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CPT 50389: Fluoroscopy-Guided Nephrostomy Tube Removal
CPT code 50389 captures the fluoroscopy-guided removal of a nephrostomy tube from the renal collecting system when the tube is no longer needed for urinary drainage. This code is relevant to interventional radiology and urology practices and matters nationally because nephrostomy tube management is a common component of care for patients with urinary obstruction, postoperative drainage needs, or complex genitourinary conditions.
Key payers in scope include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical context of the service, typical sites of care, and the primary administrative considerations associated with billing this procedure. The publication summarizes common modifiers used with this service and highlights where data is available or not in the input.
The report provides benchmarks and coding guidance context where available, outlines typical clinical scenarios for nephrostomy tube removal, and notes payor coverage considerations at a national level. Data not available in the input include specific ICD-10 diagnoses, associated taxonomies, related codes, and payer-specific reimbursement rates.
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Billing Code Overview
CPT code 50389 describes the removal of a nephrostomy tube from the renal collecting system when it is no longer required for urinary drainage. The procedure is performed with the use of fluoroscopy when an indwelling ureteral stent or other condition necessitates image guidance.
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Service type: Image-guided removal of a percutaneous nephrostomy tube
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Typical site of service: Interventional radiology suite, ambulatory surgery center, or hospital outpatient setting