CLINICAL NOTE: This lady has a right ureteral stricture secondary to prior
treatment for uterine
sarcoma. CT scan performed a few months ago showed some straining in the right hemipelvis, although
examination at that time failed to demonstrate anything that would be consistent with recurrent
tumor. She is scheduled for follow-up CT scan in this regard in 1 week.
The patient tells me she has had some nocturia and urgency incontinence recently. There has been no
dysuria or hematuria.
PROCEDURE: The patient was placed in the lithotomy position after IV sedation. She was prepped and
draped in the lithotomy position. The #21 French cystoscope was passed into the bladder, and urine
collected for culture. Inspection of the bladder demonstrated findings consistent with radiation
cystitis, which was previously diagnosed. There is no frank neoplasia. The right ureteral stent was
grasped and removed through the urethral meatus, and under fluoroscopic control the guidewire was
advanced up the stent and the stent exchanged for a #7 French 26-cm stent in the usual fashion.
The patient tolerated the procedure well. She will be discharged with ciprofloxacin. We will also
start Detrol LA 4 mg nightly to see if this helps; a renewal prescription for the next year has
been given. Stent change will be arranged in 3 months. Patient was sent home on ciprofloxacin.
ICD-10-CM Code(s): _
1. Are the removal and insertion each reported separately?
2. What type of code is assigned to report the removal of the stent?
3. Why does the patient have the stent?
4. The problem with the stent is reported as a .
5. Why did the patient initially require a stent?
6. What complication developed from the treatment?
7. What category of code is assigned to report the radiation?
Recently Asked Questions
- A gardener wants to know if plants give off water vapor. They take forty bean plants, growing in pots, and cover each one afternoon with individual glass
- 1. Which statement is false with regard to mutations? a.They are always dangerous. b.They can occur as DNA replication errors. C. They cannot be repaired after
- Occasionally, there can be mutations in DNA due to replication errors, transposable elements, or environmental hazard exposure. Discuss the different types of