sarthur
Networker
My doctor marked two 62311 injections on the same DOS. How would you code from the following dictation? Would a second 62311 charge with the 59 modifier be appropriate as the procedures were lumbar and lumbar/sacral?
Procedure 1: With the patient in the prone position on the fluoroscopy table, the back is prepped and draped in a sterile fashion. All personnel and operator are wearing hats and masks and the operator is utilizing sterile gloves. A #20-gauge Tuhoy needle is placed through a lidocaine skin wheal and under fluoroscopic guidance advanced intralaminar 5-1 right. 0.5ml of water-soluble contrast is injected with no vascular uptake. Injection is made of 40mg Kenalog and 2ml Isovue-M 300. Epidurogram is produced that extends from 4-5 to sacrum. The needle is removed intact.
Procedure 2: With the patient in the prone position on the fluoroscopy table, the back is prepped and draped in a sterile fashion. All personnel and operator are wearing hats and masks and the operator is utilizing sterile gloves. A #20-gauge Tuhoy needle is placed through a lidocaine skin wheal and under fluoroscopic guidance advanced intralaminar 2-3.0.5ml of water-soluble contrast is injected with no vascular uptake. Injection is made of 40mg Kenalog and 2ml Isovue-M 300. Epidurogram is produced that extends from 2-3 to 1-2. The needle is removed intact.
The patient is left in the prone position in good condition. At no time were dysesthesias produced nor was CSF or blood obtained.
Procedure 1: With the patient in the prone position on the fluoroscopy table, the back is prepped and draped in a sterile fashion. All personnel and operator are wearing hats and masks and the operator is utilizing sterile gloves. A #20-gauge Tuhoy needle is placed through a lidocaine skin wheal and under fluoroscopic guidance advanced intralaminar 5-1 right. 0.5ml of water-soluble contrast is injected with no vascular uptake. Injection is made of 40mg Kenalog and 2ml Isovue-M 300. Epidurogram is produced that extends from 4-5 to sacrum. The needle is removed intact.
Procedure 2: With the patient in the prone position on the fluoroscopy table, the back is prepped and draped in a sterile fashion. All personnel and operator are wearing hats and masks and the operator is utilizing sterile gloves. A #20-gauge Tuhoy needle is placed through a lidocaine skin wheal and under fluoroscopic guidance advanced intralaminar 2-3.0.5ml of water-soluble contrast is injected with no vascular uptake. Injection is made of 40mg Kenalog and 2ml Isovue-M 300. Epidurogram is produced that extends from 2-3 to 1-2. The needle is removed intact.
The patient is left in the prone position in good condition. At no time were dysesthesias produced nor was CSF or blood obtained.