2025 CPT code 50390
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Aspiration and/or injection of renal cyst or pelvis by needle, percutaneous.
Modifiers may apply based on the circumstances of the procedure. For example, modifier 50 (bilateral procedure) would be appropriate if both kidneys are treated. Other modifiers may be used depending on the services provided and facility.
Medical necessity for this procedure is established when the renal cyst causes symptoms such as pain, hematuria, or recurrent urinary tract infections, and conservative measures have failed.The decision to perform this procedure should be based on a careful assessment of the patient's clinical presentation and imaging results.
The clinical responsibility for this procedure lies with a physician specializing in urology or nephrology. The physician will perform the procedure using imaging guidance to accurately locate and access the renal cyst or pelvis. They will also interpret the imaging results and manage any complications that may arise.
In simple words: This medical procedure involves using a needle to either drain fluid from a cyst in the kidney or inject a medication into the cyst.The doctor uses imaging (like ultrasound or X-ray) to precisely guide the needle.This is done to treat pain, frequent urination, or blood in the urine caused by the cyst.
This CPT code describes the percutaneous aspiration and/or injection of a renal cyst or pelvis using a needle.The procedure involves using imaging guidance (e.g., fluoroscopy or ultrasound) to guide the needle into the target area.Aspiration involves removing fluid from the cyst, while injection involves introducing a substance, such as a sclerosing agent (e.g., acetic acid or ethanol), into the cyst.The procedure may include radiological supervision and interpretation, and associated imaging guidance.
Example 1: A patient presents with a symptomatic renal cyst causing flank pain.Percutaneous aspiration of the cyst is performed to relieve pain and obtain a sample for cytological analysis., A patient has a large renal cyst that is causing compression on nearby structures. Percutaneous injection of a sclerosing agent is performed to shrink the cyst and alleviate symptoms., A patient with a complex renal cyst that communicates with the collecting system requires a combination of aspiration and injection to manage the lesion and prevent complications.
** This procedure is typically performed under fluoroscopic or ultrasound guidance. The exact approach and techniques used may vary depending on the size, location, and characteristics of the renal cyst.
- Revenue Code: P5E (AMBULATORY PROCEDURES - OTHER)
- RVU: This information is not available in the provided source.Refer to the most recent CPT codebook or other relevant payer resources for RVU data.
- Global Days: This information is not available in the provided source. The global period for this procedure may vary depending on payer and local policies.
- Payment Status: Active
- Modifier TC rule: This information is not available in the provided text.Consult the most current CPT coding guidelines.
- Fee Schedule: Fee schedule information is not provided in the source.Check with your specific payer for the most up-to-date fee schedule information.
- Specialties:Urology, Nephrology, Radiology (interventional)
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center