Urology Coding Alert

Question: I am looking for a code for ligation of accessory gonadal vein and scar and lysis of adhesions. The op report states the following: “After proper counseling and consent, the patient was brought to the operating room, where general anesthetic was given. She was placed in the modified left flank position after placement of a Foley catheter. She was prepped and draped in a sterile fashion. Above the umbilicus, the abdomen was insufflated with a Veress needle. A 12-mm port was placed in a triangular fashion. Two robotic ports were placed and then below the umbilicus, the air seal port was placed. The 30-degree down lens was used as well as the monopolar scissors and bipolar fenestrated graspers. The white line of Toldt was incised and the bowel was retracted medially. The ureter was identified in the pelvis and then a large gonadal vein was immediately seen adjacent to it. Tracing the ureter up, there was a large accessory branch of the gonadal vein that wrapped around the ureter causing obstruction. This was left initially intact and the ureter was traced all the way to the renal pelvis. There were adhesions around the renal pelvis as well as down to the obstructing vein. After lysis of the adhesions, the ureter was free. There was no obstruction at the ureteropelvic junction, and it was in a very dependent fashion. The accessory gonadal vein was then doubly ligated and the ureter was completely free and unobstructed. The wound was irrigated. There was no bleeding. The ports were removed, and the two 12 mm port sites were closed with a figure-of-eight 2-0 Vicryl suture. All sites were closed with subcuticular 4-0 Monocryl. Steri-Strips and Tegaderm dressings. The patient was transferred to recovery room in good condition.” What should I report for this procedure?

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