CPT^® 51590, Under Excision Procedures on the Bladder

The Current Procedural Terminology (CPT^®) code 51590 as maintained by American Medical Association, is a medical procedural code under the range - Excision Procedures on the Bladder.

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Summary

In this procedure, the provider surgically removes the entire urinary bladder. To maintain the outflow of urine he may create a ureteroileal conduit. In this procedure, he cuts a portion of the intestine known as ileum, sutures the ureters to divert urine into it, and connects the other end to the abdominal wall to create an external opening for outflow of urine. As an alternative approach to maintaining the outflow of urine, he may choose to create a sigmoid bladder. In this procedure, he replaces the bladder with a U or J shaped segment of sigmoid colon. He sutures the ureters onto this. He connects the newly made sigmoid bladder to the urethra for outflow of urine. He then sutures the cut ends of the intestine together to reestablish bowel continuity. He primarily performs these procedures to facilitate urine excretion following surgical removal of the urinary bladder due to severe trauma or malignancy.

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Robot assisted laparoscopic cystectomy with bilateral lymphadenectomy Ileal conduit urinary diversion Vaginal cuff closure

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Robot assisted laparoscopic cystectomy w/bilateral lymphadenectomy Robotic intra-corporeal Ileal conduit urinary diversion-51999 benchmarked to 51595

Another method of billing for this scenario would be 51999 and bench marked to 51590 and add 38571 for the bilateral pelvic node resection as well as 55866 for the radical prostatectomy.... [ Read More ]

Robot assisted laparoscopic cystectomy with bilateral lymphadenectomy and Ileal conduit urinary diversion - CPT code

The Veress needle was introduced through the umbilicus into the abdomen. The abdomen was insufflated to 15 cm of water pressure. Above the umbilicus an 8 mm incision was made with the Bovie. The ca... [ Read More ]

ileal conduit?

When our doctors have done this we used 51590 and we were an assistant surgeon (mod 80). You may have to get with urology billing to discuss options.... [ Read More ]

cyctectomy/prostatectomy

51590 55810 or 55840 51590 includes the stent and the ureteroileal conduit. Was it perineal? 55810... [ Read More ]

Robotic assisted open and scope surgical procedures

[QUOTE="Lisa Curtis, post: 111932, member: 8339"]One of my Urology docs is starting to do robotic assisted laparoscopic radical cystoprostatectomy with bilateral pelvic lymph node dissection and creat... [ Read More ]

Robotic assisted open and scope surgical procedures

One of my Urology docs is starting to do robotic assisted laparoscopic radical cystoprostatectomy with bilateral pelvic lymph node dissection and creation of an ileal conduit urinary diversions (as co... [ Read More ]

open vs laproscopic

I am in discussion with a Urologist I bill for, He did a specific case were his op-reports specify the use of a laproscopic robot. The procedure is 51590. There isn't a code for scope so I believe we ... [ Read More ]

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