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Need help with cpt code

  1. #1
    Default Need help with cpt code
    Clearnace Sale
    I need some help with coding this:

    Preop Dx:
    Right ureteral stone

    Postop Dx:
    Right ureteral stone

    Principal Proc:
    Cystourethroscopy with right retrograde pyelogram.
    Right ureteroscopy with laser lithotripsy and vascular extraction of calculus
    Placement of right 6x26 JJ stent

    Op Proc:
    A 22-French cystoscope sheath and a 30-degree lens were used to perform cystourethroscopy. There were no ureteral lesions seen.

    Retrograde pyelography through a 5-french open end pollock catheter on the right hand side noted normal distal ureter. In the mid ureter overlying the sacrum, there is a filling defect consistent with a stone. There was proximal hydroureteronephrosis. There were no other filling defects seen.

    Senor guidewire was carefully passed into the proximal collecting system, and the pollock and scope were removed.

    Rigid ureteroscopy was performed without complication all the way up to the level of the stone. The stone was subsequently fragmented using a 270 micron laser fiber, and all fragments were removed using a zero tip notinol basket.

  2. Default
    I see 52353 and 74420, 26.

  3. #3
    If this is in ASC facility you will code:

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