Please note this question was answered in 2022. The coding advice may or may not be outdated.
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?
Need to ask Dr.Z?
Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!Ask Dr. Z a question now!