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Which guidance code? 76942 is bundled into 77012. CT used for localization..US used for needle insertion...Does one always have to use the primary guidance code, or does documentation tell us which code to use?
PROCEDURE: The patient was placed in a RLD position on the table.
CT imaging was performed to choose a site for insertion of the
needle. The L3/4 interspace was chosen, and the skin overlying
the space was marked. The skin of the left flank was prepped and
draped in sterile fashion and local anesthesia using lidocaine
was infused at the insertion site. Using fluoroscopic guidance a
22 gauge, 5" spinal needle was inserted into the thecal sac.
Clear CSF was easily obtained 1mls. Specimens were collected and
sent to the laboratory for evaluation. 5mls of Spinar was
injected without difficulty over 2 minutes. The needle was
removed and the site was dressed with a Band aid. There were no
complications in the patient left the IR suite in stable
condition.
IMPRESSION
Successful, uncomplicated lumbar puncture with fluoroscopic
guidance.
Permanent CT images were obtained and stored in the PACS system.
CT imaging was performed to choose a site for insertion of the
needle. The L3/4 interspace was chosen, and the skin overlying
the space was marked. The skin of the left flank was prepped and
draped in sterile fashion and local anesthesia using lidocaine
was infused at the insertion site. Using fluoroscopic guidance a
22 gauge, 5" spinal needle was inserted into the thecal sac.
Clear CSF was easily obtained 1mls. Specimens were collected and
sent to the laboratory for evaluation. 5mls of Spinar was
injected without difficulty over 2 minutes. The needle was
removed and the site was dressed with a Band aid. There were no
complications in the patient left the IR suite in stable
condition.
IMPRESSION
Successful, uncomplicated lumbar puncture with fluoroscopic
guidance.
Permanent CT images were obtained and stored in the PACS system.