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All along the back of the spine, at each level, a pair of small facet joints connects the vertebrae — the bony building blocks of the spine — holding the vertebral column together and providing support. These small joints may become inflamed due to a variety of conditions including osteoarthritis, disc degeneration, spinal stenosis, or […]
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I advanced the needle towards the facet joint until I got good position of the needle into the AP, lateral and oblique view at the above levels. We had positive aspirate of yellow serous fluid from both joints and negative parethesia. I injected 1 ml of Omnipaque 300mg/mL, which showed good spread of the dye along the facet joint at the right L4-L5 and L3-L4. I had negative aspirate and negative paresthesia.
Thank you for any input
How would you code the following:
1. Bilateral L5 dorsal ramus nerve branch blocks under fluoroscopic guidance with radiologic interpretation.
2. Right L4 medial nerve branch blocks under fluoroscopic guidance with radiologic interpretation.
3. Bilateral L3 medial nerve branch blocks under fluoroscopic guidance with radiologic interpretation.
These are all done on the same patient. I would very much appreciate any input.
John M., BS, CPC-A, CPB
Thank you!
Please help
I have not done a ton of pain management coding, so any helpful tips would be very welcome! Today I have a specific question. My doctor states he did facet injection at L4-L5 & L5-S1, he also did L4 & L5 median nerve branch blocks. These were all done on the left. Would this be 64493, 64494 only? Or also 64495? or am I totally off? Thank you for your help!
Carol Laning, CPC