CPT® Code 50820

The CPT® Code 50820 refers to the surgical procedure known as ureteroileal conduit, specifically utilizing a segment of the ileum to create a urinary diversion. This procedure is commonly performed in patients who have conditions such as bladder cancer, neurogenic bladder, radiation injury to the bladder, or intractable incontinence, among other indications. The operation involves a series of meticulous steps that include the incision of the abdomen, isolation of the small bowel, and mobilization of the ureters. The ureters are then divided and ligated, followed by the identification and isolation of the ileal segment that will serve as the conduit. The remaining bowel segments are reconnected to restore continuity. A stoma is created by pulling the distal end of the conduit through the abdominal wall and securing it to the skin, allowing for urine collection. This procedure is essential for patients who require a diversion of urine due to various urological conditions, providing them with a functional means of urine excretion.