Challenging Anatomy

Can I charge for different stone procedures in the same kidney?

October 25, 2019

Documentation must support performance of ‘unusual services,’ according to Ray Painter, MD, and Mark Painter.

ER visit rates higher when sheath used during URS

October 22, 2019

A study presented at the AUA annual meeting in Chicago shows higher rates of emergency department (ED) visits when ureteral access sheaths are used during ureteroscopy to remove kidney stones.

Managing stone recurrence: What practitioners should know

October 01, 2019

In this interview, Juan Calle, MD, discusses how he follows patients once they are stone free and how he utilizes dietary/lifestyle modification and medical management.

Stone recurrence: Advice for young urologists

September 20, 2019

In this video, Juan Calle, MD, of Cleveland Clinic, explains what he would tell a young urologist who wants to become an expert in stone prevention and minimizing recurrence.

How to bill when a stone changes location during procedure

April 29, 2019

The Painters also answer coding questions regarding prostate needle biopsy and InterStim.

Pediatric ureteroscopy: Principles for safe surgery

April 15, 2019

Dr. Dangle shows that pediatric ureteroscopy is safe and feasible with good results and without long-term sequelae on the ureters.

Pediatric ureteroscopy: 6-year-old with umbilical pain, microhematuria

April 15, 2019

This video shows a case of semi-rigid ureteroscopy with laser lithotripsy for ureteral stone in a child, who is rendered stone free without pre-stenting. 

Pediatric ureteroscopy: 16-year-old with cystinuria

April 15, 2019

This video of bilateral ureteroscopy in a 16-year-old male with cystinuria highlights several pragmatic strategies for efficient ureteroscopy while minimizing ionizing radiation.

Super-mini PCNL confers higher stone-free rate vs. RIRS

March 01, 2019

Super-mini percutaneous nephrolithotomy may have some advantages over retrograde intrarenal surgery when treating 1- to 2-cm lower pole renal calculi, according to a comparative study.

Protocol improves pyelonephritis/sepsis management

January 29, 2019

Implementation of a hospital-wide clinical care protocol for managing obstructive pyelonephritis and sepsis from stones shows potential for improving patient outcomes, according to the experience of researchers at New York-Presbyterian Hospital, Columbia University Irving Medical Center, New York.