CPT® Code 50980

Ureteral endoscopy through ureterotomy, 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 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 enhance visibility. Additionally, diagnostic or therapeutic solutions may be instilled into the ureter for further evaluation or treatment. In some cases, contrast material may be injected to facilitate ureteropyelography, a radiologic procedure that provides imaging of the urinary tract, although this imaging service is not included in the CPT® code for ureteral endoscopy. The procedure may also involve the removal of foreign bodies or calculi, which can be accomplished using a grasping device or basket that is advanced through the working channel of the ureteroscope. After the foreign body or calculus is captured, it is carefully removed from the ureter. The ureter is then re-inspected to ensure that no injury has occurred during the procedure, confirming the integrity of the ureter post-intervention. This comprehensive approach allows for effective diagnosis and treatment of various ureteral conditions while minimizing patient recovery time and complications.