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The procedure described by CPT® Code 50574 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 using a specialized instrument known as a renal endoscope. During the procedure, a small incision is created to access the kidney, and the endoscope is inserted to facilitate a thorough examination of the renal structures. The use of sterile saline or other solutions may be employed for irrigation purposes, which helps to clear the view and maintain a clean working area within the kidney. Additionally, a diagnostic or therapeutic solution may be instilled into the kidney to aid in treatment or further evaluation. Contrast material may also be introduced for ureteropyelography, a separate imaging study that is not included in this code. Furthermore, biopsy forceps can be passed through the endoscope to obtain tissue samples from the kidney, which are essential for diagnostic purposes. After the necessary procedures are completed, all instruments are carefully removed, and if required, a nephrostomy tube may be placed to ensure proper drainage. Finally, the incision made during the procedure is closed, completing the surgical intervention.
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The renal endoscopy procedure described by CPT® Code 50574 is indicated for various conditions affecting the kidney. These indications may include:
The procedure involves several critical steps to ensure effective renal endoscopy through nephrotomy or pyelotomy:
Post-procedure care following a renal endoscopy through nephrotomy or pyelotomy includes monitoring for any signs of complications such as bleeding or infection. Patients may require follow-up imaging studies to assess the success of the procedure and the condition of the kidney. Pain management may be necessary, and instructions regarding activity restrictions and care of the incision site will be provided. If a nephrostomy tube was placed, specific care instructions for the tube will also be given to ensure proper function and prevent infection.
| Short Descr | KIDNEY ENDOSCOPY & BIOPSY | Medium Descr | RENAL NDSC NEPHROTOMY W/BIOPSY | Long Descr | Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with biopsy | 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 | 100 - Endoscopy and endoscopic biopsy of the urinary tract |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | 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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