Good morning,
Does anyone know how to code an open perineal exploration?
My patient was docked for a urethroplasty but they could not perform…only open exploration with the scope work.
PROCEDURES PERFORMED:
Perineal exploration.
Cystourethroscopy and urethral dilation.
Complex Foley catheter placement.
*urethroscopy
–>5 cm incision on the perineum in this area
* urethra was identified
* retractor was placed
–>Given the appearance of this tissue and the proximal extent, he was not a good candidate for a urethroplasty.
* cystoscope was reinserted
*catheter was placed
*suprapubic tube was then replaced
Thanks in advance