Ask Dr. Z

I am really at a loss here. This is more than a straightforward Foley removal to charge as an E&M. Would this go to an unlisted and 77002?

"Ultrasound confirmed the presence of the Foley balloon in place within a contracted urinary bladder. Through the lumen of the Foley catheter, an 8 French dilator was advanced, and contrast was administered opacifying the contracted urinary bladder. Balloon was clearly identified as well. Under fluoroscopic guidance, the Foley catheter was advanced forward. An area in the suprapubic region was then infiltrated with 1% lidocaine. Under direct fluoroscopic and sonographic guidance, a 20-gauge needle was advanced into the region of the balloon and the balloon was punctured successfully. The balloon was deflated. Foley catheter was then removed intact. Patient tolerated the procedure well without immediate complications.”