Coding for Kidney and Ureteral Procedures AAP肾、输尿管手术AAP编码.ppt

Coding for Kidney, Ureter and Bladder Procedures Jack S. Elder, M.D., FAAP Case 1: Infant with UPJ obstruction Open dismembered pyeloplasty Insertion of double J stent (through open ureter) Intercostal nerve block Pyeloplasty Codes 50400 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting, simple 19.47 50405 Pyeloplasty complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty) 23.89 Pyeloplasty Codes 50400 Pyeloplasty (Foley Y-pyeloplasty), plastic operation on ureter, nephropexy, nephrostomy, pyelostomy, or ureteral splinting, simple 19.47 50405 Pyeloplasty complicated (congenital kidney abnormality, secondary pyeloplasty, solitary kidney, calycoplasty) 23.89 Ureteral Stenting Codes 50605 Ureterotomy for insertion of indwelling stent, all types 15.44 50393 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous 4.15 Nerve Blocks 64420 Intercostal nerve, single 1 level 1.18 64421 Intercostal nerve, multiple, regional block 1.68 0.125% bupivacaine with 1:200,000 epinephrine 64425 Ilioinguinal, iliohypogastric nerves 1.75 Consensus Pyeloplasty 50405 23.89 Intercostal nerve block 64421 1.68 ?? Open insertion of ureteral stent 50605 15.44 Case 2: 10 yo child with UPJ obstruction Cystoscopy, insertion of ureteral catheter Laparoscopic dismembered pyeloplasty Antegrade insertion of double J stent Laparoscopic Pyeloplasty 50544 Laparoscopy, pyeloplasty 22.37 52005 Cystourethroscopy, with ureteral catheterization 2.37 Ureteral Stenting Codes 50393 Introduction of ureteral catheter or stent into ureter through renal pelvis for drainage and/or injection, percutaneous 4.15 50572 Renal endoscopy through nephrotomy or pyelotomy, with or without irrigation, instillation or ureteropyelography, with ureteral catheterization, with or without dilation of ureter 10.33 5060