CPT® Code 50961

Ureteral endoscopy through established ureterostomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with removal of foreign body or calculus

Ureteral endoscopy is a minimally invasive procedure that involves the examination and treatment of the ureter, which is the duct that carries urine from the kidney to the bladder. This specific procedure, identified by CPT® Code 50961, is performed through an established ureterostomy, which is an opening created surgically to allow urine to exit the body directly from the ureter. During this procedure, a ureteroscope—a thin, flexible tube equipped with a camera and light—is introduced through the ureterostomy to visualize the ureter's interior. The primary goal of this endoscopic examination is to inspect the ureter for any abnormal tissue, foreign bodies, or calculi (stones) that may be obstructing the urinary tract. In addition to visual inspection, the procedure may involve irrigation of the ureter with normal saline to clear any debris or enhance visibility. Furthermore, diagnostic or therapeutic solutions can be instilled to aid in the evaluation or treatment of identified issues. If necessary, contrast material may be injected to perform ureteropyelography, a radiologic procedure that provides detailed images of the urinary tract, although this specific service is not included in the CPT® Code 50961. If a foreign body, such as a stent or a calculus, is detected during the inspection, the physician can utilize specialized instruments, such as a grasping device or basket, to capture and remove the obstruction. After the removal of the foreign body or calculus, the ureter is re-inspected to ensure that no injury has occurred during the procedure. This comprehensive approach allows for effective management of ureteral obstructions while minimizing the need for more invasive surgical interventions.