Exam 20: Urinary and Male Genital Systems

Match each term with the correct phrase below. -Removal of urine from the bladder

The patient requires the lysis of post-circumcision penile adhesions. CPT Code: ____________________

A radical retropubic prostatectomy with nerve sparing. CPT Code: ____________________

Ureteral endoscopy through an established ureterostomy with irrigation and the removal of a foreign body. CPT Code: ____________________

A nephrectomy is the excision of the renal pelvis.

Within the Male Genital System, the greatest numbers of codes fall under what category?

A cystourethroscope is passed through the urethra to the bladder to view the urinary collecting system.

Match each term with the correct phrase below. -Removal of a kidney

To report the cystourethroscopic removal of a self-retaining indwelling ureteral stent, the correct codes would be 52310 or 52315.What modifier would be applied?

Urethral biopsy. CPT Code: ____________________

Match each term with the correct phrase below. -Test to measure kidney and ureter flow and pressure

Complex cystometrogram with calibrated electronic equipment. CPT Code: ____________________

Match each term with the correct phrase below. -Kidney stone

One of the most common conditions of the prostate is BPH.

Bilateral vasectomy. CPT Code: ____________________

The patient had a 3.8 cm testicular laceration repair from a baseball injury. CPT Code: ____________________

The type of treatment used to treat prostate cancer by placing the radioactive elements directly into the prostate.

Location: Inpatient Hospital OPERATIVE REPORT PREOPERATIVE DIAGNOSIS: Right staghorn calculus. POSTOPERATIVE DIAGNOSIS: Same. OPERATIVE PROCEDURE: Right ESWL (electric shock wave lithotripsy). CLINICAL NOTE: This gentleman had a failed percutaneous nephrolithotripsy.He now is stented.The procedure was unsuccessful because of inability to access the kidney because of the stone.I decided to proceed with lithotripsy to see if we can create some more room, and maybe we will get lucky, but I told the patient he will likely require either multiple ESWLs or secondary attempt at PCN. PROCEDURE NOTE: The patient was given a general laryngeal mask anesthetic, prepped and draped in the supine position on lithotripsy table, stone targeted, shock had engaged.Unfortunately, we had to do the procedure without the simulator.Therefore, it took a longer time, but the patient tolerated it well.A total of 3,000 shocks at a maximum kv of 24 were administered to the stone.Some fragmentation was noted.We will see the patient early next year to see how he is doing, to schedule further treatment as required. CPT Code: ____________________

Cystourethroscopy with insertion of permanent urethral stent. CPT Code: ____________________

Location: Inpatient Hospital OPERATIVE REPORT PRE/POSTOPERATIVE DIAGNOSIS: Recurrent balanitis and phimosis. PROCEDURE PERFORMED: Circumcision. PROCEDURE: The child was given general mask anesthetic as well as caudal block for postoperative pain control.He was prepped and draped in the supine position, foreskin retracted, prepucial adhesions broken down.Circumcision was then performed using a dorsal slit technique.Hemostasis was achieved with judicious use of electrocautery and chromic ties.Prepuce was re-anastomosed to the penile skin using 5-0 chromic catgut.Vaseline gauze dressing was applied.The patient tolerated the procedure well and transferred to the recovery room in good condition. CPT Code: ____________________