Chapter M - Q

Front 1

How must percutaneous drainage of kidney and nephrostomy be coded

Back 1

M13.2 percutaneous drainage of kidney includes the insertion of a nephrostomy tube therefore the insertion of the nephrostomy tube must not be coded in addition

Front 2

How must extracopreal shockwave lithotripsy of calculus of ureter with cystoscopy and/or stent insertion be coded

Back 2

Cystoscopy and stent insertion for the procedure are an integral part and should not be coded in addition.

However if the stent is left in situ after the procedure a code from Y14 placement of stent must be added to M31.1

Front 3

Explain when to code Catheterisation of bladder

Back 3

Catheterisation of bladder must not be coded when it is performed routinely or for patient comfort.

If the patient is Catheterised for urinary retention the insertion and removal must be coded.

If a patient is Catheterised routinely but on removal the patient has urinary retention and is Catheterised the reinsertion amd its subsequentl removal must be coded.

If a patient undergoes TWOC (trial without catheter) and is unable to pass urine the removal and reinsertion must be coded

Front 4

How must injection of bulking agent for stress urinary incontinence be coded

Back 4

It is an endoscopic procedure and has a code for male bladder and a separate code for female bladder

Front 5

What is radioactive seed implantation into prostate a form of

Back 5

It is a form of interstitial brachytherapy

Front 6

What may need to be added to many codes in chapter Q

Back 6

A code from Y95 gestational age may need to be added in addition

Front 7

How must an intrauterine coil procedure be coded when it is carried out at the same time as a diagnostic or Therapeutic hysteroscopy

Back 7

The hysteroscopy must be sequenced before the intrauterine coil code

Front 8

When must Q55.6 genital swab be coded

Back 8

Must only be coded in an outpatient setting or solely admitted for