I have a doctor who recently started doing radiofrequency. Please explain how to code the following:
Under fluoroscopic guidance, the junction between the right SI superior articular process and the right sacral ala was identified. The skin and subcutaneous tissue were anesthetized.
Using a 3 1/2 inch, #22 gauge radiofrequency cannula, the bony landmark was identified and inserted until the tip touched the bone to the above-mentioned landmark. Cannula placement was confirmed on both anterior/posterior and lateral views. Local anesthesia was infiltrated at the 2 o'clock and 4 o'clock positions at the S1, S2, and S3 foramen on the right side. The cannula tips were placed under fluoroscopic guidance at the above-mentioned locations. Again, cannula placement was confirmed on both anterior/posterior and lateral views. Sensory stimulation was then performed at 50 hertz with reproduction of the patient's pain at less than 0.5 volts at each location. Motor stimulation was performed at 2 hertz up to approximately 2.5 volts with no abnormal right-sided lower extremity motor activity.
An injection was performed through each cannula consisting of 1 ml of 2% lidocaine with 10 mg of Depo-Medrol. A radiofrequency electrode was then inserted through each of the cannula. Lesioning was performed at 80 degrees Celsius for 90 seconds at each level. Electrode and cannulas were removed intact.
The patient was discharged to the post anesthesia area in satisfactory condition.
My doctor chose 64622, 64623 x6 and 77003-26. I am confused about the number. Many thanks!
Under fluoroscopic guidance, the junction between the right SI superior articular process and the right sacral ala was identified. The skin and subcutaneous tissue were anesthetized.
Using a 3 1/2 inch, #22 gauge radiofrequency cannula, the bony landmark was identified and inserted until the tip touched the bone to the above-mentioned landmark. Cannula placement was confirmed on both anterior/posterior and lateral views. Local anesthesia was infiltrated at the 2 o'clock and 4 o'clock positions at the S1, S2, and S3 foramen on the right side. The cannula tips were placed under fluoroscopic guidance at the above-mentioned locations. Again, cannula placement was confirmed on both anterior/posterior and lateral views. Sensory stimulation was then performed at 50 hertz with reproduction of the patient's pain at less than 0.5 volts at each location. Motor stimulation was performed at 2 hertz up to approximately 2.5 volts with no abnormal right-sided lower extremity motor activity.
An injection was performed through each cannula consisting of 1 ml of 2% lidocaine with 10 mg of Depo-Medrol. A radiofrequency electrode was then inserted through each of the cannula. Lesioning was performed at 80 degrees Celsius for 90 seconds at each level. Electrode and cannulas were removed intact.
The patient was discharged to the post anesthesia area in satisfactory condition.
My doctor chose 64622, 64623 x6 and 77003-26. I am confused about the number. Many thanks!