CPT® Code 51060

The CPT® Code 51060 refers to a surgical procedure known as transvesical ureterolithotomy, which is performed to remove stones (calculi) from the ureter, specifically when they are located in the distal aspect. This procedure involves a series of meticulous steps that begin with a skin incision in the lower abdomen, allowing access to the urinary bladder. The surgical team dissects through various layers of tissue, including the anterior rectus muscle sheath, and separates the rectus abdominus and pyramidalis muscles to gain access to the peritoneal cavity. Once the urinary bladder is exposed, an incision is made in its wall to facilitate the removal of the stone. The use of stay sutures is critical in this procedure, as they help to stabilize the bladder wall and create a clear surgical field for the incision. The surgeon then makes a stab incision to access the ureteral orifice, enlarging it to locate the stone. After extracting the calculus, the ureter and bladder incisions are carefully closed in layers to ensure proper healing. This procedure is typically indicated when less invasive methods of stone removal are not feasible or have failed, making it a vital option in urological surgery.