dwaldman
True Blue
Following informed consent, the patient was positioned prone on the fluoroscopy table. A time out was performed. The patient was monitored and sedated per anesthesia. A sterile prep and drape was done. After initial fluoroscopic localization, 1% lidocaine was used for local anesthesia, followed by insertion of 22 gauge needles; they were advanced to the waistpoint of the transverse processes of C2, C3, & C4. After injection of the C3 process, the needle was repositioned to the C2-3 disc area (corresponding to the course of the TON). Following negative aspirate and fluoroscopic confirmation of needle position, the patient received 1 cc of a solution of 3 cc 0.25% Marcaine + 80 mg Depo-Medrol at each of the locations. The patient was observed in the recovery room for an appropriate amount of time following the procedure.
The performing provider suggested 64490 LT 64491 LT 64492 LT but I said to him the corresponding facets would be C2-C3, C3-C4. He said he was thinking 64492 also since he also blocked the TON. Please assit on how you bill for the TON is it with the Facet codes and with it is at the same level as other blocks.
The performing provider suggested 64490 LT 64491 LT 64492 LT but I said to him the corresponding facets would be C2-C3, C3-C4. He said he was thinking 64492 also since he also blocked the TON. Please assit on how you bill for the TON is it with the Facet codes and with it is at the same level as other blocks.