2025 CPT code 50930
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Closure of ureterovisceral fistula (including visceral repair).
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 22 for increased procedural service). Consult the CPT manual for appropriate modifier usage.
Medical necessity for 50930 is established by the presence of a symptomatic ureterovisceral fistula requiring surgical intervention to restore normal urinary drainage and prevent complications such as infection, sepsis, or renal failure.The documentation must support the diagnosis and justify the need for surgical repair.
The surgeon is responsible for all aspects of the procedure, including incision, fistula excision, visceral repair, ureteral closure, drainage placement (if necessary), hemostasis, and wound closure. Preoperative and postoperative care are also the surgeon's responsibility. Anesthesiology services would be billed separately.
In simple words: The doctor surgically repairs an abnormal connection between the ureter (tube carrying urine from kidney to bladder) and a nearby organ.The doctor removes the abnormal connection, repairs the damaged organ, and closes the ureter.
This procedure involves the surgical removal of a ureterovisceral fistula, an abnormal connection between the ureter and a nearby internal organ.The procedure includes excision of the fistula tract, repair of the defect in the involved visceral organ, and closure of the ureteral defect.This may involve the placement of a drainage catheter for fluid removal. Hemostasis is achieved, and the incision is closed in layers.
Example 1: A patient presents with a ureterosigmoid fistula following pelvic surgery.The surgeon performs 50930 to repair the fistula and restore normal urinary drainage., A patient with a history of inflammatory bowel disease develops a ureterocolonic fistula.50930 is performed to excise the fistula and repair both the bowel and ureter., A patient with a history of pelvic trauma sustains a ureterovesical fistula. The surgeon performs 50930 to repair the fistula and ensure proper urinary tract function.
* Preoperative and postoperative diagnoses.* Operative report detailing the procedure performed, including fistula location, size, and extent of visceral involvement.* Histopathology report (if applicable).* Any imaging studies used for diagnosis and/or surgical guidance.* Documentation of anesthesia provided.* Complete medical record detailing the patient's clinical history and course.
** This code includes the repair of the visceral organ involved in the fistula.Additional codes may be necessary to report associated services such as diagnostic imaging or placement of a ureteral stent.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: Information not available in provided dataset.Consult current Medicare Physician Fee Schedule for RVU values.
- Global Days : Information not provided in the dataset.The global period will vary depending on payer and local practice guidelines.It's crucial to refer to the specific payer's guidelines for the appropriate global period for this procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable. This is a surgical procedure, not a technical component.
- Fee Schedule : Data not available in the provided source. Consult historical Medicare Physician Fee Schedules or other relevant payment databases.
- Specialties:Urology, General Surgery
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center