50290 Excision perinephric cyst
Also known as: perinephric cyst excision, perirenal cyst removal, cyst resection
Surgical excision of a perinephric cyst (cyst outside the kidney capsule but within the perirenal space).
In Plain Language
surgical removal of cyst around kidney; kidney surrounding cyst removal
Clinical Context
Used for symptomatic perinephric cysts causing flank pain, obstruction, or infection. Usually requires careful dissection to avoid renal vessel injury.
RVU Breakdown
| Work RVU | 15.75 |
| Total RVU | 15.75 |
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 15.75, this code ranks in the 75th percentile among Surgery codes — 2.0x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50290?
CPT 50290 (Excision perinephric cyst) is a Surgery code. Surgical excision of a perinephric cyst (cyst outside the kidney capsule but within the perirenal space).
What is the wRVU value for CPT 50290?
The work RVU for CPT 50290 is 15.75. This code is primarily used by Urology, General Surgery. It has a 90-day global period.
When is CPT 50290 used?
Used for symptomatic perinephric cysts causing flank pain, obstruction, or infection. Usually requires careful dissection to avoid renal vessel injury.
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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.