right ureteral injury was transected as this area could not be visualized during the operative procedure. We then trimmed both ends, made a cystostomy, threaded a J-wire and then a right double J- ureteral stent over the J-wire up to the renal pelvis. We then repaired the ureter with …sutures circumferentially with good reapproximation under no tension.

after that, he put in a "left ureteral catheter."

then, he says "once both stents were in place, the bladder was repaired with 2 layers of running 3-0 Vicryl sutures…"

he wants to report 50760 and 51880 for this.

There is no CCI edit, however, it does not seem right to report the closure of the bladder from the stent placement during the same encounter of the actual stent placement. Then, he says that he inserted a catheter on the left side. I’m thinking it is temporary, but he did not state that he removed it. He calls it a "bilateral stent placement" in the header. that was not documented as the right side, though. he did not call it a j-wire or anything.

does the 50760 get a RT modifier?
What would you do for the LT side "catheter" vs "stent"
does he get the bladder closure because of the sutures or is this the layer closure included in the 50760?

Thank you for your assistance!!