Optilume Balloon dilation Procedure for Medical Coder
- Medycoding Expert
- 4 days ago
- 2 min read
What is Optilume balloon dilation Procedre ?
Optilume Ballon dilation is the dilation of urethra to treat urethral stricture that means narrowing of urethra. This procedure is different from simple dilation as the drug coated dilator are used to dilate for longer time.
What are the medical reason for the Optilume Balloon dilation procedure ?
Optilume balloon dilation is done to treat urethral stricture.
Which drugs is used in Optilume balloon dilation procedure?
Paclitaxel (anti-scar drug)
Optilume balloon dilation vs Urethroplasty
1.Optilume balloon dilation is the minimal invasive procedure whereas Urethroplasty is the open procedure for reconstruuction of Urethra.
2.Optiliume Balloon dilation is suitable for short stricture whereas urethroplasty for long stricture.
How much Optilume Ballon dilation cost
(Price for Optilume Procedure as per CCI)
For Non-Facility
$2466.74
For Facility
$158.82
Note: The amount may vary because depends upon insurance and payor guidelines.
CPT Code for Optilume Balloon dilation procedure
As per medical coding the CPT for Optilume Balloon dilation procedure are :
52284 :Cystourethroscopy, with mechanical urethral dilation and urethral therapeutic drug delivery by drug-coated balloon catheter for urethral stricture or stenosis, male, including fluoroscopy, when performed
Medical Coding Tips for Optilume Balloon dilation Procedure
Dont get confuse with simple dilation as both are performed in same way , only different is phsycian used to mention drug coated dilator or Optilume balloon dilator.
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Operative Report for "Optilume balloon dilation Procedure"
[This report is created by AI for maintain privacy of patient , good for learning ]
Date of Surgery: [DD/MM/YYYY]
Estimated Blood Loss: Minimal
Specimens: None
Surgeon: [Medycoding Expert, MD]
Assistant: None
Anesthesia: General
Preoperative Diagnosis: Bulbar urethral stricture
Postoperative Diagnosis: Same
Procedure Performed: Optilume Drug-Coated Balloon Dilation of the Urethra
Indications for Surgery
The patient is a 65 year-old male with symptomatic recurrent bulbar urethral stricture causing weak stream, hesitancy, and incomplete emptying. Previous dilations provided temporary relief. The decision was made to proceed with Optilume balloon dilation for longer patency.
Description of Procedure
After informed consent, the patient was brought to the operating room and placed in the dorsal lithotomy position. Appropriate anesthesia was administered. The genital area was prepped and draped in the usual sterile fashion.
A well-lubricated 17 Fr cystoscope was introduced into the urethra. The urethra was inspected, and a short bulbar urethral stricture approximately 2 cm in length was identified. A sensor guidewire was advanced carefully through the stricture into the bladder under direct visualization.
The cystoscope was removed, leaving the guidewire in place.The appropriately sized Optilume drug-coated balloon catheter 50 mm diameter, 75 cm length was advanced over the guidewire and positioned across the stricture segment using both fluoroscopic and endoscopic guidance.
Once proper positioning was confirmed, the balloon was slowly inflated to the manufacturer-recommended pressure. Dilation was maintained for approximately 10 minutes to allow adequate mechanical expansion and delivery of paclitaxel into the urethral mucosa.
After the timed inflation, the balloon was deflated completely and removed. A repeat cystoscopic examination demonstrated a widely patent urethral lumen with no active bleeding.
A 16 Fr Foley catheter was placed for short-term postoperative drainage as per protocol. The patient tolerated the procedure well without complications.
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