AAPC - July Freedom Sale
Results 1 to 4 of 4

Thread: POUCHOGRAM/rETROGRADE INTO COLONIC POUCH

  1. #1

    Default POUCHOGRAM/rETROGRADE INTO COLONIC POUCH

    Guys,
    Not really an IR, but do you code these, or if you did, which procedure code would you use?
    Thanks.
    Margie

    Indications:

    Reason:21 year old girl with history of small neurogenic bladder s/p creation of transverse colon conduit with stomal pain, please evaluate conduit



    Interpretation: Pouchogram
    History.21-year-old with history of small neurogenic bladder,
    post transverse colon conduit, stones seen in the right ureter
    is CT scan October 09, 2013
    Technique retrograde contrast water-soluble contrast into the
    colonic pouch following placement of the Foley catheter placement
    of 5 cc air in ballon in the opening, of conduit

    Finding plain radiograph of the abdomen prior to the study shows
    absence of sacrum and coccyx. Surgical clips is seen in the right
    side of the pelvis, ostomy seen on the left side overlying the
    left iliac bone.
    No filling defect is seen within conduit pouch, no extravasation
    of the contrast seen through the conduit. Initially reflux
    occurred to the left mildly dilated and tortuous ureter up to the
    collecting system which is moderately dilated, later reflux
    occurred into right ureter reaching the right collecting system
    without obstruction collecting system of the right kidney is
    mildly dilated following removal of the Foley catheter the pouch
    is completely drained, residual contrast is seen within the
    tortuous left ureter and dilated . left collecting system, and
    collecting system of the right kidney.

    IMPRESSION
    Colonic conduit demonstrate with no evidence of
    extravasation or obstruction, reflux of contrast seen first to
    the left ureter and collecting system followed to the right
    ureter and collecting system without obstruction.

  2. #2

    Default Retrograde into Colonic Pouch

    Hey Guys,
    Can someone give me an opinion on this?

  3. #3
    Join Date
    Apr 2007
    Location
    Birmingham, Alabama
    Posts
    887

    Default

    Quote Originally Posted by margaret fahy View Post
    Guys,
    Not really an IR, but do you code these, or if you did, which procedure code would you use?
    Thanks.
    Margie

    Indications:

    Reason:21 year old girl with history of small neurogenic bladder s/p creation of transverse colon conduit with stomal pain, please evaluate conduit



    Interpretation: Pouchogram
    History.21-year-old with history of small neurogenic bladder,
    post transverse colon conduit, stones seen in the right ureter
    is CT scan October 09, 2013
    Technique retrograde contrast water-soluble contrast into the
    colonic pouch following placement of the Foley catheter placement
    of 5 cc air in ballon in the opening, of conduit

    Finding plain radiograph of the abdomen prior to the study shows
    absence of sacrum and coccyx. Surgical clips is seen in the right
    side of the pelvis, ostomy seen on the left side overlying the
    left iliac bone.
    No filling defect is seen within conduit pouch, no extravasation
    of the contrast seen through the conduit. Initially reflux
    occurred to the left mildly dilated and tortuous ureter up to the
    collecting system which is moderately dilated, later reflux
    occurred into right ureter reaching the right collecting system
    without obstruction collecting system of the right kidney is
    mildly dilated following removal of the Foley catheter the pouch
    is completely drained, residual contrast is seen within the
    tortuous left ureter and dilated . left collecting system, and
    collecting system of the right kidney.

    IMPRESSION
    Colonic conduit demonstrate with no evidence of
    extravasation or obstruction, reflux of contrast seen first to
    the left ureter and collecting system followed to the right
    ureter and collecting system without obstruction.
    This is kinda tricky, it is not a colon pouchogram, it is an injection of an ileal conduit made for urinary diversion. I would code this 50690/74425.

    HTH
    Danny L. Peoples
    CIRCC,CPC

  4. #4

    Default Pouchogram/ileal conduit

    2017 ICD-10-CM Coding Book
    Dear True...
    I see...you are absolutely right. we get a code that comes thru. this one came thru with 49465, so i wasn't going to bill that, and it wasn't a fistulogram...was not sure...going to make a notation in my book...cool.
    Thanks so much, and have a peaceful weekend.
    Margie

Similar Threads

  1. colonoscopy/colonic perforation
    By svms in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-02-2015, 01:53 PM
  2. colonic inertia code
    By ilvchopin in forum Diagnosis Coding
    Replies: 2
    Last Post: 11-14-2009, 05:16 AM
  3. Help coding colonic inertia
    By Jarts in forum Diagnosis Coding
    Replies: 2
    Last Post: 09-03-2009, 03:21 PM
  4. History of Colonic polyps
    By Ksumansky in forum Gastroenterology
    Replies: 6
    Last Post: 08-19-2008, 07:56 PM
  5. Colonic evacuation
    By cynthiar in forum Gastroenterology
    Replies: 5
    Last Post: 03-08-2008, 07:17 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.