Code Following Operative Assignment Help: How to Answer This Question

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Original Question

Code the following operative report: Preoperative Diagnoses: Right nephrolithiasis, left proximal 8-mm ureteral calculus Postoperative Diagnoses: Right nephrolithiasis, left proximal 8-mm ureteral calculus Name of Procedures: Cystoscopy, left retrograde pyelogram, left double-J stent placement Anesthesia: 1.5 mg Versed, 2% Xylocaine jelly Findings: This is a very pleasant patient with a history of sarcoidosis and bilateral nephrolithiasis. Recent creatinine is 2.3. Helical CT scan revealed 8-mm left proximal ureter calculus, some hydronephrosis, and a 1-cm right renal pelvic stone. She is brought to the operating room for a cystoscopy, retrograde pyelogram, and double-J stent placement. She is also complaining of bilateral back pain. Description of Operation: In the lithotomy position, the patient was given 1.5 mg IV Versed sedation. Her genitals were prepared and draped in a sterile fashion. 2% Xylocaine jelly was applied per urethra. A 21 French asymmetric cystoscope was passed. The left ureteral orifice was visualized. A left retrograde pyelogram was carried out, with an 8 French long-tipped catheter. The pyelogram shows this to be a normal ureter up to proximal left ureter and at that point, there was hydronephrosis and a calculus, which was seen on preliminary films and was still evident. A 0.035 glider was passed up past the stone on fluoroscopic guidance followed by 6 × 24 Mardis double-J stent. Position was confirmed with a KUB. She tolerated the procedure well and was transferred out in stable condition. The patient is currently on Levaquin 500 mg q. day. Urine culture was sent during the procedure after the stent was placed. One can see the left proximal ureteral calculus. She will be scheduled for left ESWL middle or end of next week. The patient understands the procedure, the risks, and benefits, and will proceed. Question 7Select one: a. 52332, 76000 b. 52332 c. 52332, 74420-26 d. 52332, 74420-26, 76000

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