Year Female Presents Explained for Students (Easy Guide)

Students often encounter this when studying fundamental concepts.

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Original Question

A 55 year old female presents with right hydronephrosis. A 23 French cystoscope is introduced into the urethra and passed into the bladder. The bladder is carefully inspected, and no tumors or stones are visualized. The first effluzed urine from the bladder is sent for urine cytology. Then a 6-French access catheter is passed into the ureteral orifice, requiring a 0.35 guidewire to help cannulate the right ureteral orifice because of the angulation. There is some stiffness in the intramural portion of the ureter and then the catheter pops through into a more dilated ureter. Contrast is injected and there are no filling defects, fixed tumors, or stones noted. There is mild hydroureter nephrosis against the bladder. The renal pelvis is barbotaged with saline and the renal pelvis, urine is drained and send to pathology for urine cytology. After the retrograde pyelogram is performed, the access catheter is removed and there is brisk efflux of the contrast and it drains very well. The bladder is then drained and removed, the patient is awakened and transferred in stable condition to the recovery room. Which CPT should be reported? a. 52005, 74420-26 b. 52327, 74420-26 c. 52010, 74420-26 d.

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