50130 Pyelotomy with removal calculus
Also known as: pyelotomy with stone removal, open stone extraction, pyelolithotomy
Pyelotomy (incision into the renal pelvis) with removal of calculus (stone) from the renal pelvis or calyces.
In Plain Language
surgical removal of kidney stones; surgical opening and stone removal
Clinical Context
Used for accessible renal stones when percutaneous or less invasive approaches are not feasible. Common indications include anatomically inaccessible stones, solitary kidneys, or coagulopathy.
RVU Breakdown
| Work RVU | 18.35 |
| Total RVU | 18.35 |
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 18.35, this code ranks in the 80th percentile among Surgery codes — 2.3x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50130?
CPT 50130 (Pyelotomy with removal calculus) is a Surgery code. Pyelotomy (incision into the renal pelvis) with removal of calculus (stone) from the renal pelvis or calyces.
What is the wRVU value for CPT 50130?
The work RVU for CPT 50130 is 18.35. This code is primarily used by Urology, General Surgery. It has a 90-day global period.
When is CPT 50130 used?
Used for accessible renal stones when percutaneous or less invasive approaches are not feasible. Common indications include anatomically inaccessible stones, solitary kidneys, or coagulopathy.
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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.