Urology Coding Alert

How would you report this procedure? Test your operative report interpretation skills with this case study from a Urology Coding Alert subscriber in Alabama. Operative Procedure: The patient was brought to the operating room with IV fluids running and was placed in the dorsal lithotomy position following induction of general anesthesia. The skin over the lower abdomen, genitalia, perineum and upper thighs was prepared with chlorhexidine. The area is draped in a sterile fashion. The urethral meatus was dilated to 30-French using VanBuren sounds, still unable to grasp and extract the impacted distal urethral calculus. A cystoscope was inserted into the urethra. The stone was manipulated back into the more spacious bulbar urethra. The 550 micron Holmium laser fiber was advanced via the scope and was used to sequentially fragment the stone into easily passable or basket extractable fragments at a power of 6.4 watts. After fragmentation a Segura mini basket was used to extract larger [...]