Chapter 12 - Urinary And Male Reproductive Systems

Question 1

Orchi/o

Answer 1

Testis

Question 2

-orraphy

Answer 2

Surgical repair/suture

Question 3

Osche/o

Answer 3

Scrotum

Question 4

-pexy

Answer 4

Surgical fixation or suspension

Question 5

Pyel/o

Answer 5

Renal pelvis

Question 6

Vesic/o

Answer 6

Urinary bladder

Question 7

Urosepsis

Answer 7

No default code for this condition. If stated as a diagnosis coder must query the provider for additional information to determine the correct code.

Question 8

Nephritis

Answer 8

Inflammation of the kidneys. Usually caused by bacteria or their toxins

Question 9

Glomerulonephritis

Answer 9

Form of nephritis in which lesions primarily involve the glomeruli. May be acute, rapidly progressing, or chronic.

Question 10

Nephrotic syndrome

Answer 10

Condition marked by increased glomerular permeability to proteins. Usually caused by glomerular injury.

Question 11

Pyelonephritis

Answer 11

Infection of the kidney that has ascended from the urinary bladder. If infectious agent is known code for this as well. Most commonly E Coli

Question 12

Hydronephrosis

Answer 12

Accumulation of fluid in the renal pelvis and kidney due to urinary obstruction. May cause infection if not treated. Can be caused by obstruction, neurogenic bladder, and benign prostate hyperplasia.

Question 13

Neurogenic bladder

Answer 13

Dysfunction of the urinary bladder caused by the nerves supplying the bladder, or lesions of the central nervous system.

Question 14

Renal failure

Answer 14

Inability of the kidneys to function properly. Many causes. May be partial, temporary, acute, chronic, or complete.

Question 15

Chronic kidney disease

Answer 15

Kidneys ability to filter waste slowly declines. Has five stages based on glomerular filtration rate. Must be documented by physician and not inferred from lab reports.

Question 16

End stage renal disease

Answer 16

Chronic renal failure requiring renal replacement therapies. Dialysis or kidney transplantation. Code for dialysis if patient requires.

Question 17

Renal artery occlusion

Answer 17

Arteries carrying blood to the kidneys are blocked. Can affect one or both renal arteries.

Question 18

Renal vein thrombosis

Answer 18

A rare condition in which one or both renal veins develop clots

Question 19

Renal atheroembolism

Answer 19

Fatty materials build up and block the renal arterioles.

Question 20

Calculi

Answer 20

Stones. Coded based on location

Question 21

Impaired renal tubular functions

Answer 21

Variety of conditions that may cause. Code underlying disease first, and if provider documents the specific the condition is causing the impaired renal function use a code from N25

Question 22

Diabetes insipidus

Answer 22

Causes renal impairment through excessive urination. Due to either inadequate amounts of antidiuretic hormone or failure of the kidney to respond to antidiuretic hormone (nephrogenic diabetes insipidus). Can cause severe dehydration if not diagnosed.

Question 23

Hyperparathyroidism

Answer 23

Excessive parathyroid hormone in the body that is responsible for maintaining serum calcium levels. When elevated increased bone reabsorption, decreased new bone formation, and decreased bone mass. (Renal osteodystrophy)

Question 24

Urge incontinence

Answer 24

Leakage of urine following immediately after an urgent, irrepressible need to void.

Question 25

Stress incontinence

Answer 25

Leakage of urine due to abrupt increases in intra-abdominal pressure caused by coughing, sneezing, laughing, bending, or lifting.

Question 26

Overflow incontinence

Answer 26

Dribbling of urine from an overly full bladder

Question 27

Functional incontinence

Answer 27

Urine loss due to cognitive or physical impairments such as stroke or dementia

Question 28

Mixed incontinence

Answer 28

Any combination of types of incontinence

Question 29

Dysuria

Answer 29

Painful burning on urination

Question 30

UTI

Answer 30

Urinary tract infection. Code for organism if known.

Question 31

BPH

Answer 31

Benign prostate hyperplasia. Enlargement of the prostate gland caused by excessive growth of the prostatic nodules. May cause the urethra to become compressed causing symptoms of urinary hesitancy, frequency, dysuria, retention or increased risk of UTI.

Question 32

Prostatitis

Answer 32

Inflammation of the prostate. Easily treatable. Can have elevated PSA (prostate specific antigen) which is a possible indicator of prostate cancer.

Question 33

Prostate specific antigen

Answer 33

If elevated in labs may be an indicator of prostate cancer. If I cancer diagnosis code as an abnormal finding (R97.20)

Question 34

Prostate dysplasia

Answer 34

Abnormal shape and size of prostate. If type III code from carcinoma in situ of prostate. Type I or II are normal dysplasia

Question 35

Hydrocele and spermatocele

Answer 35

Accumulation of serous fluid in a sac like cavity, especially the spermatic cord, testis, or tunica vaginalis. Code for infecting organism if known.

Question 36

Orchitis and epididymitis

Answer 36

Inflammation of the testes or epididymis. If caused by another disease code the underlying disease first.

Question 37

Phimosis

Answer 37

Stricture, stenosis, or narrowing of the preputial orifice affecting the foreskin from being pushed back from the glans penis.

Question 38

Hypospadias or epispadias

Answer 38

Abnormal urethral meatus. Hypo (below) epi (above) the penis. Several levels of severity and usually requires surgery in childhood

Question 39

Radical nephrectomy

Answer 39

Removal of the kidney, upper ureter, neural, and vascular structures at the apex of the renal pelvis, surrounding fat, adrenal gland, and involved renal lymph nodes

Question 40

Pyeloplasty

Answer 40

Renal reconstruction

Question 41

Urachus

Answer 41

Embryonic tube connecting the urinary bladder to the umbilicus during development of the fetus. Usually closes on own. If not can cause complications later in life. Cysts or sinus. Cysts in children. Sinus in adults. These are excised.

Question 42

Cystometrogram

Answer 42

Measures how fluid the bladder can hold, pressure build up in the bladder, how full before the urge to urinate, and whether the bladder completely empties. (CMG) Verify if other studies are add on codes to the procedure

Question 43

Raz procedure

Answer 43

Corrects urethral and bladder neck hyper mobility when there is minimal or no herniation of the bladder into the vagina. U shaped incision is made into the vaginal wall and bands of fibrous tissue around the bladder neck and urethra are released.

Question 44

TURBT

Answer 44

Trans-urethral resection of bladder tumor with fulguration or resection. Based on size of tumor removed. Only largest size reported if multiple are removed.

Question 45

TURP

Answer 45

Trans-urethral resection of prostate. Verify if this is new or repeat procedure

Question 46

VLAP

Answer 46

Visual laser ablation of prostate. Lasers used to destroy prostate tissue under anesthesia.

Question 47

ILC

Answer 47

Interstitial laser coagulation. Prostate is targeted and laser energy is applied to morcelize solid tissue.

Question 48

HoLRP

Answer 48

Holmium laser resection of prostate.

Question 49

Paraphimosis

Answer 49

Foreskin of the penis is trapped in a retracted position which can lead to vascular compromise and necrosis. A dorsal slit is performed to relieve the condition. Coded based on if patient is newborn or now

Question 50

Lichen planus

Answer 50

Condition causing lesions on the penis.

Question 51

Peyronie’s disease

Answer 51

Penile plaque. Can cause pain, abnormal curvature, erectile dysfunction, indentation, loss of girth, and shortening. Often resolved on its own, but sometimes surgical intervention is needed.