Urology Coding Alert
Antegrade Cystoscopies Through Established SP Tract
Operative note reads: "The urethrotome on a 12 degree scope was introduced into the urethra. In the mid-pendulous urethra, there was a small stricture that was incised, and easily passed with the scope. At the level of the membranous/prostatic urethra, there was a blind end, and there was not even a pinhole opening into the proximal urethra and bladder.
The decision at this time was to perform antegrade cystoscopy, and attempt to "cut to the light," to see if we could find a tract into the bladder. The suprapubic tube was removed by the nursing staff and the suprapubic area was prepped and draped in a sterile fashion. A flexible cystoscope was introduced into the bladder through the suprapubic tract and the bladder was examined. There was several trabeculations. There were no masses, lesions, or stones. There was some inflammation, consistent with the patient's previous history of having an indwelling suprapubic tube. The prostatic urethra was entered and a blind end was reached proximally. Attention was then turned to the distal urethra. Again the urethrotome was inserted, and the light was turned off. An attempt was made to see where the light was coming from proximally. There was some idea of where the light was and initial attempts were made to cut through dense scar tissue. Unfortunately, we were unable to connect the passages both proximally and distally, and the procedure was aborted with fear of damaging the urethra."
Illinois Subscriber
How would you code this procedure? Check your answers in the next issue of Urology Coding Alert!
Urology Coding Alert
- Antegrade Cystoscopies Through Established SP Tract
Question:How should I code the following procedure:
Operative note reads: "The urethrotome on [...] - CCI 18.2:
53860: Remodel Your Urethral Procedure Coding Thanks to CCI 18.2
Look to the modifier indicator to see if you can ever break the bundles. If [...] - ICD-10:
Proposal Comments Show Split Opinions Abound on Pros and Cons of ICD-10 Delay
Plus, the AMA wants a further delay to 2015.Whether you submitted comments to CMS about [...] - You Be the Coder:
Antegrade Cystoscopies Through Established SP Tract
Question: How should I code the following procedure:Operative note reads: "The urethrotome on a 12 [...] - News You Can Use:
Supreme Court Upholds ACA Legality -- What Does It Mean for Urology Practices?
Review the opinions of these top-in-the-field urology professionals on how ACA will affect the industry. [...] - Reader Question:
Stick With 52353 x 1, Despite Multiple Stones
Question: My doctor did a cysto, ureteroscopy, holmium laser, and stone basket extraction of five [...] - Reader Question:
Turn to 51999 for Robotic Cystectomy Technique
Question: My urologist performed a robotic-assisted partial cystectomy. What code should I report?Washington DC SubscriberAnswer: [...] - Reader Question:
Don't Code 'Standing Order' Urinalysis Tests
Question: I just read the Urology Coding Alert article "81001-81003? The Order May Clinch the [...] - Reader Question:
1 vs. 2 Codes for Penile Prosthesis Procedure Depends on Payer
Question: How would you code the removal of a three piece penile prosthesis and the [...]
