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BETA v.3.0

2025 CPT code 50548

Laparoscopic nephrectomy with total ureterectomy.

Diagnostic laparoscopy is included and should not be reported separately.

Modifiers may be applicable to indicate specific circumstances, such as increased procedural services (22), bilateral procedures (50), or distinct procedural services (59).

Medical necessity must be established by documenting the clinical condition requiring the procedure. This typically involves imaging studies, laboratory results, and a clear explanation of the patient's symptoms and failed conservative management.

The surgeon positions the patient, prepares the surgical site, makes the incisions, inserts the laparoscope and instruments, dissects the kidney and ureter, removes them, and closes the incisions.

IMPORTANT:For open nephrectomy with total ureterectomy, see 50236. For partial nephrectomy, see 50543. For radical nephrectomy, see 50545. For laparoscopic nephrectomy with partial ureterectomy, see 50546. For donor nephrectomy, see 50547.

In simple words: Removal of a kidney and the connected tube to the bladder through small incisions using a camera and specialized instruments.

Removal of a kidney and the entire ureter using a laparoscopic approach.The surgeon makes small incisions, inserts a laparoscope for viewing, and utilizes specialized instruments to dissect and remove the kidney and ureter.

Example 1: A patient with a non-functioning kidney and a diseased ureter requires removal of both., A patient with a kidney tumor requires a nephrectomy and total ureterectomy to ensure complete removal of the cancerous tissue. , A patient with severe ureteral obstruction causing kidney damage needs removal of the affected kidney and ureter.

Documentation should include operative report detailing the laparoscopic procedure, the condition necessitating surgery, intraoperative findings, and post-operative status.

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