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The procedure described by CPT® Code 50572 involves a renal endoscopy performed through a nephrotomy or pyelotomy, which are surgical incisions made in the kidney. This procedure allows for direct visualization and examination of the kidney's internal structures using a renal endoscope, a specialized instrument designed for this purpose. During the endoscopy, the physician may utilize various techniques such as irrigation, instillation of solutions, or ureteropyelography, although the radiologic service is not included in this code. A key component of this procedure is ureteral catheterization, which may be performed with or without dilation of the ureter. The process begins with a small incision in the kidney, through which the renal endoscope is inserted. This enables the physician to assess the kidney for any abnormalities, such as obstructions or stenosis. If any narrowing of the ureter is detected, a balloon-tipped catheter can be introduced to dilate the affected area. The procedure concludes with the removal of all instruments, and if necessary, a nephrostomy tube is placed to facilitate drainage, followed by closure of the incision. This comprehensive approach allows for both diagnostic and therapeutic interventions within the renal system.
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The procedure described by CPT® Code 50572 is indicated for various conditions affecting the renal system. These may include:
The procedure involves several key steps that ensure a thorough examination and treatment of the renal system:
Post-procedure care following CPT® Code 50572 involves monitoring the patient for any complications that may arise from the renal endoscopy. Patients may require observation for signs of infection, bleeding, or any adverse reactions to anesthesia. The nephrostomy tube, if placed, will need to be monitored for proper function and drainage. Patients are typically advised on activity restrictions and may be given instructions regarding pain management and signs to watch for that would necessitate immediate medical attention. Follow-up appointments may be scheduled to assess recovery and the effectiveness of the procedure.
| Short Descr | KIDNEY ENDOSCOPY | Medium Descr | RNL NDSC NFROT W/URTRL CATHJ W/WO DILAT URETER | Long Descr | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with ureteral catheterization, with or without dilation of ureter | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 3 - Special payment adjustment rules for multiple endoscopic procedures apply. | Bilateral Surgery (50) | 1 - 150% payment adjustment for bilateral procedures applies. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies 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. | Endoscopic Base Code | 50570 Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P8I - Endoscopy - other | MUE | 1 | CCS Clinical Classification | 102 - Ureteral catheterization |
| 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | GC | This service has been performed in part by a resident under the direction of a teaching physician | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) |
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| Pre-1990 | Added | Code added. |
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