laureninstlouis
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Plan: We will proceed today with transforaminal injection. I have recommended in addition to the right L5-S1, addition of the S1 nerve root to get better spread of the medication.
Procedure: Transforaminal epidural steroid injection right L5-S1, and S1.
"Attention was then turned to the S1 neural foramen. Again entry point for the needle was identified over the superolateral border of the S1 neural foramen. Skin and subcutaneous tissues were infiltrated with 1% lidocaine. A 22-gauge needle was then advanced to contact the bone. The needle was then walked off inferomedially."
64483-RT for the L5-S1 injection, but I don't know what to do with the S1 nerve root part. 64483/84 require a RT/LT/50 modifier, don't they? Would the S1 nerve root maybe not be a transforaminal injection? Maybe 62311 for that part?
I'm very new to coding and new to spinal injections in particular, so please forgive me if I'm asking dumb questions! Thanks in advance.
Procedure: Transforaminal epidural steroid injection right L5-S1, and S1.
"Attention was then turned to the S1 neural foramen. Again entry point for the needle was identified over the superolateral border of the S1 neural foramen. Skin and subcutaneous tissues were infiltrated with 1% lidocaine. A 22-gauge needle was then advanced to contact the bone. The needle was then walked off inferomedially."
64483-RT for the L5-S1 injection, but I don't know what to do with the S1 nerve root part. 64483/84 require a RT/LT/50 modifier, don't they? Would the S1 nerve root maybe not be a transforaminal injection? Maybe 62311 for that part?
I'm very new to coding and new to spinal injections in particular, so please forgive me if I'm asking dumb questions! Thanks in advance.