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CPT®
50930

CPT® Code 50930

Official Description

Closure of ureterovisceral fistula (including visceral repair)

© Copyright 2025 American Medical Association. All rights reserved.

Common Language Description

A ureterovisceral fistula is defined as an abnormal connection between a ureter and a hollow organ that has multiple layers, which can lead to significant clinical complications. This condition often arises due to various underlying issues, such as surgical complications, trauma, or inflammatory diseases. The procedure associated with CPT® Code 50930 involves the surgical closure of this type of fistula, which is critical for restoring normal urinary function and preventing further complications. During the procedure, the surgeon identifies the abnormal communication between the ureter and the visceral organ, carefully tracing the fistula tract. The abnormal tissue is excised, and the opening in the ureter is debrided to ensure that any unhealthy tissue is removed. The closure of the ureter is performed using sutures, and if necessary, the opening in the visceral organ is also addressed, either through direct suturing or alternative repair techniques. The final step involves closing the operative wound in layers to promote proper healing and minimize the risk of infection or other postoperative complications.

© Copyright 2025 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 50930 is indicated for the following conditions:

  • Ureterovisceral Fistula An abnormal communication between a ureter and a hollow multilayered walled organ that requires surgical intervention to restore normal function.
  • Complications from Previous Surgeries Situations where prior surgical procedures have led to the formation of a fistula that necessitates closure.
  • Trauma Cases where physical injury has resulted in the development of a ureterovisceral fistula.
  • Inflammatory Diseases Conditions that cause chronic inflammation and subsequent fistula formation between the ureter and visceral organs.

2. Procedure

The procedure for CPT® Code 50930 involves several critical steps to ensure the successful closure of the ureterovisceral fistula:

  • Identification of the Fistula The surgeon begins by locating the ureterovisceral fistula, which involves careful examination and possibly imaging studies to trace the abnormal communication between the ureter and the visceral organ.
  • Excision of the Fistula Tract Once identified, the fistula tract is meticulously followed from the ureter to the visceral organ or skin, and the abnormal tissue is excised to eliminate the fistulous connection.
  • Debridement of the Ureter The opening in the ureter is then debrided as necessary to remove any unhealthy or necrotic tissue, ensuring a clean edge for closure.
  • Closure of the Ureter After debridement, the ureter is closed using sutures, which is essential for restoring the integrity of the urinary tract.
  • Repair of the Visceral Organ If applicable, the opening in the visceral organ is also debrided and closed with sutures or repaired using another surgical technique, depending on the specific circumstances of the case.
  • Layered Closure of the Operative Wound Finally, the operative wound is closed in layers to promote optimal healing and reduce the risk of complications such as infection.

3. Post-Procedure

Post-procedure care for patients undergoing the closure of a ureterovisceral fistula includes monitoring for signs of infection, ensuring proper urinary function, and managing any pain or discomfort. Patients may require follow-up imaging studies to confirm the successful closure of the fistula and to assess the integrity of the urinary tract. Additionally, instructions regarding activity restrictions and wound care will be provided to facilitate recovery and minimize complications.
Short Descr CLOSURE URETER/BOWEL FISTULA
Medium Descr CLOSURE URETEROCUTANEOUS FISTULA W/VISC RPR
Long Descr Closure of ureterovisceral fistula (including visceral repair)
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) 1 - Co-surgeons could be paid, though supporting documentation is required...
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 2
CCS Clinical Classification 112 - Other OR therapeutic procedures of urinary tract
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Pre-1990 Added Code added.
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