Amanda_Kentch
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We are having a probelm deciding when to use 62319 vs 62311. Which code would you use if the procedure was as listed below.
Caudal area prepped and draped..A skin nick was make and through this a 17 gauge Tuohy needle was advanced into the caudal canal without difficulty..Negative aspiration test was performed and a 19 gauge TeraCath epidural catheter was advanced under flouro...with some manipulation was able to get it up to the L4 level just to the right of the midline. Isovue 200 dye given which showed a good epidurogram with bilateral filling. She was then given 4 ml of 1%lido which was well tolerated...then given 80 mg of triamcinolone to volume 6 ml with saline...Catheter then pulled back into the sacral segment and flushed with 2ml preservative free normal saline....catheter and needle removed intact as a unit. Sterile bandage applied.
Thanks for looking.
Amanda
Caudal area prepped and draped..A skin nick was make and through this a 17 gauge Tuohy needle was advanced into the caudal canal without difficulty..Negative aspiration test was performed and a 19 gauge TeraCath epidural catheter was advanced under flouro...with some manipulation was able to get it up to the L4 level just to the right of the midline. Isovue 200 dye given which showed a good epidurogram with bilateral filling. She was then given 4 ml of 1%lido which was well tolerated...then given 80 mg of triamcinolone to volume 6 ml with saline...Catheter then pulled back into the sacral segment and flushed with 2ml preservative free normal saline....catheter and needle removed intact as a unit. Sterile bandage applied.
Thanks for looking.
Amanda