• If this is your first visit, be sure to check out the FAQ & read the forum rules. To view all forums, post or create a new thread, you must be an AAPC Member. If you are a member and have already registered for member area and forum access, you can log in by clicking here. If you've forgotten the password it can be reset on our sign in section by entering your registered Email Address or Username here. To start viewing messages, select the forum that you want to visit from the selection below..

Wiki ileocystoplasty

Create Wiki
M

micalbee65

Contributor
Messages
12
Best answers
0
Need some help here. My Doctor removed the ureters and found that one was duplicated. He then did a cystotomy and "split the bladder in half". From there he removed a portion of the Ileum and opened it up and then that portion was brought down and sewed to the bladder. Once half of the anastomosis was performed, ureteral reimplant was carried out into the bowel segment. The Ureters on the right side were passed through the right side of the bowel segment (now part of the bladder) and sewn in place and then the left side ureter was reimplanted in the same fashion. The remainder of the closure of the Ileocystoplasy was performed closing the lateral and anterior aspects of the cystotomy.... . I have CPT's
51960 Enterocystoplasty, including intesinal anastomosis
but having trouble with the ureteral anastomosis.
50780/50782 for the single and for the duplicated ureters
not sure if I am even close..
Please help.
 
I don't have my CPT with me, but I'd probably use the ureter to intestine code with modifier -50 (or right and left depending on the carrier) and add modifier -22 to explain the duplicate ureter.
 
You must log in or register to reply here.
Top