Ureteropieloplastia de Anderson-Hynes

"Gostaria de confirmar o seguinte código:

• ureteropieloplastia esquerda de Anderson-Hynes = 0TQ40ZZ (diag. obstrução ureteropielica esquerda)"
  

(Responde Fernando Lopes)
 
O problema da codificação de procedimentos designados por epónimos é a falta de um relato operatório suficientemente detalhado com a descrição da técnica cirúrgica.
Aparentemente a operação de Anderson-Hynes faz parte das 'pieloplastias desmembradas' para as quais existe uma nota no Coding Clinic do 1Q 2017 p.37:
 
Question:
A patient with an ureteropelvic junction (UPJ) obstruction presented for a right dismembered pyeloplasty. The ureter was transected and chromic stay sutures were placed in the ureter and renal pelvis for help with retraction. The pyeloplasty was performed and the ureter was anastomosed to the renal pelvis. What is the procedure code for a dismembered pyeloplasty?
Answer:
The ureter was moved to a different location to treat the UPJ obstruction. Assign the following ICD-10-PCS code:
 
0TS60ZZ Reposition right ureter, open approach



Fernando Lopes