Hi all -
I'm probably overthinking this again, but I have not seen such a procedure. Note reads in part: "Cystoscopy was performed. Large amount of intestinal material was drained from bladder, along with food particles.... Eventually I found the fistulous tract, it was about 2cm." He did a cystogram which showed extravasation into the small bowel. I'm hung up on the draining of intestinal particles from the bladder. 52001 doesn't seem right because there's no mention of blood or clots. 52000 doesn't seem like enough. 51700 is out because it wasn't therapeutic lavage. I'm almost leaning 52315 because intestinal contents and food particles are certainly a foreign body. But I thought a second opinion would be helpful.
Thank you!!!!
I'm probably overthinking this again, but I have not seen such a procedure. Note reads in part: "Cystoscopy was performed. Large amount of intestinal material was drained from bladder, along with food particles.... Eventually I found the fistulous tract, it was about 2cm." He did a cystogram which showed extravasation into the small bowel. I'm hung up on the draining of intestinal particles from the bladder. 52001 doesn't seem right because there's no mention of blood or clots. 52000 doesn't seem like enough. 51700 is out because it wasn't therapeutic lavage. I'm almost leaning 52315 because intestinal contents and food particles are certainly a foreign body. But I thought a second opinion would be helpful.
Thank you!!!!