AHA Coding Clinic® for HCPCS - 2013 Issue 3; Ask the Editor

Robotic-assisted ureteral implant with psoas hitch

What is the appropriate CPT code for a right robotic-assisted ureteral implant with psoas hitch? CPT code 50947, Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement, includes the implant but not the psoas hitch, therefore would it require an additional code to report the psoas hitch? We also considered CPT 50785, Ureteroneocystostomy; with vesico-psoas hitch or bladder flap. Can you please provide guidance on the appropriate code for the procedure documented in the attached operative report? ...

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