The physician states in his op report:
"Cystoscopy revealed a normal bladder mucosa without evidence of recurrent tumor. The right ureteral orifice was along the right side of the interureteric ridge. On the left side of the interureteric ridge there was obvious scarring and crystallization over the left ureteral orifice with tight obstruction. Attempts at passing a guidewire or a ureteral access catheter of this obstructed ureteral orifice was impossible. Using the 26 French resectoscope the left ureteral tunnel was resected in hopes of exposing an opening of the tunnel. After taking at least 4 specimens of tissue along the left ureteral tunnel no obvious ureteral orifice could be identified. At one point the ureteral access catheter went up what appeared to be a tunnel and a RG/PG was performed but this showed no evidence of the ureter so this was in a false passage and further attempts were abandoned."
The physician wants a 52235, but since no tumors were removed I say no. I thought of the 52341 with a 53 mod, but really am not sure about this one. Any help is appreciated!
Amy Chapman Suiter, CPC, CPMA
President - Bristol VA Local Chapter - 2010
President - Kingsport TN Local Chapter - 2009
President Elect - Kingsport TN Local Chapter - 2008