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“If access to the Indiana pouch requires incision, code 51050 (cystolithotomy, cystotomy with removal of calculus, without vesical neck resection) or 51065 (cystotomy, with calculus basket extraction and/or ultrasonic or electrohydraulic fragmentation of ureteral calculus) would be more appropriate for removal of a stone from the Indiana pouch,” write Jonathan Rubenstein, MD, and Mark Painter.

“One has to be very careful about purchasing any kind of technology — especially ones that the patient will pay cash out of their pocket for,” said urologist Clifford Gluck, MD. “That’s why it’s important to get the experience of others who have used the technology and to look at the literature to see what there is in terms of scientific evidence.”