A stаrtup with very uncertаin future cаsh flоws may be better valued by:
Operаtive Nоte: Cystоscоpy wаs performed to remove smаll stones from the patient’s upper right ureter and another stone lodged in the middle-left ureter. The stones were manipulated back into the kidney with subsequent placement of double-J (indwelling stent) ureteral stents in each ureter. First-Listed Diagnosis: Add'l Diagnosis: First-listed Procedure: Add'l Procedure: Hint: both procedures need a modifier
Operаtive Repоrt Preоperаtive diаgnоsis: 6-mm stone in the left lower pole Postoperative diagnosis: 6-mm stone in the left lower pole Procedure performed: Left extracorporeal shock wave lithotripsy (ESWL) Anesthesia: IV sedation Indications for procedure: This 57-year-old male has been known to have a stone in the left upper pole for a number of years. He recently presented with left renal colic. An x-ray showed the stone to have migrated into the proximal ureter. Recently, he underwent cystoscopy, the stone was successfully flushed into the kidney, and a double-J stent was placed. He now needs to be treated with ESWL. Description of procedure: The patient was placed onto the treatment table, and after the administration of intravenous sedation, he was positioned over the shock wave electrode. The x-ray showed the stone to now be located in the lower pole of the left kidney. Biaxial fluoroscopy was utilized to position the stone at the focal point of the shock wave generator. The stone was initially treated at 17 kV, increasing up to 24 kV. The stone was treated with 3,000 shocks. Throughout the procedure, fluoroscopic manipulations and adjustments were made to maintain the stone in the focal point of the shock wave generator. At the conclusion of the procedure, the stone appeared to have fragmented nicely, and the patient was taken to the recovery room in good condition. Procedure code: