50120 Pyelotomy with exploration
Also known as: pyelotomy, renal pelvis exploration, open stone removal
Pyelotomy (incision into the renal pelvis) with exploration of the renal pelvis and calyces, typically for stone removal or diagnosis.
In Plain Language
surgical opening of kidney pelvis; surgical exploration of kidney pelvis
Clinical Context
Used for exploration of the renal pelvis when stones or other pathology is suspected. Often combined with other procedures such as calyceal diverticulum management or infection treatment.
RVU Breakdown
| Work RVU | 16.78 |
| Total RVU | 16.78 |
Est. Medicare Payment
National estimate based on 2026 CMS PFS Conversion Factor ($33.40). Actual payment varies by locality (GPCI adjustment).
Billing & Documentation
As a surgical CPT code, proper documentation must include the operative report detailing the procedure performed, patient positioning, approach, findings, and any complications. This code has a 90-day global period, which includes the day of the procedure, 1 day preoperative, and 90 days of postoperative care. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 16.78, this code ranks in the 77th percentile among Surgery codes — 2.1x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50120?
CPT 50120 (Pyelotomy with exploration) is a Surgery code. Pyelotomy (incision into the renal pelvis) with exploration of the renal pelvis and calyces, typically for stone removal or diagnosis.
What is the wRVU value for CPT 50120?
The work RVU for CPT 50120 is 16.78. This code is primarily used by Urology, General Surgery. It has a 90-day global period.
When is CPT 50120 used?
Used for exploration of the renal pelvis when stones or other pathology is suspected. Often combined with other procedures such as calyceal diverticulum management or infection treatment.
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CPT® is a registered trademark of the American Medical Association. Data sourced from CMS Physician Fee Schedule RVU26A. Descriptions, synonyms, and clinical context are original content by RVU Edge.