Coder.Melisa
Contributor
I need a little help with an Op Report and I am not sure if my doctor can be paid for all procedures he has performed as I beleive they are all included. Any feed back and Help would be greatly apprectiated, Thank you for the replies.
The right L4-5 synovial cyst was aspirated. Methyprednisolone 40 mg was injected into the right L4-5 transframinal epidural space in divided doses.
The fluoroscopy camera was repisitioned to indentify the right L5-S1 interlaminar space. The skin above the region was infiltrated with Xlocaine using a 27-gauge needle. A Weiss needle was andvanced under fluoroscopice guidance to the rigth L5-S1 epidural space using a loss-of-resistance technique. Proper need placement was confirmed using myltiple fluoroscopic views AP, Oblique, and lateral positions, and 2 cc of Isovue-200 contrast was placed. This showed an appropriate epidural spread pattern. There was no vascular uptake. Methyprednisolone 40 mg was administered in divided doses into the epidural space. The need was withdrawn and sterile dressing applied.
I know that since the Cyst Aspiration and the first ESI were done on the same area the L4-5, they are bundled. Would I be able to code ESI for the L5-S1 and if so what code would I use.![Confused :confused: :confused:](data:image/gif;base64,R0lGODlhAQABAIAAAAAAAP///yH5BAEAAAAALAAAAAABAAEAAAIBRAA7)
The right L4-5 synovial cyst was aspirated. Methyprednisolone 40 mg was injected into the right L4-5 transframinal epidural space in divided doses.
The fluoroscopy camera was repisitioned to indentify the right L5-S1 interlaminar space. The skin above the region was infiltrated with Xlocaine using a 27-gauge needle. A Weiss needle was andvanced under fluoroscopice guidance to the rigth L5-S1 epidural space using a loss-of-resistance technique. Proper need placement was confirmed using myltiple fluoroscopic views AP, Oblique, and lateral positions, and 2 cc of Isovue-200 contrast was placed. This showed an appropriate epidural spread pattern. There was no vascular uptake. Methyprednisolone 40 mg was administered in divided doses into the epidural space. The need was withdrawn and sterile dressing applied.
I know that since the Cyst Aspiration and the first ESI were done on the same area the L4-5, they are bundled. Would I be able to code ESI for the L5-S1 and if so what code would I use.