Case Studies—Male Genital System Operative Reports - Operative Report
Abstract from Documentation:
1. Locate hydrocele in the Alphabetic Index. What documentation from the operative report is needed to accurately assign codes?
2. Time to Code:
1. Unilateral vs. bilateral, if performed as an aspiration, or excision tunica vaginalis (covering over testis-scrotum) or of spermatic cord. In this case, tunica vaginalis.
2. Index:
Hydrocele, Excision, Unilateral, Tunica Vaginalis
Code(s):
55040-LT Excision of hydrocele, unilateral
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