I would do 50387-50 also.
50387: The physician removes and replaces an externally accessible transnephric ureteral stent under fluoroscopic guidance. A transnephric ureteral stent is one that is placed through the wall of the flank into the renal pelvis and down into the ureter to keep the ureter open. Contrast may be injected at the entry site to assess anatomy and positioning. The suture holding the pigtail in place is cut and a guidewire is threaded through the stent lumen until it exits the distal end. The original stent is removed over the guidewire. Diameter and length are noted for a new stent, which is threaded over the guidewire until the distal end forms within the bladder. Fluoroscopy is used to assess the proximal position of formation within the renal pelvis. After position is verified, the guidewire is removed and the suture is put in position to hold the pigtail in place. Contrast may be injected to check position and function. Final adjustments are made for patient comfort, and the catheter may be sutured to the skin, capped, or a drainage bag may be attached.
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