Coding Rules Current as at 18-Oct-2016 08: 31

Published 15 June 2015,
for implementation 01 July 2015.

Ref No: Q2936 | Published On: 15-Jun-2015 | Status: Current

SUBJECT: Replacement of stent in an ileal conduit

Q:

How do you code replacement of a stent in an ileal conduit?

A:

Memokath stents are Nickel-Titanium stents with thermal shape-memory effect for treating urinary tract obstructions (Endotherapeutics, 2012).

An ileal conduit is a type of urostomy that uses a segment of ileum to connect the ureters to the external body, through the abdominal wall. The segment of ileum is no longer considered part of the gastrointestinal tract; it acts as part of the urinary tract and is an extension of the ureters. 

There are no specific code(s) for stenting of an ileal conduit in ACHI. As a best fit, for replacement of a stent in an ileal conduit, assign:

36608-00 [1069] Percutaneous replacement of ureteric stent

by following the index pathway 

Replacement

- ureteric stent

- - percutaneous (through bladder) (through ileal conduit) 36608-00 [1069]

Percutaneous replacement through ileal conduit is an includes note at 36608-00 [1069]. 

Enhancements to ACHI will be considered for a future edition.

Reference:

Endotherapeutics. (2012). Memokath stents [product information]. Retrieved from http://www.endotherapeutics.com.au/memokath