Operation Cystoscopy With Assignment Help: How to Answer This Question
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Original Question
Operation: Cystoscopy with bilateral subureteric injection of Deflux Procedure: History of left grade III vesicoureteral reflux and voiding dysfunction including nocturnal enuresis and accidents. The patient was brought to the operating room and placed in a supping position on the operating table. After attainment of general anesthesia, the patient was placed in a dorsal lithotomy position and her external genitalia were prepped and draped in the usual sterile fashion. A rigid cystoscope was passed per urethra into the urinary bladder under direct vision. A urine culture was obtained and sent for analysis. Pancystoscopy was performed revealing a very wide-open left ureteral orifice which was laterally displaced. A 20-gauge endoscopic needle was passed via the working port of the cystoscope and 1.1 cc of Deflux was placed in the left subureteric space, using the hydrodistention-implantation technique (HIT). Then 0.8 cc of Deflux was placed in the right subureteric space. The bladder was then drained with no obvious signs of bleeding, and 10 cc of 2 percent lidocaine gel was inserted into the urethral meatus. The patient was gently awakened from anesthesia and taken to recovery. The findings were: normal urethra; bladder mucosa with multiple trabeculations and large capacity; capacious left ureteral orifice with a very laterally displaced location; orthotopic right ureteral orifice. Code only the right side. What is the PCS code?
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