2025 CPT code 50705
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Ureteral embolization or occlusion, including imaging guidance and radiological supervision and interpretation.This is an add-on code and requires a primary procedure code.
Modifiers may be applicable depending on the circumstances of the procedure and the primary procedure being performed. Consult the CPT guidelines and payer-specific rules.
The medical necessity of 50705 is determined by the underlying condition necessitating ureteral occlusion.This usually involves the treatment or prevention of complications such as ureteral fistulas or leaks resulting from prior surgery or injury.Documentation must support the clinical indication for the procedure.
The physician uses image guidance to occlude the ureter, preventing urine flow into a fistula (e.g., ureterovaginal fistula).Techniques may include coil placement or tissue glue (butyl-2-cyanoacrylate) application. This is performed during another primary procedure.
In simple words: This procedure blocks a ureter (tube carrying urine from kidney to bladder) to stop urine leakage, often to treat a fistula (abnormal connection) between the ureter and vagina.It uses ultrasound or X-ray guidance, and is done in addition to another, main procedure.
This add-on code, 50705, describes ureteral embolization or occlusion using imaging guidance (ultrasound and/or fluoroscopy). The procedure includes all associated radiological supervision and interpretation.It is reported in addition to the code for the primary procedure and may be performed through various access methods (transrenal, existing renal/ureteral access, transurethral, ileal conduit, or ureterostomy).The service of gaining access may be reported separately. Diagnostic pyelography/ureterography is not included and should be coded separately. Other interventions or catheter placements performed concurrently may also require separate coding.
Example 1: A patient presents with a ureterovaginal fistula following unsuccessful nephrostomy for urinary diversion.The physician performs a ureteral occlusion using 50705 as an add-on code to a primary procedure aimed at repairing the fistula. Imaging guidance is used throughout., A patient undergoes a major urological procedure, and during this procedure, a ureteral leak is discovered.The surgeon uses 50705 to embolize the ureter, stopping the leak.This is an add-on code to the main surgical procedure., A patient has a ureteral injury during a hysterectomy. The surgeon utilizes this code in addition to the hysterectomy code to embolize the injured ureter.
* Pre-operative diagnosis clearly indicating the need for ureteral occlusion.* Detailed operative report describing the technique used for ureteral embolization/occlusion (coil placement, tissue glue, etc.).* Imaging studies (ultrasound and/or fluoroscopy) demonstrating the procedure and its outcome.* Post-operative diagnosis reflecting the success of the procedure.* Documentation supporting the medical necessity of the procedure.
** Payers may have varying coverage policies for this code. It's crucial to verify coverage prior to performing the procedure.Always refer to the most current CPT and payer guidelines.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information is not available in the provided text. Consult the appropriate fee schedule for RVU values.
- Global Days : This information is not available in the provided text.The global period is dependent on the primary procedure code.
- Payment Status: Active
- Modifier TC rule: The application of a Technical Component (TC) modifier is dependent on the primary procedure and payer requirements. Consult payer-specific guidelines.
- Fee Schedule : This information is not available in the provided text. Consult the appropriate fee schedule for historical fee information.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center