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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Note:  The following article synopsis was NOT provided by the AMA. It was created by Find-A-Code/innoviHealth.

Article Overview

This short Q&A article from CPT Assistant focuses on a urinary system surgery case involving ureteral reconstruction and conduit revision. It is aimed at coders, billers, and urology coding professionals who need to understand the broad CPT reporting context and the modifier considerations discussed in the article. The piece provides a coding-oriented explanation of the scenario without serving as a full clinical guide.

Why This Topic Matters

Articles like this help coding professionals interpret surgical documentation in complex urinary reconstruction cases and understand how related CPT reporting concepts are discussed in official guidance.

What You Will Learn

  • How a urinary reconstruction coding question is framed in CPT Assistant
  • What broad reporting concepts are discussed for bilateral surgical work
  • How modifier-related guidance is presented in a urologic procedure context
  • What documentation themes are highlighted for complex surgical cases

Who Should Read This

  • Medical coders
  • Urology billing staff
  • Revenue cycle professionals
  • Compliance teams
  • Physician documentation specialists

Codes Discussed

Modifiers Discussed


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