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12. This gentleman has worsening bilateral hydronephrosis. He did not have much of a post void residual on his bladder scan. He is taken to the operating room to have a bilateral cystoscopy and retrograde pyelogram. The results come back as gross prostatic hyperplasia with urinary retention as the cause of the hydronephrosis

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funkeyusuff52

Answer:

52005, N40.0 and N13.39

Explanation:

  • 52005 identifies a cystoscopy with bilateral ureteral catheterization  and injection of dye for a retrograde pyelogram (x-ray of the kidney and  ureter.
  • N40.0 is the correct diagnosis code for hyperplasia of prostate.  Although the patient has hydronephrosis caused by the prostate  problem, there is no mention of lower urinary symptoms.
  • N13.39  indicates "other" hydronephrosis. Hydronephrosis in this case is  caused by enlargement of the prostate, which causes urinary retention  with backup of urine to the kidneys.

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