Just looking for some clarification on this procedure. I know 52332 and 52005 are bundled. However, would it suffice using: 52332 - RT & 52005- 59-LT?
Op note below for procedure details.
Under general anesthesia, the patient was placed in the dorsal lithotomy position and the area of the external genitalia was prepped and draped in standard fashion. Appropriate timeout was undertaken. Rigid cystoscope was carefully passed per urethra into the bladder and the bladder was irrigated. A wire was passed adjacent to the right ureteral stent and once under fluoroscopy, it was in the renal pelvis. The stent was removed with graspers. A wire was then backloaded over the cystoscope and a 6-French 26 cm double-J stent was deployed in standard fashion. The proximal end coiled in the region of the renal pelvis and the distal end coiled over the trigone. An open-ended ureteral catheter was then advanced into the left ureteral orifice. Contrast was instilled. There was some dilation of the left ureter with mild caliectasis. On delayed films, the contrast left the left ureter quickly and I opted not to place a ureteral stent. The bladder was emptied, the scope was removed and he was transferred to postoperative holding in stable condition.
Thanks!
Op note below for procedure details.
Under general anesthesia, the patient was placed in the dorsal lithotomy position and the area of the external genitalia was prepped and draped in standard fashion. Appropriate timeout was undertaken. Rigid cystoscope was carefully passed per urethra into the bladder and the bladder was irrigated. A wire was passed adjacent to the right ureteral stent and once under fluoroscopy, it was in the renal pelvis. The stent was removed with graspers. A wire was then backloaded over the cystoscope and a 6-French 26 cm double-J stent was deployed in standard fashion. The proximal end coiled in the region of the renal pelvis and the distal end coiled over the trigone. An open-ended ureteral catheter was then advanced into the left ureteral orifice. Contrast was instilled. There was some dilation of the left ureter with mild caliectasis. On delayed films, the contrast left the left ureter quickly and I opted not to place a ureteral stent. The bladder was emptied, the scope was removed and he was transferred to postoperative holding in stable condition.
Thanks!