AHA Coding Clinic® for HCPCS - 2014 Issue 2; Ask the Editor

Endoscopic stent insertion via ileal conduit

Patient presents for insertion of bilateral ureteral stents via endoscopy through an existing ileal conduit. The flexible cystoscope was inserted into the ureteral conduit, contrast was injected and fluoroscopy confirmed guidewire placement in the left ureter; retrograde pyelogram was also performed. An ileal conduit stent was placed under fluoroscopic guidance. Attention was turned to the right side and a guidewire was directed into the ureter and retrograde pyelogram was performed. An ileal conduit stent was inserted. Both stents were trimmed and the patient tolerated the procedure well. What are the codes for the endoscopic bilateral stent insertion via existing ileal conduit and the retrograde pyelograms? ...

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