2025 CPT code 50384
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Percutaneous removal of an indwelling ureteral stent using a snare or capture device, including radiological supervision and interpretation.
Modifiers may be applied based on the circumstances of the procedure.Modifier 50 (Bilateral Procedure) is indicated if both ureters are involved.
Medical necessity for percutaneous ureteral stent removal is established by the presence of symptoms (e.g., pain, infection, obstruction) related to the stent, or when the stent has fulfilled its intended purpose and its continued presence poses a risk to the patient.
The physician is responsible for all aspects of the procedure, including pre-procedural planning, imaging guidance and interpretation, percutaneous access to the ureter, stent removal, and post-procedure care.This also includes the assessment of medical necessity for the procedure.
In simple words: The doctor removes a small tube (stent) from inside the ureter (tube that carries urine from the kidney to the bladder) through a tiny cut in the skin.This is done using imaging guidance to ensure accuracy and safety.
This procedure involves the percutaneous removal of an indwelling ureteral stent using a snare or capture device.The procedure requires imaging guidance (e.g., fluoroscopy) for precise placement and removal of the stent.It includes all aspects from initial access to the ureter to the final removal of the stent and instruments, along with the radiological supervision and interpretation of the imaging throughout the procedure. The procedure is indicated for patients experiencing discomfort, infection, or obstruction related to the stent, or when the stent has served its purpose and is no longer needed.
Example 1: A patient presents with persistent pain and discomfort related to an indwelling ureteral stent.The physician performs a percutaneous stent removal using fluoroscopic guidance. The procedure is successful, and the patient experiences significant pain relief., A patient with a history of recurrent urinary tract infections (UTIs) develops an infection associated with their ureteral stent.The physician elects to remove the stent percutaneously. The procedure is performed under fluoroscopic guidance to minimize the risk of complications. Post-operatively, the patient receives antibiotic therapy for the infection., A patient had a ureteral stent placed following a ureteral injury during a prior procedure. The stent has served its purpose in facilitating healing and the patient experiences no complications or discomfort from it.The physician elects to remove the stent percutaneously to avoid the need for cystoscopy.
* Detailed history and physical examination documenting the need for stent removal.* Pre-procedure imaging (e.g., CT scan, ultrasound) to confirm stent placement and guide the procedure.* Operative report detailing the procedure performed and including any complications encountered.* Post-procedure imaging (if performed) to confirm stent removal and assess for complications.* Documentation of patient education and post-procedure instructions.
** The use of a snare or capture device is integral to this procedure and should be documented.The imaging modality used should also be specified (e.g., fluoroscopy, ultrasound).
- Revenue Code: P6C (MINOR PROCEDURES - OTHER)
- RVU: This information is not available in the provided sources and would require referencing current Medicare fee schedules or other payer-specific data.
- Global Days: The global period for this procedure is not specified in the available data and would need to be determined based on payer guidelines and local practice.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is not indicated for this code as it's a complete procedure inclusive of all components.
- Fee Schedule: Fee schedule information is not available in the given source. Consult current payer-specific fee schedules for the most up-to-date information.
- Specialties:Urology, Radiology (Interventional)
- Place of Service:Office, Ambulatory Surgery Center, Hospital (Inpatient or Outpatient)