Neurology & Pain Management Coding Alert

You Be the Coder:

Coding Herniated Disc Tx

Question: A patient reports for surgery with a preoperative diagnosis of herniated disc. The surgeon preps and drapes in the usual fashion, and identifies L4-5 disc space. Here is the rest of the note from the surgeon: “I injected local anesthesia using lidocaine 1 % with epinephrine with a #25-gauge 1.5 inch needle to the superficial skin and subcutaneous tissue. [...]
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