doodiebuggy
Guest
Hi all - I really need some help on coding this one as I am in the dark.
P.S. Procedure was done on 12/4/09
Diagnosis: Cervical spine pain
Procedure: Cervical epidural steroid injection under fluoroscopy
Description: After sterile triple Betadine prep and drape, appropriate positioning and fluoroscopic evaluation, the L4-L5 level was identified. Marcaine 0.25% with epinephrine was injected in the subdermal space, followed by placement of a Tuohy catheter. Utilizing a loss of resistance technique and under fluoroscopic visualization, the epidural space was identified. Aspiration for blood and CSF was negative.
Contrast was injected, 1cc, and the epidural space was identified. This was followed by injection of 2cc of steroid and 5cc of sterile saline and 1cc of 1% lidocaine, all without preservative, into the epidural space. The patient tolerated this well and the catheter was removed.
The paraspinal facet spaces were identified and under fluoroscopic visualization 0.5cc of corticosteroid and 0.5cc of lidocaine was injected into the facets for a facet block on the right and left side.
P.S. Procedure was done on 12/4/09
Diagnosis: Cervical spine pain
Procedure: Cervical epidural steroid injection under fluoroscopy
Description: After sterile triple Betadine prep and drape, appropriate positioning and fluoroscopic evaluation, the L4-L5 level was identified. Marcaine 0.25% with epinephrine was injected in the subdermal space, followed by placement of a Tuohy catheter. Utilizing a loss of resistance technique and under fluoroscopic visualization, the epidural space was identified. Aspiration for blood and CSF was negative.
Contrast was injected, 1cc, and the epidural space was identified. This was followed by injection of 2cc of steroid and 5cc of sterile saline and 1cc of 1% lidocaine, all without preservative, into the epidural space. The patient tolerated this well and the catheter was removed.
The paraspinal facet spaces were identified and under fluoroscopic visualization 0.5cc of corticosteroid and 0.5cc of lidocaine was injected into the facets for a facet block on the right and left side.