I would like a second opinion on coding of this surgery
ICD: Occipital neuralgia
Procedure: 1. Microsurgical decompression of left occipital nerve
2. Ablation of left occipital artery
Patient turned to prone position. After skin incision Doppler was used to find course of occipital artery. The artery was ectatic and markely compressing the occipital nerve which was bowed over considerably. The occipital artery was ablated its entire length where it made contact with the occipital nerve and greatly decompressed the occipital nerve. The fascial verge where the nerve passes through the cervical muscle compartment into the suboccipital region was opened up as well to make sure no compression of nerve.
I was thinking 64722
ICD: Occipital neuralgia
Procedure: 1. Microsurgical decompression of left occipital nerve
2. Ablation of left occipital artery
Patient turned to prone position. After skin incision Doppler was used to find course of occipital artery. The artery was ectatic and markely compressing the occipital nerve which was bowed over considerably. The occipital artery was ablated its entire length where it made contact with the occipital nerve and greatly decompressed the occipital nerve. The fascial verge where the nerve passes through the cervical muscle compartment into the suboccipital region was opened up as well to make sure no compression of nerve.
I was thinking 64722