CPT® Code 50976

Ureteral endoscopy through ureterotomy, with or without irrigation, instillation, or ureteropyelography, exclusive of radiologic service; with fulguration and/or incision, with or without biopsy

Ureteral endoscopy is a minimally invasive procedure that involves the examination and treatment of the ureter, which is the tube that carries urine from the kidney to the bladder. This procedure is performed through an incision in the ureter, allowing direct access to the ureteral lumen. The process begins with the creation of a small incision in the ureter, through which a ureteroscope—a specialized endoscopic instrument—is introduced. This instrument enables the physician to visually inspect the ureter for any abnormalities, such as abnormal tissue growths, foreign bodies, or calculi (stones). During the procedure, the ureter may be irrigated with normal saline to clear any debris or to facilitate better visualization. Additionally, diagnostic or therapeutic solutions may be instilled into the ureter to aid in treatment. If necessary, contrast material can be injected to perform ureteropyelography, a radiologic examination of the ureter and renal pelvis, although this service is not included in the CPT® code 50976. The procedure may also involve obtaining tissue samples through biopsy, which is performed using biopsy forceps introduced via the ureteroscope. Furthermore, the procedure allows for the fulguration (destruction) of abnormal tissue using an electrocautery device, laser, or cryoprobe, or for the incision of abnormal tissue using a surgical blade. This comprehensive approach enables the physician to effectively diagnose and treat various ureteral conditions while minimizing patient recovery time and complications associated with more invasive surgical techniques.