AHA Coding Clinic® for HCPCS - 2021 Issue 2; Ask the Editor

Perineal urethroplasty

A morbidly obese patient with a bulbar urethral stricture and existing supra pubic tube presents for perineal urethroplasty via partial urethrectomy with anastomosis. A perineal incision was made through fascia and muscle exposing the bulbar urethra which was dissected from the tendinous attachments to the corporal bodies. The urethra was transected at the level of the stricture. Once the scarred segment of the urethra was excised, the distal urethra and proximal bulbar urethra were mobilized and both ends were brought together with sutures to secure the area of anastomosis. Fibrillar material was placed into the surgical wound for hemostasis. What are the correct code(s) for an urethroplasty with partial urethrectomy and anastomosis? ...

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