Urology Coding Alert

Reader Question:

Submit 50949 for Robotic-assisted Laparoscopic Stricture Repair

Question: The urologist completed a robotic-assisted laparoscopic ureteroileal re-implantation for repair of an ileal ureteral stricture. She listed N13.8 as the associated diagnosis. What CPT® code should I report?

Minnesota Subscriber

Answer: The current volume of CPT® does not include a specific code for the procedure you describe. Therefore, your best coding option is 50949 (Unlisted laparoscopy procedure, ureter).

Benchmark or reference your unlisted code to CPT® code 50800 (Ureteroenterostomy, direct anastomosis of ureter to intestine). Be sure to include all documentation from the urologist explaining what was done. Also include diagnosis N13.8 (Other obstructive and reflux uropathy) as noted by the physician.