2025 CPT code 50543
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Laparoscopic surgical partial nephrectomy.
Modifiers may apply depending on the specific circumstances of the procedure.Consult the CPT codebook for appropriate modifier application guidelines.
Medical necessity is established based on the presence of a renal mass or lesion that requires surgical intervention to improve the patient's health. The size, location, and nature of the lesion, along with the patient's overall health, will determine whether surgical intervention is medically necessary.This should be supported by appropriate documentation and imaging.
The surgeon is responsible for performing the laparoscopic partial nephrectomy, including the incision, laparoscopic visualization, dissection of the kidney, removal of the affected portion of the kidney, hemostasis (control of bleeding), closure of the incisions, and post-operative care. Anesthesiologists and surgical assistants may also participate.
In simple words: This surgery uses tiny incisions and a camera to remove only the diseased part of a kidney, leaving the healthy part intact. It's less invasive than traditional open surgery and usually means a shorter hospital stay, less pain, and a faster recovery.
Laparoscopic partial nephrectomy involves a minimally invasive surgical technique to remove a portion of the kidney.The surgeon makes several small incisions in the abdomen, inflates the abdomen with carbon dioxide for better visualization, inserts a laparoscope (a thin, lighted tube with a camera) to view the surgical field, and uses specialized instruments through other incisions to dissect and remove the affected part of the kidney while preserving as much healthy kidney tissue as possible. The procedure is typically performed under general anesthesia.Post-operative care includes monitoring for complications, pain management, and follow-up appointments.
Example 1: A 55-year-old male patient presents with a small renal cell carcinoma (RCC) measuring 3 cm in diameter in the upper pole of his right kidney. A laparoscopic partial nephrectomy is performed to remove the tumor while preserving the healthy renal parenchyma., A 42-year-old female patient with a history of von Hippel-Lindau syndrome is found to have multiple small cysts in her left kidney.One cyst shows suspicious features on imaging, prompting a laparoscopic partial nephrectomy to remove the suspicious cyst and assess its pathology., A 68-year-old male patient with a large angiomyolipoma in the lower pole of his right kidney presents for a laparoscopic partial nephrectomy.Due to the size and location, the surgeon utilizes advanced laparoscopic techniques for precise dissection and to avoid injuring surrounding structures.
Preoperative imaging (CT scan, MRI, ultrasound), operative report detailing the procedure and specimen description, pathology report confirming the diagnosis and margins of resection, and post-operative imaging (if indicated).
** This code is for laparoscopic partial nephrectomy.For open procedures, a different CPT code is utilized. The specific approach (laparoscopic, robotic-assisted, etc.) should be documented appropriately.Always refer to the latest edition of the CPT codebook and NCCI edits for accurate coding and billing.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided data. Consult the most current CPT codebook or a reliable medical billing resource for RVU values.RVUs will vary depending on geographic location and other factors.
- Global Days: Information not available in provided data. Consult the most current CPT codebook or a reliable medical billing resource for global surgical package details.
- Payment Status: Active
- Modifier TC rule: Consult the most recent CPT codebook to ascertain the appropriate application of TC modifiers.
- Fee Schedule: Information not provided.Refer to historical CPT fee schedules or medical billing resources for historical fee data.
- Specialties:Urology, Surgical Oncology
- Place of Service:Ambulatory Surgical Center, Inpatient Hospital, Outpatient Hospital