ortho1991
Guru
I am trying to help cover for a pain management doc.
I looked at 64640 but really do not know. Any help or suggestions will be appreciated.
Here is the op-note.
The patient was brought to the operating room and placed in the prone position. She was
prepped and draped in sterile fashion. Using fluoroscopic guidance in the AP view, I visualized
the left sacroiliac joint. The target site was essentially the medial border of the sacroiliac joint. I
performed radiofrequency lesioning sites along 6 sites along the sacroiliac joint. Sites were
started from the inferior-most portion of the sacrum and ended proximally 1 cm below the top of
the visualized sacroiliac joint.
An 18-15-10 SMK-type needle was used to perform the multiple lesioning. The RF machine
was set for 3 probes and 3 lesion sites were carried out at a time. The same procedure was
carried out for the right sacroiliac joint. A total of 6 lesionings were done on that site as well.
Then, the L5 dorsal ramus was targeted. I visualized at the bilateral sacral ala. Subcutaneous
1% lidocaine was injected and the needle was directed under fluoroscopic guidance to the
sacral ala. At this site, lesioning was also carried out. Each lesion site was lesioned at
80 degrees for 90 seconds.
I looked at 64640 but really do not know. Any help or suggestions will be appreciated.
Here is the op-note.
The patient was brought to the operating room and placed in the prone position. She was
prepped and draped in sterile fashion. Using fluoroscopic guidance in the AP view, I visualized
the left sacroiliac joint. The target site was essentially the medial border of the sacroiliac joint. I
performed radiofrequency lesioning sites along 6 sites along the sacroiliac joint. Sites were
started from the inferior-most portion of the sacrum and ended proximally 1 cm below the top of
the visualized sacroiliac joint.
An 18-15-10 SMK-type needle was used to perform the multiple lesioning. The RF machine
was set for 3 probes and 3 lesion sites were carried out at a time. The same procedure was
carried out for the right sacroiliac joint. A total of 6 lesionings were done on that site as well.
Then, the L5 dorsal ramus was targeted. I visualized at the bilateral sacral ala. Subcutaneous
1% lidocaine was injected and the needle was directed under fluoroscopic guidance to the
sacral ala. At this site, lesioning was also carried out. Each lesion site was lesioned at
80 degrees for 90 seconds.