In simple words: The doctor makes a cut in the bladder and ureter to remove a kidney stone.The doctor also removes a small part of the bladder neck during the procedure. This helps prevent future issues. A tube is inserted to drain urine, preventing leakage and infection.

This procedure involves a surgical incision into the urinary bladder (cystotomy) and ureter to remove a stone from the ureter.The procedure also includes resection of the bladder neck. The surgeon makes an incision in the abdomen, dissects through tissue to locate the bladder and ureters, checks bladder function, and makes an incision into the bladder wall and ureter to remove the stone and bladder neck tissue.The bladder incision is sutured, a catheter is placed for drainage, and bleeding is controlled. A drain may be placed, and the abdominal wound is closed. The catheter and drain are typically removed after several days.

Example 1: A 65-year-old male presents with symptoms of kidney stones and a history of prior unsuccessful attempts to remove the stone using less invasive methods.The urologist determines that transvesical ureterolithotomy with bladder neck resection is necessary due to the stone's location and size., A 40-year-old female with a large ureteral stone causing significant obstruction and bladder irritation requires surgical intervention. Transvesical ureterolithotomy with bladder neck resection is chosen to ensure complete stone removal and prevent recurrence., A 72-year-old male with a history of recurrent urinary tract infections and a stone lodged in the lower ureter requiring transvesical ureterolithotomy with resection of the bladder neck to facilitate complete removal and reduce the risk of infection recurrence.

* Complete patient history and physical examination* Preoperative diagnostic imaging (e.g., CT scan, ultrasound) clearly showing stone location and size* Operative report detailing the procedure performed, including stone characteristics and bladder neck resection.* Pathology report (if applicable)* Postoperative imaging (optional, but recommended to confirm stone removal)* Documentation of postoperative course, including catheter management and drain removal.

** The description emphasizes the resection of the bladder neck which distinguishes it from simpler ureterolithotomy procedures. Always refer to the latest CPT coding guidelines and NCCI edits for complete and up-to-date coding information.