NESmith
Expert
Please advised if this is correct.
Percutaneous placement of three epidural leads for Spinal cord stimulation
Location: T8
Number of Total electrical contacts: Sixteen
Side: Midline
Levels: Needle entry at L1 electrodes pushed upwards the spine until they all tree reached T8.
A 16 ga Touhy needle is inserted in the skin and advanced using a very shallow angle of attack until it is perfectly midline and in the epidural space. This is confirmed with lateral fluoroscopy views.
The medtronic Octrode lead is then advanced and documented to be posterior to the thoracic foramina on lateral projections. the lead is advanced without any trouble or impediments all the way to the posterior epidural space by the arch of T8.
A second similar brand & make lead is advanced using the sae method. Thi slead is placed to the right of the first one and this lead is a Quad eletrode.
A third similar brand & make lead is advanced using the same method. This lead is placed to the left of the first one and this lead is a Quad electrode.
Intraoperative testing done by connecting the leads to the Medtronic external programmer is done. The needle were removed and the electrodes were secured with dressing and anchoring tape devices.
63650
63650-7659
63650-7659
At 10:05 decision was made the leads are not in the right area of the spinal cord and she was taken back to the OR
Revison of Percutaneous placement of three Medtronic epidural leads for Spinal cord stimulation
Location: T9
Number of totla electrical contacts: sixteen
Side: Midline
Level: Needle entry L1 electrodes pushed upwards the spine until they all three reached T9
procedure repeated as above.
63650-7859
63650-787659
63650-787659
Thank You for your help in this matter. There is some disagreement as to the correct billing of these two procedures.
Percutaneous placement of three epidural leads for Spinal cord stimulation
Location: T8
Number of Total electrical contacts: Sixteen
Side: Midline
Levels: Needle entry at L1 electrodes pushed upwards the spine until they all tree reached T8.
A 16 ga Touhy needle is inserted in the skin and advanced using a very shallow angle of attack until it is perfectly midline and in the epidural space. This is confirmed with lateral fluoroscopy views.
The medtronic Octrode lead is then advanced and documented to be posterior to the thoracic foramina on lateral projections. the lead is advanced without any trouble or impediments all the way to the posterior epidural space by the arch of T8.
A second similar brand & make lead is advanced using the sae method. Thi slead is placed to the right of the first one and this lead is a Quad eletrode.
A third similar brand & make lead is advanced using the same method. This lead is placed to the left of the first one and this lead is a Quad electrode.
Intraoperative testing done by connecting the leads to the Medtronic external programmer is done. The needle were removed and the electrodes were secured with dressing and anchoring tape devices.
63650
63650-7659
63650-7659
At 10:05 decision was made the leads are not in the right area of the spinal cord and she was taken back to the OR
Revison of Percutaneous placement of three Medtronic epidural leads for Spinal cord stimulation
Location: T9
Number of totla electrical contacts: sixteen
Side: Midline
Level: Needle entry L1 electrodes pushed upwards the spine until they all three reached T9
procedure repeated as above.
63650-7859
63650-787659
63650-787659
Thank You for your help in this matter. There is some disagreement as to the correct billing of these two procedures.