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An open ureterolysis is a surgical procedure specifically designed to address ureteral obstruction caused by ovarian vein syndrome. This condition arises when an enlarged or tortuous ovarian vein exerts pressure on the ureter, leading to obstruction. The procedure involves making an incision in the abdomen to access the affected area. Once the enlarged ovarian vein is exposed, the surgeon carefully identifies and severs any adhesions that may be binding the ureter to the ovarian vein or surrounding structures. In some cases, the surgeon may need to divide the ovarian vein and excise the enlarged portion to relieve the pressure on the ureter, thereby restoring normal urinary flow. It is important to note that this procedure is distinct from ureterolysis performed for retrocaval ureter, which is a different condition involving a congenital anomaly where the ureter is positioned behind the inferior vena cava, leading to compression and obstruction. The goal of ureterolysis for ovarian vein syndrome is to alleviate the obstruction and prevent further complications associated with urinary tract obstruction.
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The procedure of ureterolysis for ovarian vein syndrome is indicated in the following situations:
The procedure of ureterolysis for ovarian vein syndrome involves several critical steps to ensure successful relief of the ureteral obstruction:
Post-procedure care for patients undergoing ureterolysis for ovarian vein syndrome typically includes monitoring for any signs of complications, such as infection or bleeding. Patients may be advised to rest and limit physical activity during the initial recovery period. Follow-up appointments are essential to assess the success of the procedure and ensure that the ureter remains patent. In some cases, additional imaging studies may be performed to confirm the resolution of the obstruction and the overall health of the urinary tract.
| Short Descr | RELEASE OF URETER | Medium Descr | URETEROLYSIS FOR OVARIAN VEIN SYNDROME | Long Descr | Ureterolysis for ovarian vein syndrome | Status Code | Active Code | Global Days | 090 - Major Surgery | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 2 - Payment restriction for assistants at surgery does not apply to this procedure... | Co-Surgeons (62) | 1 - Co-surgeons could be paid, though supporting documentation is required... | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Inpatient Procedures, not paid under OPPS | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P1G - Major procedure - Other | MUE | 1 | CCS Clinical Classification | 112 - Other OR therapeutic procedures of urinary tract |
| AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | LT | Left side (used to identify procedures performed on the left side of the body) | 80 | Assistant surgeon: surgical assistant services may be identified by adding modifier 80 to the usual procedure number(s). | RT | Right side (used to identify procedures performed on the right side of the body) |
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| 2011-01-01 | Changed | Medium description changed. |
| Pre-1990 | Added | Code added. |