AMA CPT® Assistant - 2018 Issue 2 (February)

Surgery: Urinary System (Q&A) (February 2018)

February 2018 page 11a Surgery: Urinary System Question: A patient with a previous ileal conduit developed obstructions in both ureters, requiring an excision of both distal ureters at the stricture site, followed by ureteroileal anastomosis and revision of the conduit. How is this reported? Answer: Report code 50780, Ureteroneocystostomy; anastomosis of single ureter to bladder, with modifiers 50, Bilateral Procedure, for anastomosis of both the right and left ureter, and 22, Increased Procedural Services, for revision of the conduit, appended in order to remain consistent with the idea that a conduit or neobladder (whether orthotopic or heterotopic) are "functionally...

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