Wiki Difficult Foley catheter removal

moc12

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Fellow Urology Coders:

Patient came in for foley catheter removal. The balloon would not deflate after several attempts. The urologist placed a vaginal speculum for better visualization and used a 18 gauge needle (after local anesthesia was given) which was then passed through the vaginal epithelium into the balloon. The balloon then decreased in size and was pulled through the urethra.

I realize that there is no CPT code for removal of foley catheters; simple or complicated. Would this be included in a E/M service?
Any help would be appreciated.

thanks!
 
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