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A deep periurethral abscess refers to a localized collection of pus that forms in the tissue surrounding the urethra, often resulting from infections such as gonococcal infection, urethral stricture, or complications arising from urethral catheterization. This condition can lead to significant discomfort and potential complications if not addressed promptly. The procedure for drainage involves making an incision in the perineum, which is the area between the anus and the genitals, directly over the site of the abscess. Once the incision is made, the abscess pocket is accessed, allowing for the removal of pus and infected material. To ensure thorough drainage, any loculations, or compartments within the abscess, are disrupted using finger dissection. Following the drainage, the abscess cavity is typically irrigated with sterile saline or an antibiotic solution to help eliminate any remaining infectious agents. In some cases, the cavity may be packed with gauze to promote healing, or a drain may be inserted to facilitate ongoing drainage and prevent re-accumulation of fluid.
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The drainage of a deep periurethral abscess is indicated in the following situations:
The procedure for draining a deep periurethral abscess involves several critical steps to ensure effective treatment and patient safety:
After the drainage procedure, patients may require specific post-procedure care to ensure proper healing and recovery. This may include monitoring for signs of infection, managing pain, and following up with healthcare providers to assess the healing process. Patients may also be advised on wound care, including keeping the incision site clean and dry. If a drain has been placed, instructions on how to care for the drain and when to return for removal will be provided. Overall, the goal of post-procedure care is to promote healing, prevent complications, and ensure the best possible outcome for the patient.
| Short Descr | DRAINAGE OF URETHRA ABSCESS | Medium Descr | DRAINAGE DEEP PERIURETHRAL ABSCESS | Long Descr | Drainage of deep periurethral abscess | 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) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Hospital Part B services paid through a comprehensive APC | ASC Payment Indicator | Surgical procedure on ASC list in CY 2007; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P5E - Ambulatory procedures - other | MUE | 1 | CCS Clinical Classification | 109 - Procedures on the urethra |
| 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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). | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | GC | This service has been performed in part by a resident under the direction of a teaching physician | GW | Service not related to the hospice patient's terminal condition |
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| Pre-1990 | Added | Code added. |
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