Medical Coding

Category - 50,000 Series

A 6-month-old girl with recurrent urinary tract infections is found to have a congenital anatomical anomaly. Her ureters are not fully connected to the bladder. She is scheduled for bilateral ureteroneocystostomy. What CPT code should be used for this procedure?
  1. 50780
  2. 50785
  3. 50780, -50
  4. 50785, -50
Explanation
Answer: C - 50780 with modifier -50 is the correct code for bilateral ureteroneocystostomy, which is also known as the anastomosis of both ureters to the bladder.

Code 50780 is incorrect because this code is for a single-sided ureteroneocystostomy. Code 50785, with or without the modifier -50, are both incorrect because there was no vesico-psoas hitch or bladder flap done during this procedure.
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