Can we code the following procedure with
50393
50394
74480-26 &
74425-26
RIGHT ANTEGRADE NEPHROSTOGRAM
RIGHT NEPHRO-URETERAL STENT
The previously placed right nephrostomy catheter was prepped and
draped in a sterile fashion. Via the catheter, contrast was
injected and right antegrade nephrostogram was performed. The
catheter was exchanged over a guidewire for a 7-French vascular
sheath. Contrast examination of the right ureter was performed.
Via the sheath, a 5-French Bernstein catheter was manipulated
across a stricture of the right ureter just proximal to the
previously identified right distal ureteral stone. A guidewire
was placed in the bladder and a 8-French 26-cm nephro-ureteral
stent was placed.
There were no immediate complications.
Findings:
Antegrade nephrostogram demonstrates a nondilated collecting
system. There is mild right hydroureter to the level of the
distal right ureter. A 3-cm long severe stenosis of the right
ureter is present just proximal to a level 1.5 cm long distal
right ureteral stone. Contrast fills a mildly small capacity
bladder with evidence of BPH.
The etiology of the above stricture is uncertain and could
represent inflammatory change. The possibility of neoplasm cannot
be excluded.
The distal ureter and ureteral stone were crossed and a 8-French
26-cm long nephroureteral catheter was placed. The distal loop of
the catheter is in the bladder. The proximal loop is in the right
renal pelvis.
IMPRESSION:
The right ureter was crossed and a guidewire was passed into the
bladder. An 8-French, 26-cm long nephro-ureteral stent was
placed. The patient will leave the stent to gravity drainage for
24 hours and then the stent will be capped.
50393
50394
74480-26 &
74425-26
RIGHT ANTEGRADE NEPHROSTOGRAM
RIGHT NEPHRO-URETERAL STENT
The previously placed right nephrostomy catheter was prepped and
draped in a sterile fashion. Via the catheter, contrast was
injected and right antegrade nephrostogram was performed. The
catheter was exchanged over a guidewire for a 7-French vascular
sheath. Contrast examination of the right ureter was performed.
Via the sheath, a 5-French Bernstein catheter was manipulated
across a stricture of the right ureter just proximal to the
previously identified right distal ureteral stone. A guidewire
was placed in the bladder and a 8-French 26-cm nephro-ureteral
stent was placed.
There were no immediate complications.
Findings:
Antegrade nephrostogram demonstrates a nondilated collecting
system. There is mild right hydroureter to the level of the
distal right ureter. A 3-cm long severe stenosis of the right
ureter is present just proximal to a level 1.5 cm long distal
right ureteral stone. Contrast fills a mildly small capacity
bladder with evidence of BPH.
The etiology of the above stricture is uncertain and could
represent inflammatory change. The possibility of neoplasm cannot
be excluded.
The distal ureter and ureteral stone were crossed and a 8-French
26-cm long nephroureteral catheter was placed. The distal loop of
the catheter is in the bladder. The proximal loop is in the right
renal pelvis.
IMPRESSION:
The right ureter was crossed and a guidewire was passed into the
bladder. An 8-French, 26-cm long nephro-ureteral stent was
placed. The patient will leave the stent to gravity drainage for
24 hours and then the stent will be capped.