Leaning towards unlisted code but not sure what to benchmark to? 51020? Also, would the lymphadenectomy be included? 38770? Any suggestions appreciated!
Procedures Panel 1 Procedures: RIGHT URETERAL EXPLORATION (R) CYSTOTOMY WITH OPEN REMOVAL 5 CM BLADDER TUMOR RIGHT PELVIC LYMPHADENECTOMY
Pre-op Diagnosis * Malignant neoplasm of right ureter (HCC) [C66.1]
Post-op Diagnosis * Malignant neoplasm of right ureter (HCC) [C66.1]
Description: right pelvic lymph node 2 Urinary Bladder Tissue
PATIENT WAS PLACED IN THE SUPINE POSITION PREPPED AND DRAPED IN THE USUAL MANNER. AN INCISION WAS MADE FROM THE UMBILICUS TO THE PUBIC SYMPHYSIS AND CARRIED DOWN TO THE RECTUS FASCIA WHICH WAS OPENED AND THE RETROPUBIC SPACE WAS ENTERED. A RIGHT PELVIC LYMPHADENECTOMY WAS PERFORMED LYMPH A STASIS WAS OBTAINED WITH CLIPS. RIGHT URETER WAS LOCATED. IN THE PROCESS THE PERITONEUM WAS OPENED REQUIRING CLOSURE WITH 2 0 VICRYL. ONCE THIS WAS DONE A CYSTOTOMY WAS PERFORMED. THE BLADDER TUMOR WHICH WAS NEAR THE URETERAL ORIFICE BUT NOT INVOLVING IT WAS LOCATED IT WAS WIDELY EXCISED WITH FULL-THICKNESS OF BLADDER. THE URETERAL ORIFICE WAS STENTED WITH A 6. QUADRA COIL STENT. WE THEN CLOSED THE AREA OF EXCISION OF THE BLADDER TUMOR WITH 2 0 VICRYL IN 2 LAYERS. THE CATHETER HAD THE STRING OF THE STENT ATTACHED TO IT. THE BLADDER WAS CLOSED WITH 2 LAYERS OF 2 0 VICRYL. THE FASCIA WAS THEN CLOSED WITH 1. PROLENE. THE SKIN WITH STAPLES DRESSING APPLIED
Procedures Panel 1 Procedures: RIGHT URETERAL EXPLORATION (R) CYSTOTOMY WITH OPEN REMOVAL 5 CM BLADDER TUMOR RIGHT PELVIC LYMPHADENECTOMY
Pre-op Diagnosis * Malignant neoplasm of right ureter (HCC) [C66.1]
Post-op Diagnosis * Malignant neoplasm of right ureter (HCC) [C66.1]
Description: right pelvic lymph node 2 Urinary Bladder Tissue
PATIENT WAS PLACED IN THE SUPINE POSITION PREPPED AND DRAPED IN THE USUAL MANNER. AN INCISION WAS MADE FROM THE UMBILICUS TO THE PUBIC SYMPHYSIS AND CARRIED DOWN TO THE RECTUS FASCIA WHICH WAS OPENED AND THE RETROPUBIC SPACE WAS ENTERED. A RIGHT PELVIC LYMPHADENECTOMY WAS PERFORMED LYMPH A STASIS WAS OBTAINED WITH CLIPS. RIGHT URETER WAS LOCATED. IN THE PROCESS THE PERITONEUM WAS OPENED REQUIRING CLOSURE WITH 2 0 VICRYL. ONCE THIS WAS DONE A CYSTOTOMY WAS PERFORMED. THE BLADDER TUMOR WHICH WAS NEAR THE URETERAL ORIFICE BUT NOT INVOLVING IT WAS LOCATED IT WAS WIDELY EXCISED WITH FULL-THICKNESS OF BLADDER. THE URETERAL ORIFICE WAS STENTED WITH A 6. QUADRA COIL STENT. WE THEN CLOSED THE AREA OF EXCISION OF THE BLADDER TUMOR WITH 2 0 VICRYL IN 2 LAYERS. THE CATHETER HAD THE STRING OF THE STENT ATTACHED TO IT. THE BLADDER WAS CLOSED WITH 2 LAYERS OF 2 0 VICRYL. THE FASCIA WAS THEN CLOSED WITH 1. PROLENE. THE SKIN WITH STAPLES DRESSING APPLIED