May 24th, 2016 - ebrearley
Hi - Please advise how to code for a laparoscopic cystectomy with pelvic lymph node dissection and open ileal conduit urinary diversion.
There is a disagreement in my organization about how to code for this. One school of thought is that they are all separate procedures and should be coded separately as 51999 (unlisted bladder procedure), 38571 (lap bilat lymphadenectomy), and 50820 (open ileoconduit). Another opinion is that it's one procedure which starts laparoscopic, but ends as an open procedure, and therefore should be reported with 51595 (complete cystectomy with ureteroileal conduit with bilat pelvic lymphadenectomy).