julieordway
Networker
Which code would be appropriate to report if the physician is performing BOTH Aquablation(0421T) and TURP(52601)? Codes are bundled so only one can be reported. Guidelines say that if codes are bundled to report the more extensive procedure.
OPERATIVE NOTE: After being given adequate anesthetic and perioperative
antibiotics, sequential compression devices were applied. He was placed in a
dorsal lithotomy position and prepped and draped in usual sterile manner.
Van Buren sounds were used to dilate his urethra to 30-French.
The transrectal ultrasound probe and the Aquablation hand piece were introduced
and appropriate markings taken. Three passes of ablations were successfully
accomplished
The 28fr bipolar resectoscope was then placed .
A circumferential resection was performed from the bladder neck to the Veru so
that the prostate was flush with the bladder base and bladder side walls.
An Ellik evacuator was used to remove the prostatic shavings. The resection was
lengthy and comprised the major amount of time and effort.
At the end of the procedure there was no active bleeding. The ureteral orifices
were well identified. There was no evidence of bladder perforation. The
prostatic urethra was wide open. The veru was intact. The sphincteric unit was
intact. The scope was removed. The continuous flow bladder catheter was placed.
He was awoken and transferred to recovery room in good condition.
OPERATIVE NOTE: After being given adequate anesthetic and perioperative
antibiotics, sequential compression devices were applied. He was placed in a
dorsal lithotomy position and prepped and draped in usual sterile manner.
Van Buren sounds were used to dilate his urethra to 30-French.
The transrectal ultrasound probe and the Aquablation hand piece were introduced
and appropriate markings taken. Three passes of ablations were successfully
accomplished
The 28fr bipolar resectoscope was then placed .
A circumferential resection was performed from the bladder neck to the Veru so
that the prostate was flush with the bladder base and bladder side walls.
An Ellik evacuator was used to remove the prostatic shavings. The resection was
lengthy and comprised the major amount of time and effort.
At the end of the procedure there was no active bleeding. The ureteral orifices
were well identified. There was no evidence of bladder perforation. The
prostatic urethra was wide open. The veru was intact. The sphincteric unit was
intact. The scope was removed. The continuous flow bladder catheter was placed.
He was awoken and transferred to recovery room in good condition.