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Thread: Need help coding "Open suprapubic tube placement"

  1. #1
    Join Date
    Apr 2007
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    46

    Question Need help coding "Open suprapubic tube placement"

    I need help coding "Open suprapubic tube placement"

    Operative report states:
    The Foley catheter was removed, and cystoscopy was performed.
    The cysto was removed after the bladder was filled.
    (He then performed the following)

    The Urologist made an incision overlaying the bladder and carried it down through the subcutaneous tissue. He entered the space of Retzius. He did this with blunt dissection.

    Once this was done he identified the bladder. He then place a Lowsley tractor through the urethra into the bladder and incised over it with a knife. He placed the Foley catheter under direct visualization and then confirmed with cystoscopy. It was sutured in place to prevent migration and the balloon was inflated.The wound was closed in multiple areas

    Would you code this as 51045?? With Cysto 52000???

    Thanks for any input.

    Sherry

  2. #2

    Default

    you would use 51102 and 52000

  3. #3
    Join Date
    Apr 2007
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    29

    Default

    I have always used 51040 for suprapubic tube placement. The 51102 includes an aspiration with insertion of suprabubic catheter. Nancy

  4. #4
    Join Date
    Apr 2007
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    32

    Default

    could you use the 51040 for a tube replacement as well?

  5. #5
    Join Date
    Apr 2007
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    32

    Default

    Im thinking the 51102 becuse its just the tube placement..he didnt make any new openings

  6. #6
    Join Date
    Apr 2007
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    10

    Default

    So if the patient is only coming to see the nurse for SPT replacement on a monthly basis, we should use 51102 for this???

  7. #7

    Default

    The sp tube change should be reported as 51705 with an e&m service if the key components are met for the e&m......

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