CPT® Code 50060

Nephrolithotomy is a surgical procedure specifically designed for the removal of a renal calculus, commonly known as a kidney stone. This open surgical technique involves making a direct incision in the skin over the kidney, allowing the surgeon to access the renal area effectively. The procedure begins with the dissection of soft tissues to reach the kidney, followed by the incision of Gerota's fascia, which is the connective tissue surrounding the kidney. During the operation, the surgeon carefully identifies and controls the blood vessels by placing loops around them to prevent excessive bleeding. Once the kidney is adequately exposed, a visual examination is conducted to locate the calculus. An incision is then made directly in the kidney at the site of the stone, allowing for its removal. The calculus is subsequently sent to a laboratory for analysis, which is reportable separately. After the stone is extracted, drains may be placed as necessary to facilitate fluid drainage. The procedure concludes with the closure of Gerota's fascia, removal of the vessel loops, and layered closure of the skin incision. This comprehensive approach ensures that the renal calculus is effectively removed while minimizing complications and promoting recovery.