CPT® Code 50650

The procedure described by CPT® Code 50650 refers to a ureterectomy with bladder cuff, classified as a separate procedure. This surgical intervention involves the excision of the distal ureter, which is the portion of the ureter closest to the bladder, along with a segment of the bladder at the location of the ureteral orifice. The ureteral orifice is the opening where the ureter connects to the bladder. During the procedure, a Foley catheter is inserted to facilitate bladder drainage, ensuring that the bladder remains empty throughout the surgery. The surgical approach typically begins with an abdominal incision made over the affected ureter and bladder, allowing for direct access to these structures for inspection and evaluation. The excision process involves transecting the ureter above the area of concern, which may be an abnormality or lesion, and subsequently incising the bladder just below the ureterovesical junction (UVJ) to remove the bladder cuff. After the excision, the bladder is repaired, and a drainage tube is placed to manage any potential fluid accumulation. Finally, the incisions are closed around the drainage tube to complete the procedure. This detailed description provides a clear understanding of the surgical steps involved in a ureterectomy with bladder cuff, emphasizing the importance of careful technique and postoperative management.