2025 CPT code 51050
(Active) Effective Date: N/A Revision Date: N/A Deletion Date: N/A Surgery - Surgical Procedures on the Urinary System Surgery Feed
Cystolithotomy; removal of bladder stone without bladder neck resection.
Modifiers may apply depending on the circumstances of the procedure (e.g., 51 for multiple procedures, 52 for reduced services, 59 for distinct procedural service, 76 for repeat procedure, 80 for assistant surgeon). Refer to the current CPT manual.
Medical necessity for cystolithotomy is established when other less invasive methods are not feasible or have failed.Large stones, multiple stones, or stones obstructing urinary flow typically warrant open surgical removal. The presence of symptoms such as pain, infection, or hematuria further supports the need for intervention.
The urologist performs the procedure from incision to closure and post-operative care, including catheter management.
In simple words: This surgery removes bladder stones through a cut in the lower abdomen.The doctor cuts open the bladder, removes the stones, and then closes the bladder and the abdominal incision. A tube might be used to drain urine for a few days after surgery.
Cystolithotomy is an open surgical procedure involving an incision into the urinary bladder to remove one or more calculi (stones).The procedure is performed without resection of the bladder neck.A Foley catheter is typically inserted post-operatively to drain urine and prevent leakage. The procedure involves prepping the patient, making an incision in the lower abdomen, dissecting through tissue to reach the bladder, removing the stone(s) with forceps or other instruments, suturing the bladder incision, and closing the abdominal wound. A drainage tube may also be used.Post-operative care includes catheterization for several days.
Example 1: A 65-year-old male presents with symptoms of urinary tract infection and hematuria.Imaging reveals a large bladder stone.An open cystolithotomy is performed to remove the stone. Post-operative care includes catheterization for 7-14 days., A 72-year-old female with a history of recurrent urinary tract infections has a cystoscopy revealing multiple small bladder stones.The urologist chooses an open cystolithotomy for removal.The patient is discharged home with a catheter in place., A 50-year-old male with an enlarged prostate obstructing urinary flow develops bladder stones.Surgical removal via cystolithotomy is performed after prostatectomy to address both issues simultaneously.
* Pre-operative history and physical exam.* Imaging studies (e.g., X-ray, CT scan, ultrasound) demonstrating the presence and location of bladder stones.* Operative report detailing the procedure performed.* Pathology report (if stone analysis is performed).* Post-operative course notes documenting catheter management and healing.
** The size and number of stones, as well as the patient's overall health, will influence the choice of surgical approach. This description focuses on open cystolithotomy, but less invasive methods are often preferred if appropriate.
- Revenue Code: P1G (MAJOR PROCEDURE - OTHER)
- RVU: This information requires access to current relative value unit (RVU) data, which is not available in the provided text.
- Global Days : This information requires access to the global surgical package guidelines provided by the payer, which are not available in the provided text.The global period likely includes pre and post-operative care.The specific number of days included depends on the payer.
- Payment Status: Active
- Modifier TC rule: Information on TC modifiers requires access to additional payer-specific information which is not available.
- Fee Schedule : This information requires access to historical fee schedule data, which is not available in the provided text. This data is usually payer and location specific.
- Specialties:Urology
- Place of Service:Inpatient Hospital, Ambulatory Surgical Center, Outpatient Hospital