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ICs Under Category 'Urinary System'
Below you will find an alphabetical list of all the medical informed consents available in this category. Clicking the first informed consent of this list will show you the full text of that particular informed consent.
All other informed consents in this list are disabled, but would be available to be viewed and printed after purchasing the product.
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Surgery
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Anterior Vesicourethropexy, or Urethropexy (eg, Marshall- Marchetti-Krantz, Burch), Complicated (eg, Secondary Repair)
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Anterior Vesicourethropexy, or Urethropexy (eg, Marshall- Marchetti-Krantz, Burch), Simple
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Aspiration and/or Injection of Renal Cyst or Pelvis by Needle, Percutaneous
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Biopsy of Deep Structures of the Penis
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Biopsy of Penis
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Biopsy of Urethra
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Cadaver Donor Nephrectomy, With Preparation and Maintenance of Allograft, Unilateral or Bilateral
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Change of Cystostomy Tube, Complicated
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Change of Cystostomy Tube, Simple
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Circumcision Using Clamp or Other Device; Except Newborn
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Circumcision Using Clamp or Other Device; Newborn
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Closure of Bladder Exstrophy
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Closure of Vesicouterine Fistula
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Closure of Vesicouterine Fistula, With Hysterectomy
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Closure of Vesicovaginal Fistula, Abdominal Approach
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Complete Cystectomy With Continent Diversion, Using Any Segment of Small and/or Large Intestine to Construct Neobladder
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Complete Cystectomy With or Without Bilateral Pelvic Lymphadenectomy, With or Without Ureterosigmoidostomy or Ureterocutaneous Transplantations
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Complete Cystectomy With Ureteroileal Conduit or Sigmoid Bladder, Including Intestine Anastomosis, With or Without Bilateral Pelvic Lymphadenectomy
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Continent Diversion, Including Intestine Anastomosis Using Any Segment of Small and/or Large Intestine (Kock Pouch or Camey Enterocystoplasty)
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Cystotomy With Calculus Basket Extraction and/or Ultrasonic or Electrohydraulic Fragmentation of Ureteral Calculus
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Cystotomy With Insertion of Ureteral Catheter or Stent
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Cystourethroscopy
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Cystourethroscopy (Including Ureteral Catheterization), With Fragmentation of Ureteral Calculus (eg, Ultrasonic or Electro- Hydraulic Technique)
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Cystourethroscopy (Including Ureteral Catheterization), With Manipulation, Without Removal of Ureteral Calculus
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Cystourethroscopy (Including Ureteral Catheterization), With Removal of Ureteral Calculus
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Cystourethroscopy With Biopsy
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Cystourethroscopy With Dilation of Bladder for Interstitial Cystitis, With Local Anesthesia
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Cystourethroscopy With Fulguration (Including Cryosurgery or Laser Surgery) and/or Resection of Bladder Tumor(s)
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Cystourethroscopy With Fulguration (Including Cryosurgery or Laser Surgery) or Treatment of Minor Lesion(s) With or Without Biopsy
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Cystourethroscopy With Insertion of Indwelling Ureteral Stent
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Cystourethroscopy With Insertion of Radioactive Substance, With or Without Biopsy or Fulguration
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Cystourethroscopy With Insertion of Urethral Stent
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Cystourethroscopy With Internal Urethrotomy, Female
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Cystourethroscopy With Internal Urethrotomy, Male
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Cystourethroscopy With Irrigation and Evacuation of Multiple Obstructing Clots
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Cystourethroscopy With Removal of Foreign Body, Calculus, or Ureteral Stent From Urethra or Bladder, Complicated
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Cystourethroscopy With Removal of Foreign Body, Calculus, or Ureteral Stent From Urethra or Bladder, Simple
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Cystourethroscopy With Treatment of Intra-Renal Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Cystourethroscopy With Treatment of Ureteral Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Cystourethroscopy With Treatment of Ureteropelvic Junction Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Cystourethroscopy With Ureteral Catheterization, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service
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Cystourethroscopy With Ureteral Catheterization, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Brush Biopsy of Ureter and/or Renal Pelvis
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Cystourethroscopy With Ureteroscopy and/or Pyeloscopy, With Biopsy and/or Fulguration of Lesion
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Cystourethroscopy With Ureteroscopy and/or Pyeloscopy, With Removal or Manipulation of Calculus (Including Ureteral Catheterization)
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Cystourethroscopy With Ureteroscopy and/or Pyeloscopy, With Resection of Tumor
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Cystourethroscopy With Ureteroscopy, With Treatment of Intra-Renal Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Cystourethroscopy With Ureteroscopy, With Treatment of Ureteral Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Cystourethroscopy With Ureteroscopy, With Treatment of Ureteropelvic Junction Stricture (eg, balloon dilation, laser, electrocautery, and incision)
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Deep Incision and Drainage of Penis
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Diagnostic Cystourethroscopy With Ureteroscopy and/or Pyeloscopy
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Drainage of Perirenal or Renal Abscess, Open
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Drainage of Perirenal or Renal Abscess, Percutaneous
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Drainage of Perivesical or Prevesical Space Abscess
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Enterocystoplasty, Including Intestinal Anastomosis
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Excision of Perinephric Cyst
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Excision or Fulguration of Carcinoma of Urethra
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Excision or Fulguration of Urethral Caruncle
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Excision or Fulguration of Urethral Polyp(s), Distal Urethra
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Excision or Fulguration of Urethral Prolapse
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Excision or Unroofing of Kidney Cyst(s)
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Injection Procedure for Cystography or Voiding Urethrocystography
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Injection Procedure for Retrograde Urethrocystography
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Laparoscopic Living Donor Nephrectomy (Excluding Preparation and Maintenance of Allograft)
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Laparoscopic Nephrectomy, Including Partial Ureterectomy
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Laparoscopic Nephrectomy With Total Ureterectomy
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Laparoscopic Radical Nephrectomy (Includes Removal of Gerota\'s Fascia and Surrounding Fatty Tissue, Removal of Regional Lymph Nodes, and Adrenalectomy)
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Laparoscopic Sling Operation For Stress Incontinence
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Laparoscopic Ureterolithotomy
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Laparoscopic Urethral Suspension For Stress Incontinence; Burch Procedure
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Living Donor Nephrectomy, Open (Excluding Preparation and Maintenance of Allograft)
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Nephrectomy Including Partial Ureterectomy, Any Open Approach Including Rib Resection
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Nephrectomy, Including Partial Ureterectomy, Any Open Approach Including Rib Resection, Complicated Because of Previous Surgery on Same Kidney
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Nephrectomy Including Partial Ureterectomy, Any Open Approach Including Rib Resection, Radical, With Regional Lymphadenectomy and/or Vena Caval Thrombectomy
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Nephrectomy With Total Ureterectomy and Bladder Cuff, Through Same Incision
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Nephrectomy With Total Ureterectomy and Bladder Cuff, Through Separate Incision
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Nephrolithotomy, Complicated by Congenital Kidney Abnormality
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Nephrolithotomy, Secondary Surgical Operation for Calculus
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Nephrolithotomy With Removal of Calculus
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Nephrorrhaphy, Suture of Kidney Wound or Injury
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Nephrostomy, Nephrotomy With Drainage
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Nephrotomy With Exploration
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Partial Nephrectomy
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Percutaneous Introduction of Guide Into Renal Pelvis and/or Ureter With Dilation to Establish Nephrostomy Tract
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Prostatectomy, Perineal Radical
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Prostatectomy, Retropubic Radical
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Recipient Nephrectomy
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Removal of Foreign Body from Deep Penile Tissue
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Renal Allotransplantation With Implantation of Graft and Recipient Nephrectomy
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Renal Allotransplantation With Implantation of Graft, Excluding Donor and Recipient Nephrectomy
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Biopsy
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Fulguration and/or Incision, With or Without Biopsy
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Insertion of Radioactive Substance, With or Without Biopsy and/or Fulguration
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Removal of Foreign Body or Calculus
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Renal Endoscopy Through Established Nephrostomy or Pyelostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Ureteral Catheterization, With or Without Dilation of Ureter
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Biopsy
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Endopyelotomy
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Fulguration and/or Incision, With or Without Biopsy
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Insertion of Radioactive Substance, With or Without Biopsy and/or Fulguration
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Removal of Foreign Body or Calculus
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Renal Endoscopy Through Nephrotomy or Pyelotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Ureteral Catheterization, With or Without Dilation of Ureter
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Renal Exploration, Not Necessitating Other Specific Procedures
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Right Open Renal Biopsy
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Right Percutaneous Renal Biopsy
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Simple Cystometrogram (CMG) (eg, Spinal Manometer)
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Transurethral Balloon Dilation of the Prostatic Urethra
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Transurethral Destruction of Prostate Tissue by Microwave Thermotherapy
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Transurethral Destruction of Prostate Tissue by Radiofrequency Thermotherapy
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Transurethral Destruction of Prostate Tissue by Water-Induced Thermotherapy
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Transurethral Drainage of Prostatic Abscess
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Transurethral Electrosurgical Resection of Prostate, Including Control of Postoperative Bleeding, Complete (Vasectomy, Meatotomy, Cystourethroscopy, Urethral Calibration and/or Dilation, and Internal Urethrotomy are Included)
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Transurethral Incision of Prostate
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Transurethral Resection of Bladder Neck
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Transurethral Resection of Postoperative Bladder Neck Contracture
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Transurethral Resection of Prostate (TURP)
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Transurethral Resection of Regrowth of Obstructive Tissue Longer than One Year Postoperative
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Transurethral Resection of Residual Obstructive Tissue After 90 Days Postoperative
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Biopsy
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Fulguration and/or Incision, With or Without Biopsy
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Insertion of Radioactive Substance, With or Without Biopsy and/or Fulguration
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Removal of Foreign Body or Calculus
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Ureteral Endoscopy Through Established Ureterostomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Ureteral Catheterization, With or Without Dilation of Ureter
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Biopsy
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Fulguration and/or Incision, With or Without Biopsy
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service; With Insertion of Radioactive Substance, With or Without Biopsy and/or Fulguration
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Removal of Foreign Body or Calculus
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Ureteral Endoscopy Through Ureterotomy, With or Without Irrigation, Instillation, or Ureteropyelography, Exclusive of Radiologic Service, With Ureteral Catheterization, With or Without Dilation of Ureter
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Ureterolithotomy, Lower One-Third of Ureter
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Ureterolithotomy, Middle One-Third of Ureter
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Ureterolithotomy, Upper One-Third of Ureter
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Ureterolysis With or Without Repositioning of Ureter for Retroperitoneal Fibrosis
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Ureteroneocystostomy, Anastomosis of Duplicated Ureter to Bladder
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Ureteroneocystostomy, Anastomosis of Single Ureter to Bladder
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Ureteroplasty, Plastic Operation on Ureter
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Ureteropyelostomy, Anastomosis of Ureter and Renal Pelvis
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Ureterorrhaphy, Suture of Ureter
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Ureterosigmoidostomy, With Creation of Sigmoid Bladder and Establishment of Abdominal or Perineal Colostomy, Including Intestine Anastomosis
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Ureterostomy, Transplantation of Ureter to Skin
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Ureterotomy For Insertion of Indwelling Stent, All Types
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Ureterotomy With Exploration or Drainage
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Ureteroureterostomy
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Urethral Catheterization, Complicated (May Include Difficult Removal of Balloon Catheter)
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Urethral Catheterization, Simple
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Urinary Undiversion
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Medication
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Phenazopyridine
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Trimethoprim and Sulfamethoxazole (TMP/SMZ)
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