50385 Change stent via transureth
Also known as: transurethral stent exchange, TUS exchange, cystoscopic stent change
Transurethral change (exchange) of an indwelling ureteral stent under endoscopic visualization through the urethra and bladder.
In Plain Language
replacement of kidney drainage tube through urine opening; stent replacement through bladder
Clinical Context
Used for routine stent maintenance via cystoscopy without need for percutaneous access. Preferred approach for patients with intact urinary tracts.
RVU Breakdown
| Work RVU | 4.09 |
| Total RVU | 4.09 |
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 0-day global period, meaning pre- and post-operative E&M visits are billable separately on the same day. Ensure the diagnosis code (ICD-10) supports medical necessity for the procedure.
How This Code Compares
With a work RVU of 4.09, this code ranks in the 28th percentile among Surgery codes — 2.0x below the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50385?
CPT 50385 (Change stent via transureth) is a Surgery code. Transurethral change (exchange) of an indwelling ureteral stent under endoscopic visualization through the urethra and bladder.
What is the wRVU value for CPT 50385?
The work RVU for CPT 50385 is 4.09. This code is primarily used by Urology.
When is CPT 50385 used?
Used for routine stent maintenance via cystoscopy without need for percutaneous access. Preferred approach for patients with intact urinary tracts.
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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.