CPT® Code 50600

Ureterotomy with exploration or drainage is a surgical procedure that involves making an incision in the ureter, which is the tube that carries urine from the kidney to the bladder. This procedure is typically performed to allow for direct access to the ureter for the purposes of exploration or drainage. The incision is strategically made in the abdomen, and the specific location—upper, middle, or lower ureter—is determined based on the clinical indications for the procedure. During the operation, the abdominal wall muscles are carefully divided, and the peritoneum, which is the lining of the abdominal cavity, is retracted to provide access to the ureter. Once the ureter is located, it is meticulously dissected away from surrounding tissues, including the serosa and periureteral fat, to ensure a clear view and access for the procedure. An incision is then made in the ureter itself to facilitate exploration for any underlying disease or abnormalities that may be present. To manage any fluid accumulation or to facilitate drainage, a soft Penrose drain or suction tube is inserted into the ureter. This allows for effective drainage and flushing of the ureter with an irrigation solution. After the necessary exploration and drainage have been completed, the drainage tube is left in place, and the incisions are carefully closed around the drain to promote healing and minimize complications.