CPT® Code 50728

The procedure described by CPT® Code 50728 involves the revision of a urinary-cutaneous anastomosis, specifically focusing on the repair of a fascial defect and hernia associated with any type of urostomy. A urostomy is a surgical opening created to divert urine away from the bladder, and it can take various forms, including cutaneous ureterostomy, cystostomy, or nephrostomy. The need for revision arises from complications such as stoma constriction or obstruction, prolapse of urinary tract tissue through the stoma, retraction of the stoma below the skin level, detachment from the skin, necrosis of the tissue, or the development of a parastomal hernia. The revision process may involve making an incision around the stoma to address any scar tissue or adhesions, and if necessary, relocating the stoma to a new site on the abdomen. This procedure not only addresses the functional aspects of the urostomy but also ensures the integrity of the surrounding tissue by repairing any defects or hernias that may have developed, thereby enhancing the overall health and comfort of the patient.