Results 1 to 2 of 2

Cystoscopy, replacement of catheter over a wire

  1. #1
    Default Cystoscopy, replacement of catheter over a wire
    Medical Coding Books
    Hi, I am hoping that someone can help me with the op note listed below. I coded it one way and the office manager believes that there may be a better way to code this. The patient is a male. Please help.
    DX: Neurogenic bladder, chronic urinary retention, and multiple urethral false passages.
    Operations: Cystoscopy, replacement of catheter over a wire.
    Procedure: After suitable placement the patient on the procedure table, the patient was prepped and draped in the usual sterile fashion. A 2% lidocaine gel was injected per urethra and left for several minutes and then a flexible cystopscope was placed per meatus into the bladder under direct vision. There were multiple false passages present as well as some traumatic changes in the bulbous urethra from previous catheter attempts. Once the bladder was then entered, there was some erythema in the bladder, but no transitional cell changes of concern. A super-stiff Amplatz wire was then placed through the cystoscope into the bladder. The wire was left in place as the cystoscope was removed and then a 22 French 30ml Foley with the tip cut off it and trimmed was placed over the wire and into proper positioning inflated with 80 ml of saline placed to gravity drainage. The catheter was tethered in standard fashion. The patient tolerated the procedure well.
    I appreciate any help. Brenda

  2. Default
    Unfortunately, cystoscope and catheter placement are bundled. Reading this, I would probably bill the cystoscope (52000) vs the difficult catheter (51703).

Similar Threads

  1. Replacement of Hemodialysis Catheter
    By fredcpc in forum Hematology/Oncology
    Replies: 0
    Last Post: 12-12-2012, 03:21 PM
  2. help w/removal/replacement catheter
    By BABS37 in forum General Surgery
    Replies: 1
    Last Post: 01-10-2012, 07:17 AM
  3. dialysis catheter removal/ replacement
    By herrera4 in forum General Surgery
    Replies: 0
    Last Post: 11-24-2010, 08:55 AM
  4. Cystoscopy with exchange of suprapubic catheter
    By bethh05 in forum Outpatient Facilities
    Replies: 1
    Last Post: 07-13-2010, 01:02 PM
  5. Suprapubic Catheter Replacement-cpt?
    By jbtrueba in forum Emergency Department
    Replies: 3
    Last Post: 12-26-2008, 02:15 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?


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.