AHA Coding Clinic® for HCPCS - 2013 Quarter 3; Ask the Editor
Robotic-assisted ureteral implant with psoas hitch
What is the appropriate CPT code for a right robotic-assisted ureteral implant with psoas hitch? CPT code 50947 , Laparoscopy, surgical; ureteroneocystostomy with cystoscopy and ureteral stent placement, includes the implant but not the psoas hitch, therefore would it require an additional code to report the psoas hitch? We also considered CPT 50785 , Ureteroneocystostomy; with vesico-psoas hitch or bladder flap. Can you please provide guidance on the appropriate code for the procedure documented in the attached operative report? ...
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Article Overview
This article discusses CPT coding for a robotic-assisted ureteral implant procedure performed with a psoas hitch. It is aimed at coding professionals reviewing operative documentation and comparing related surgical options within urology and minimally invasive surgery. The guidance focuses on procedure selection and reporting considerations for the documented case.
Why This Topic Matters
Accurate reporting for robotic and laparoscopic urologic reconstruction depends on selecting the code that best matches the documented service and understanding whether additional reporting is supported by the operative note.
What You Will Learn
- How the article frames CPT selection for a robotic-assisted ureteral implant with psoas hitch
- What kinds of procedure-reporting considerations are discussed for minimally invasive urologic reconstruction
- How the article compares related CPT options for this surgical scenario
- What documentation-related factors are relevant to reviewing the operative report
Who Should Read This
- Medical coders
- Coding auditors
- Urology billing staff
- Revenue cycle professionals
Codes Discussed
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