AHA Coding Clinic® for ICD-10-CM and ICD-10-PCS - 2019 Issue 2; Ask The Editor

Reimplantation of Ureters with Insertion of Tubes

A patient, who is diagnosed with bilateral ureteral reflux, had surgical repair via Cohen transtrigonal bilateral ureteric reimplantation and ureteral neocystostomy. After opening the bladder, the surgeon inserted feeding tubes inside the left ureteral orifice, dissected the ureter free from its attachments and mobilized the ureter. The same thing was done to the right ureter. The ureters were tunneled transtrigonally, starting with the left one to the right side, then the right ureter going to the left side. Is the insertion of the feeding tubes inherent to the bilateral ureteric reimplantation, or are separate codes assigned for placement of the tubes? ...

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