2025 CPT code 50382
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Percutaneous removal and replacement of an indwelling ureteral stent using imaging guidance.
Modifiers 50 (bilateral procedure) and other applicable modifiers may be used as per the specific circumstances of the procedure.
Medical necessity for this procedure is established based on symptoms of ureteral obstruction, such as flank pain, hydronephrosis (swelling of the kidney), or recurrent urinary tract infections. The procedure is deemed medically necessary when conservative measures have failed or are not applicable.
The clinical responsibility lies with the urologist or surgeon performing the procedure.This involves pre-operative assessment, performing the percutaneous procedure under imaging guidance, post-operative care, and interpretation of the radiological images.
In simple words: The doctor removes and replaces a small tube (stent) inside the ureter (tube connecting kidney to bladder) using a small incision and x-ray guidance. The old tube is snared and pulled out; a new one is put in its place.
This procedure involves the percutaneous removal and replacement of an indwelling ureteral stent under radiological supervision and interpretation.The physician makes a percutaneous incision at the entry site, inserts a needle into the renal calyx under imaging guidance, injects contrast to visualize the ureters and kidneys, and places a guidewire into the renal pelvis. The needle is removed, the tract is widened, and a sheath is placed over the guidewire. A snare device is advanced to capture the old stent, which is then removed using a guidewire.The new stent is passed over the guidewire and positioned in the bladder; its placement is confirmed radiographically. All instruments are then removed.
Example 1: A patient presents with a blocked ureter and an indwelling stent that needs replacement. The physician performs a percutaneous stent exchange under fluoroscopic guidance., A patient with recurrent urinary tract infections requires removal and replacement of an indwelling ureteral stent.The procedure is completed percutaneously., A patient post-ureteroscopy requires stent removal and replacement. The physician uses a percutaneous approach to avoid further trauma to the ureter.
* Pre-operative assessment and documentation including patient history, physical examination findings, and indication for the procedure.* Intraoperative documentation detailing the technique used, including imaging guidance used and findings.* Post-operative assessment, including confirmation of stent placement, and any complications encountered.* Radiological images (pre, intra and post-procedure).
** Accurate documentation and adherence to coding guidelines are crucial for appropriate reimbursement.Always refer to the most recent CPT codebook and payer-specific guidelines.
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: The RVUs for this code vary depending on the geographic location and other factors.Consult a current fee schedule for accurate values.
- Global Days: The global period for this procedure is not explicitly defined in the provided data, and should be determined based on local payer guidelines.
- Payment Status: Active
- Modifier TC rule: The technical component (TC) modifier may be applicable depending on whether the physician personally performs the procedure or delegates parts of it to other qualified healthcare professionals.
- Fee Schedule: The historical fee schedule for this code can vary significantly based on year, payer, and location. Consult historical fee schedules for the specific relevant period.
- Specialties:Urology, Nephrology, Surgery
- Place of Service:Office, Ambulatory Surgical Center, Hospital (Inpatient/Outpatient)