CPT® Code 50948

Laparoscopy, surgical ureteroneocystostomy is a minimally invasive surgical procedure that involves the reattachment of the ureter to the bladder. This procedure is performed using a laparoscopic approach, which means that it is done through small incisions rather than a large open incision. The term "ureteroneocystostomy" refers to the surgical creation of a new connection between the ureter and the bladder. In this specific procedure, coded as CPT® 50948, the surgery is conducted without the use of cystoscopy or the placement of a ureteral stent. The process begins with the creation of a small incision below the umbilicus, through which a trocar is inserted to access the peritoneal cavity. A laparoscope is then introduced to allow visualization of the internal structures. The abdomen is insufflated to create space for the surgical instruments, which are introduced through additional small incisions. The surgeon carefully dissects the ureter under laparoscopic control, mobilizing it from its proximal location down to the ureterovesical junction, where it connects to the bladder. An incision is made in the bladder wall to form a trough at the site where the ureter will be reattached. The ureter is then inserted into this trough and sutured to the bladder, ensuring a secure connection. This procedure is essential for patients who may have experienced ureteral obstruction or other complications affecting the urinary tract, allowing for the restoration of normal urinary function.