colsonccsp@yahoo.com
Contributor
My provider performs an SI innervation block and I am not sure how to code it. He says 64493-5 is not appropriate as it is not a facet. He also says it is not a 27096 because he is not going into the joint itself but injecting the nerves that innervate the joint. I am coming up with an unlisted code but since that pays very poorly. I am inclined toward 64450-X2 in this case, s1-s2, s2-s3.
I am hoping you wise coders out there can offer me some help.
Documentation below:
Sacroiliac joint block of the sacroiliac innervation S1, S2, and S3 branches.
Sacroiliac joint innervation was approached in mediolateral projections and with tilt of the fluoroscopy unit caudal cephalad. Then, 1% lidocaine was injected in the skin. A 22 gauge spinal needle was inserted at the S1, S2, S3 innervation of the sacroiliac joint and branches of the innervated joint subsequently. Negative aspiration was noted. Contrast study was performed. No intrathecal or intravascular spread was noted. Subsequently, the block was performed using 0.2% Naropin mixed with 4mg/cc of Kenalog for a total of .5 cc at each location. The patient tolerated etc . ..
I am hoping you wise coders out there can offer me some help.
Documentation below:
Sacroiliac joint block of the sacroiliac innervation S1, S2, and S3 branches.
Sacroiliac joint innervation was approached in mediolateral projections and with tilt of the fluoroscopy unit caudal cephalad. Then, 1% lidocaine was injected in the skin. A 22 gauge spinal needle was inserted at the S1, S2, S3 innervation of the sacroiliac joint and branches of the innervated joint subsequently. Negative aspiration was noted. Contrast study was performed. No intrathecal or intravascular spread was noted. Subsequently, the block was performed using 0.2% Naropin mixed with 4mg/cc of Kenalog for a total of .5 cc at each location. The patient tolerated etc . ..
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