Wiki Transileal nephrostomy

Shirleybala

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Hello:
Can we code like this for the below documentation, Please confirm.
CPT
50684
50688
74425
75984

The right lower quadrant, ileostomy, and existing drainage
catheter were prepped and draped in usual sterile manner.
Initially contrast injected into the catheter demonstrated the
catheter tip within the right renal pelvis. Minimal hydronephrosis
is visualized.

Using seldinger technique, the catheter was exchanged out over a
Amplatz super stiff wire, and a new, 10.2 French, 45 cm all
purpose
drainage catheter with locking loop was placed, positioned with
the tube with the up locking loop within the right renal pelvis.
Final contrast injection was performed to confirm positioning.
The ileostomy bag was replaced. The patient tolerated the
procedure well, left the department in stable condition.

Impression:

Fluoroscopically guided exchange of a 10.2 French, 45 cm
nephrostomy for
new, 10.2 Fr, 45 cm long right retrograde transileal nephrostomy
as above.
 
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