Bernadette10
Guru
Can anything be coded for the fulguration of the oozing in the bladder wall after the injections? It seems like there was extra work done, but I didn't find anything except 52287 that would fit.
Diagnosis: OAB (overactive bladder)
CYSTOSCOPY, BLADDER BOTOX INJECTIONS, BLADDER FULGURATION
A rigid cystoscope was introduced per urethra and passed into the bladder under direct vision. The urethra and bladder were thoroughly examined with findings as noted below. 100U of Botox was injected in 20 equal aliquots of 0.5ml into the detrusor muscle. Care was taken to avoid blood vessels and the ureteral orifices.
Once the injections were completed the entire bladder was inspected. There was 1 injection site on the posterior wall that was oozing and did not respond to pressure. Therefore, I decided to fulgurate this area with a Bugbee electrode. Once this was completed hemostasis was excellent and there was no bleeding in the bladder.
Diagnosis: OAB (overactive bladder)
CYSTOSCOPY, BLADDER BOTOX INJECTIONS, BLADDER FULGURATION
A rigid cystoscope was introduced per urethra and passed into the bladder under direct vision. The urethra and bladder were thoroughly examined with findings as noted below. 100U of Botox was injected in 20 equal aliquots of 0.5ml into the detrusor muscle. Care was taken to avoid blood vessels and the ureteral orifices.
Once the injections were completed the entire bladder was inspected. There was 1 injection site on the posterior wall that was oozing and did not respond to pressure. Therefore, I decided to fulgurate this area with a Bugbee electrode. Once this was completed hemostasis was excellent and there was no bleeding in the bladder.