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The CPT® Code 50920 refers to the surgical procedure known as the closure of a ureterocutaneous fistula. A ureterocutaneous fistula is defined as an abnormal connection between the ureter, which is a tube that carries urine from the kidney to the bladder, and the skin. This condition can lead to urine leakage onto the skin, which may cause significant discomfort and increase the risk of infection. The procedure involves identifying the fistula tract, which is the abnormal pathway connecting the ureter to the skin, and excising it to eliminate the abnormal communication. During the surgery, the exposed ureter is carefully examined, and any necessary debridement of the fistulous opening is performed to ensure that the tissue is healthy before closure. The closure process involves suturing the ureter and the surrounding skin and subcutaneous tissues to restore normal anatomy and function. This procedure is critical for patients suffering from this type of fistula, as it aims to prevent further complications and improve the quality of life.
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