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Thread: Obstructed ileal conduit.

  1. #1

    Default Obstructed ileal conduit.

    AAPC: Back to School
    Can we code 50688 for this documentation

    Procedure: Fluoroscopically guided replacement of ostomy drain.
    Clinical Indication: Obstructed ileal conduit.
    Procedure: After obtaining informed consent, the patient was placed in
    the supine position and the right lower quadrant of the abdomen was
    prepped and draped in sterile fashion. The skin was anesthetized with 1%
    lidocaine. Under fluoroscopic guidance, an angled catheter and guidewire
    were used to selectively traverse a stricture in the ileal conduit to
    allow for placement of an 8 French catheter within the ileal conduit. The
    catheter was secured in place with "0" silk sutures and placed to gravity
    drainage with the catheter placed within the ostomy bag. There was free
    flow of urine at the completion of the procedure with no hematuria
    identified. The patient tolerated the procedure well and was transferred
    to her room in stable condition.
    IMPRESSION: Status post catheterization of ileal conduit to allow for
    better drainage as described above.

  2. #2


    it kind of sounds like a new tube was placed...
    50688: Change of ureterostomy tube or externally accessible ureteral stent via ileal conduit
    does sound correct to me
    Last edited by MLS2; 05-07-2009 at 09:38 AM.

  3. #3


    Hi, I don't see in the report where it was a CHANGE ? Was this a change or not?

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