2025 CPT code 50580
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, and removal of foreign body or calculus.
Modifiers may be applicable depending on the circumstances of the procedure. For example, modifier 50 (bilateral procedure) may apply if both kidneys are involved.Other modifiers may be used to indicate different aspects of the procedure or its complexity. Consult current CPT guidelines.
Medical necessity for renal endoscopy is established based on symptoms (pain, obstruction), imaging findings (stones, foreign bodies), and the need for removal or diagnostic assessment.The procedure should be medically necessary, meaning it's appropriate and needed for the patient's condition.
The physician performs the procedure under appropriate anesthesia. This involves creating incisions, inserting and manipulating the endoscope, irrigating or instilling saline, administering contrast for imaging (if needed), removing foreign bodies or calculi, potentially placing a stent, inserting a urinary drainage catheter, and closing incisions.
In simple words: The doctor inserts a thin, flexible tube with a camera (endoscope) into the kidney through a small cut to examine the kidney and ureter.They may use saline solution to get a better view, take x-rays with contrast dye, and remove any stones or foreign objects.A small tube may be placed to drain urine.
This procedure involves inserting an endoscope into the kidney through a nephrotomy or pyelotomy incision.The procedure may include irrigation or instillation of saline for improved visualization, and/or ureteropyelography (radiological examination of the ureter and renal pelvis using contrast).A foreign body or calculus (stone) is removed.A stent may be placed in the ureter and a urinary drainage catheter may be inserted. Incisions are then closed.
Example 1: A patient presents with a ureteral stone causing significant pain and obstruction.Renal endoscopy is performed to remove the stone via nephrotomy, with ureteropyelography to guide the procedure., A patient has a history of recurrent kidney stones and presents with new symptoms.Renal endoscopy is performed via pyelotomy for stone removal and evaluation of the renal pelvis for additional stones., A patient presents after an accident with a suspected foreign body lodged in their kidney.Renal endoscopy through nephrotomy is used to locate, retrieve, and remove the foreign body.
* Preoperative diagnosis and justification for procedure.* Operative report detailing the approach (nephrotomy or pyelotomy), use of irrigation/instillation, performance of ureteropyelography, removal of foreign body/calculus, stent placement (if any), and catheter placement.* Pathology report (if tissue was removed for biopsy).* Postoperative notes documenting the patient's recovery.* Imaging studies (x-rays or other scans before and after surgery).
** For supplies and materials used during the procedure, code 99070 should be reported separately.If chemotherapeutic agents are administered, report codes for both the procedure and the specific drug(s).
- Revenue Code: P8I (ENDOSCOPY - OTHER)
- RVU: Information not available in provided source.
- Global Days: Information not available in provided source.
- Payment Status: Active
- Modifier TC rule: Information not available in provided source.Consult current CPT guidelines to determine applicability of TC modifiers.
- Fee Schedule: Information not available in provided source.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center