Nancy Posted Fri 26th of June, 2015 10:03:07 AM
The patient was taken to the operating room today for left ureteroscopy however at the time of the procedure I was unable to find the ureteral meatus due to severe inflammation of the bladder and therefore the bladder and ureter were incised for removal of the stone. I then performed lithotripsy of the stone within the bladder. A retrograde pyelogram showed a very enlarged meatus and therefore a stent was not placed.
SuperCoder Answered Mon 29th of June, 2015 02:10:43 AM
Yes, I would also take the given set of codes provided:
1. 51050 - Cystolithotomy, cystotomy with removal of calculus without vesical neck resection was performed.
2. 50980 - Calculus removal was performed from the ureter as well since the code description requires removal of calculus. If the calculus removal was not performed from ureter, use CPT code 50970.