2025 CPT code 50240
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Partial nephrectomy; removal of only a diseased or infected portion of the kidney.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 59 for distinct procedural service, 22 for increased procedural services etc.).Consult the CPT manual for specific modifier guidelines.
Medical necessity for a partial nephrectomy is established when a patient has a localized renal mass or area of infection that can be safely removed without compromising renal function. The procedure is generally preferred over radical nephrectomy when possible, to preserve renal function and reduce the risk of complications.
The surgeon is responsible for performing the partial nephrectomy, including making the incision, exposing the kidney, identifying and removing the diseased tissue, and repairing the kidney and closing the incision. Anesthesiologist provides anesthesia during the procedure.
In simple words: This surgery removes only the sick part of a kidney, leaving the healthy part intact.It's done to preserve kidney function as much as possible.
Partial nephrectomy involves the surgical removal of a diseased or infected portion of the kidney, preserving the remaining healthy kidney tissue.The procedure is typically performed under general anesthesia. An incision is made, the kidney exposed, and the affected area identified using ultrasound or other imaging techniques.The diseased tissue is then carefully excised, and the remaining kidney tissue is repaired and the incision closed. This approach is preferred when possible to maintain renal function.
Example 1: A 60-year-old male patient presents with a small renal tumor (less than 4cm) detected during a routine ultrasound.A partial nephrectomy is performed to remove the tumor while preserving renal function., A 45-year-old female patient with a history of kidney infection and localized kidney damage undergoes a partial nephrectomy to remove the infected portion of the kidney., A 72-year-old male patient with a solitary kidney and a small renal tumor is a candidate for partial nephrectomy to remove the tumor and preserve as much renal function as possible.
* Preoperative imaging studies (ultrasound, CT scan) showing the location and size of the affected renal tissue.* Operative report detailing the surgical technique, tissue removed, and assessment of the remaining kidney.* Pathology report confirming the diagnosis and extent of resection.* Postoperative imaging (optional, depending on payer requirements) to assess for complications.* Clinical notes documenting the patient's clinical presentation, medical history, and response to treatment.
** Always refer to the most current CPT manual and payer guidelines for accurate coding and reimbursement.The information provided here is for guidance only and should not be considered exhaustive.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not provided in the source data.Refer to the CMS national Physician Fee Schedule for current RVU values.
- Global Days: This information is not available in the source data.The global period will vary based on payer guidelines and other factors.
- Payment Status: Active
- Modifier TC rule: The source data does not specify whether a Technical Component (TC) modifier is applicable.This will depend on the specific circumstances of the procedure and should be determined based on payer requirements.
- Fee Schedule: Historical fee schedule data is not available in the source.Refer to CMS fee schedule databases for historical reimbursement information.
- Specialties:Urology, Surgical Oncology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center