LTibbetts
Guest
I have a very brief op note description for
1. Cystolitholapaxy
2. Placement of right double-J ureteral stent
3. Shockwave lithotripsy to right renal calculi
Cystourethroscopy was notable for finding several small stones within the bladder and these were broken up and manually removed using a manual grasper. We did this until the bladder was free of stones. Over a guidewire, a double-J uretal stent was inserted into right kidney. The patient was then repositioned on the medispec EM1000 lithotripter so the two right renal stones were sequencially placed at the F2 focal point. We delivered 4200 shocks to two areas of stone. Intermittent flouroscopy was utilized to ensure the areas of stone were maintained at the F2 focal point. The stones then suggested some comminution and the patient was transferred to recovery.
The codes I have so far are 50590 and 52332. I want to add the 53217 for the manual break up of the stones in the beginning. Is that correct or am I way off?
Leslie, CPC
1. Cystolitholapaxy
2. Placement of right double-J ureteral stent
3. Shockwave lithotripsy to right renal calculi
Cystourethroscopy was notable for finding several small stones within the bladder and these were broken up and manually removed using a manual grasper. We did this until the bladder was free of stones. Over a guidewire, a double-J uretal stent was inserted into right kidney. The patient was then repositioned on the medispec EM1000 lithotripter so the two right renal stones were sequencially placed at the F2 focal point. We delivered 4200 shocks to two areas of stone. Intermittent flouroscopy was utilized to ensure the areas of stone were maintained at the F2 focal point. The stones then suggested some comminution and the patient was transferred to recovery.
The codes I have so far are 50590 and 52332. I want to add the 53217 for the manual break up of the stones in the beginning. Is that correct or am I way off?
Leslie, CPC