I am thinking 50392/74475 but the conversion is throwing me off. Any input is appreciated.
Melissa Bedford,CCS,CPC
INDICATION: 77-year-old male with history of bladder and prostate cancer. Patient had a nephro ureterostomy catheter placed for left-sided hydronephrosis. Patient is here for conversion of nephroureterostomy tube to a retrograde nephrostomy.
MEDICATIONS:
1. 1% lidocaine for local anesthesia.
2. Deep sedation was provided by the anesthesia service.
Fluoroscopy time: 23.6 minutes.
FINDINGS:
The indwelling nephroureterostomy catheter was prepped and draped in usual sterile fashion as well as the ostomy for ileal conduit. A Glidewire was placed over the nephroureterostomy catheter and the catheter was removed. Using assistance with a Kumpe
catheter, the ileal conduit was then negotiated and the Glidewire eventually exited the ostomy. In retrograde fashion over the Glidewire, a 10 French 45 cm all-purpose drainage catheter was placed. Injection of contrast revealed the tip of the catheter
within the left renal pelvis. Sterile covering was placed over the ostomy.
Impression: IMPRESSION:
Successful conversion of nephroureterostomy to 10F 45 cm retrograde nephrostomy. Exchange of the retrograde nephrostomy catheter is recommended every 3 to 6 months.
Melissa Bedford,CCS,CPC
INDICATION: 77-year-old male with history of bladder and prostate cancer. Patient had a nephro ureterostomy catheter placed for left-sided hydronephrosis. Patient is here for conversion of nephroureterostomy tube to a retrograde nephrostomy.
MEDICATIONS:
1. 1% lidocaine for local anesthesia.
2. Deep sedation was provided by the anesthesia service.
Fluoroscopy time: 23.6 minutes.
FINDINGS:
The indwelling nephroureterostomy catheter was prepped and draped in usual sterile fashion as well as the ostomy for ileal conduit. A Glidewire was placed over the nephroureterostomy catheter and the catheter was removed. Using assistance with a Kumpe
catheter, the ileal conduit was then negotiated and the Glidewire eventually exited the ostomy. In retrograde fashion over the Glidewire, a 10 French 45 cm all-purpose drainage catheter was placed. Injection of contrast revealed the tip of the catheter
within the left renal pelvis. Sterile covering was placed over the ostomy.
Impression: IMPRESSION:
Successful conversion of nephroureterostomy to 10F 45 cm retrograde nephrostomy. Exchange of the retrograde nephrostomy catheter is recommended every 3 to 6 months.