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Attempted Nephrostomy

Date: Jan 13, 2022

Question:

"A patient was admitted for sepsis, and a request was made for bilateral nephrostomy. Using ultrasound guidance, a 22 guage Chiba was used to access the collecting system. Unfortunately, the was no hydronephrosis, and after a few attempts, the case was canceled."  In a discussion with a fellow coder, that coder wanted to report code 50432-52, and I said it should be coded 50430-52 because 50432 needs a catheter and no catheter is documented in the report. The coder came back with no contrast was injected. which is part of 50430. How should this case be coded?

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