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Thread: ureteral stent

  1. #1

    Default ureteral stent

    AAPC: Back to School
    Can we code the following procedure with
    74480-26 &


    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.

    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.


    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.
    Prabha CPC

  2. #2


    I agree with your codes.

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