lcole7465
Expert
The following procedure was performed by one of my pain docs... I'm stuck between coding this as 61885 or 64555 but leaning more towards 61885.
Procedure Performed: Placement of dual 8-electrode occipital stimulator for trial occipital stimulation.
Patient was placed in prone position, neck was slightly tucked, hair had been trimmed. The patients scalp and neck were prepped with betadine and sterilely draped. Bony landmarks were identified with fluoroscopy as well as palpitation.Beginning in the mid-line along with occipital ridge, after satisfactory local anesthesia, a curved 14-gauge Tuohy needle was advanced subcutaneously such as to lie along the occipital ridge in such a fashion to cover the tract of the greater and lesser occipital nerves bilaterally. Through this, starting on the left, an 8-electrode Boston Scientific lead was passed and the introducer needle was withdrawn. Fluoroscopy confirmed appropriate lead location. This exact technique was then repeated on the right side. Once lead position was satisfactory across the occipital ridge, the area was cleansed, anchoring devices placed over both leads and secured to the skin with nylon sutures.
Procedure Performed: Placement of dual 8-electrode occipital stimulator for trial occipital stimulation.
Patient was placed in prone position, neck was slightly tucked, hair had been trimmed. The patients scalp and neck were prepped with betadine and sterilely draped. Bony landmarks were identified with fluoroscopy as well as palpitation.Beginning in the mid-line along with occipital ridge, after satisfactory local anesthesia, a curved 14-gauge Tuohy needle was advanced subcutaneously such as to lie along the occipital ridge in such a fashion to cover the tract of the greater and lesser occipital nerves bilaterally. Through this, starting on the left, an 8-electrode Boston Scientific lead was passed and the introducer needle was withdrawn. Fluoroscopy confirmed appropriate lead location. This exact technique was then repeated on the right side. Once lead position was satisfactory across the occipital ridge, the area was cleansed, anchoring devices placed over both leads and secured to the skin with nylon sutures.