A patient with squamous cell carcinoma of the glans penis had a total penectomy and perineal urethrostomy. During surgery, the urethra was dissected out at the shaft of the penis, then divided and dissected towards the perineum. The penis was divided and a spot was identified from the anus to the base of the scrotum as the place for the urethrostomy to be located. The perineal fat was dissected to this location, a V-shaped incision was made, and the urethra was brought through that opening. The V of the skin incision was attached to the urethra and the urethra was matured to the skin. A catheter was inserted on this end and left indwelling, and the balloon was inflated. A drain was inserted into the space where the urethra and the base of the penis was located and brought out through a separate stab incision and secured to the skin, then the scrotum was also brought more cephalad. What is the correct root operation and body part for the perineal urethrostomy?
Assign the following ICD-10-PCS code:
0TQD0ZZ - Repair urethra, open approach, for the perineal urethrostomy
Although “Bypass” is the correct surgical objective, the PCS table 0T1 does not have an option for bypass of the urethra, so “Repair” is the default root operation. The correct body part for penile urethra is the urethra. This information is in the ICD-10-PCS body part key.