CPT® Code 51580

The procedure described by CPT® Code 51580 involves a complete cystectomy, which is the surgical removal of the entire bladder. This procedure is typically indicated for patients with severe bladder conditions, such as cancer, that necessitate the complete removal of the bladder. Following the cystectomy, a urinary diversion is created, which can be achieved through either a ureterosigmoidostomy or ureterocutaneous transplantation. In a ureterosigmoidostomy, the ureters, which are the tubes that carry urine from the kidneys, are connected to the sigmoid colon, allowing urine to be expelled through the rectum. Alternatively, in a ureterocutaneous transplantation, the ureters are connected to the skin surface, creating a stoma through which urine is drained externally. The procedure is performed using an intraperitoneal approach, which involves making an incision in the midline of the abdomen and carefully dissecting surrounding tissues and lymph nodes to access the bladder and ureters. This complex surgical intervention requires meticulous attention to detail to preserve surrounding structures and ensure proper urinary function post-surgery.