50845 Appendico-vesicostomy
Also known as: appendicovesicostomy, Mitrofanoff stoma, appendix stoma
Appendicovesicostomy (creation of Mitrofanoff stoma), surgical creation of catheterizable urinary outlet using appendix implanted into bladder or pouch.
In Plain Language
creating a catheterizable opening using the appendix
Clinical Context
Performed in neurogenic bladder or continent diversion cases where patient desires catheterizable outlet. Appendix provides continent mechanism.
RVU Breakdown
| Work RVU | 21.90 |
| Total RVU | 21.90 |
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 21.90, this code ranks in the 85th percentile among Surgery codes — 2.7x the median (8.00). The highest wRVU in this category is 106.19.
Specialties
Frequently Asked Questions
What is CPT code 50845?
CPT 50845 (Appendico-vesicostomy) is a Surgery code. Appendicovesicostomy (creation of Mitrofanoff stoma), surgical creation of catheterizable urinary outlet using appendix implanted into bladder or pouch.
What is the wRVU value for CPT 50845?
The work RVU for CPT 50845 is 21.90. This code is primarily used by Urology, Pediatric Urology. It has a 90-day global period.
When is CPT 50845 used?
Performed in neurogenic bladder or continent diversion cases where patient desires catheterizable outlet. Appendix provides continent mechanism.
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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.