treinemer
Networker
Hi all,
Can anyone help me out with a diagnosis code please? My Urology doc placed catheters for identification for another surgeon that was doing a colectomy on the patient. There is no diagnosis for placement of the catheters and google has failed to help me this time. Any suggestions?
Chart note below
PREOPERATIVE DIAGNOSIS(ES): No significant urological pathology. The patient
had a procedure done in order to assist in identification of the urological
structures during abdominal surgery.
POSTOPERATIVE DIAGNOSIS(ES):
SURGEON: Dr X
PROCEDURE: Cystoscopy and placement of ureteral catheters.
DESCRIPTION OF PROCEDURE: The patient was prepped and draped in lithotomy
position under general anesthetic. A #22 panendoscope was passed per urethra
into the bladder. The bladder was inspected. There were no stones, tumors, or
foreign bodies seen in the bladder. The posterior urethra revealed some mild
prostatic enlargement. Other then that, was unremarkable. The right orifice
was identified and a #5 whistle-tip was passed up to 25 cm. A similar
procedure was done on the left side. The two ureteral catheters were then
affixed to a #18 Foley so that they drained through the Foley into the catheter
bag. These were then sutured in place so that they could be removed
individually, depending on the findings at surgery. That portion of the
procedure was then terminated. The patient went on to have a procedure by Dr. Y
.
Can anyone help me out with a diagnosis code please? My Urology doc placed catheters for identification for another surgeon that was doing a colectomy on the patient. There is no diagnosis for placement of the catheters and google has failed to help me this time. Any suggestions?
Chart note below
PREOPERATIVE DIAGNOSIS(ES): No significant urological pathology. The patient
had a procedure done in order to assist in identification of the urological
structures during abdominal surgery.
POSTOPERATIVE DIAGNOSIS(ES):
SURGEON: Dr X
PROCEDURE: Cystoscopy and placement of ureteral catheters.
DESCRIPTION OF PROCEDURE: The patient was prepped and draped in lithotomy
position under general anesthetic. A #22 panendoscope was passed per urethra
into the bladder. The bladder was inspected. There were no stones, tumors, or
foreign bodies seen in the bladder. The posterior urethra revealed some mild
prostatic enlargement. Other then that, was unremarkable. The right orifice
was identified and a #5 whistle-tip was passed up to 25 cm. A similar
procedure was done on the left side. The two ureteral catheters were then
affixed to a #18 Foley so that they drained through the Foley into the catheter
bag. These were then sutured in place so that they could be removed
individually, depending on the findings at surgery. That portion of the
procedure was then terminated. The patient went on to have a procedure by Dr. Y
.
