.The doctor makes separate cuts to do this.
This CPT code 50236 describes a surgical procedure involving the removal of a kidney (nephrectomy), the entire ureter (total ureterectomy), and a portion of the bladder (bladder cuff excision).The procedure is performed through separate incisions.It is commonly performed to treat renal cell carcinoma. The procedure involves careful dissection and removal of the kidney, ureter, and bladder cuff, followed by placement of a drainage tube and closure of the incisions.
Example 1: A 60-year-old male patient is diagnosed with renal cell carcinoma in the right kidney that has spread to the ureter and involves the bladder cuff.A nephrectomy with total ureterectomy and bladder cuff excision through separate incisions (50236) is performed., A 55-year-old female patient presents with a large retroperitoneal tumor that involves the left kidney, ureter, and bladder.Surgical removal of the kidney, ureter, and bladder cuff is performed using separate incisions (50236)., A 40-year-old patient with a history of multiple urinary tract infections, severe hydronephrosis, and extensive ureteral scarring undergoes a nephrectomy with total ureterectomy and bladder cuff excision through separate incisions (50236) to address the complex urological issues.
* Preoperative diagnosis and imaging studies (e.g., CT scan, MRI) demonstrating the extent of the tumor involvement.* Operative report detailing the surgical technique, including incision sites, resection margins, and specimen description.* Pathology report confirming the diagnosis and assessing the extent of resection.* Postoperative course documentation, including complications, drains, and follow-up care.
** This procedure is complex and requires specialized surgical expertise.The choice of separate versus single incision is based on surgical judgment.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided text.Consult current RVU data for accurate values.
- Global Days: Information not available in provided text. Consult current guidelines for global surgical period.
- Payment Status: Active
- Modifier TC rule: The TC modifier does not generally apply to this code because the entire service is typically performed by the surgeon.
- Fee Schedule: Information not available in provided text. Refer to historical fee schedule data.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Hospital Outpatient