Question: My urologist performed a cystoscopy, transurethral incision of an orthotopic ureterocele, ureteroscopy, and a double J stent placement. I have drawn a blank on how to report the ureterocele incision. Here is the doctor’s note: “A 24 resectoscope was introduced without any difficulty. Subsequently I went ahead and then used the Collin knife on the resectoscope and using pure cutting, I went ahead and made two incisions in the distal ureter laterally and inferior almost at the level of the floor of the bladder in the lateral and the medial aspect of the ureteral opening. The ureterocele opened up nicely. The flap of the tissue was raised up and this appeared to collapse well.” How should I report this?
Medical Coding News – Annual Membership
Only $19.99 per year .
Get your medical coding and billing news in one place all for pennies per day!
Over 1,000 articles on medical coding and billing!