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The procedure described by CPT® Code 50526 involves the closure of a nephrovisceral fistula, which is an abnormal connection between the kidney and another internal organ, such as the colon. This condition often arises due to complications from renal stones, infections like tuberculosis, or injuries sustained during medical procedures such as percutaneous interventions or lithotripsy. The closure of the fistula is performed through a thoracic surgical approach, which is determined by the specific location of the fistulous tract. During the procedure, the kidney and ureter are surgically exposed, allowing for direct access to the fistula. A catheter is inserted into the ureter, and a radiopaque contrast agent is injected to visualize the fistulous tract clearly. The surgeon then meticulously traces the fistula to its entry point into the affected organ, where it is securely ligated and divided. Following this, the involved organ is repaired as necessary, and the origin of the fistula within the kidney is also closed to prevent any further complications. It is important to note that for an abdominal approach to this procedure, CPT® Code 50525 should be used, while CPT® Code 50526 is specifically designated for the thoracic approach.
© Copyright 2025 Coding Ahead. All rights reserved.
The closure of nephrovisceral fistula, as described by CPT® Code 50526, is indicated in the following situations:
The procedure for the closure of a nephrovisceral fistula involves several critical steps:
Post-procedure care following the closure of a nephrovisceral fistula typically involves monitoring for any complications, such as infection or leakage from the surgical site. Patients may require pain management and should be observed for signs of proper healing. Follow-up imaging may be necessary to ensure that the fistula has been successfully closed and that there are no residual issues. The recovery period can vary depending on the individual patient's health and the complexity of the procedure, but patients are generally advised to avoid strenuous activities during the initial recovery phase.
Short Descr | CLOSE NEPHROVISCERAL FISTULA | Medium Descr | CLSR NEPHROVISCERAL FISTULA W/VISC RPR THRC APPR | Long Descr | Closure of nephrovisceral fistula (eg, renocolic), including visceral repair; thoracic approach | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 112 - Other OR therapeutic procedures of urinary tract |
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Pre-1990 | Added | Code added. |