kseeg23
Networker
I'm not sure how to code this procedure. Would I report 22523 with a 52 or 53 modifier or would I just end up coding the biopsy as 20250? This seems tricky so any help would be appreciated. Thanks
The skin overlying the area to be injected was prepped with duraprep. All surgical staff involved with performing the procedure wore standard sterile gown, mask, hat and gloves. Sterile drapes were placed around the operative field. A local anesthetic skin wheal was raised with 2% lidocaine using a 25 gauge needle. Under fluoroscopic guidance, two 10 gauge trocar needles were then advanced bipedicular at the targeted level. Flouroscopy in the AP and lateral views was used multiple times throughout the procedure to verify correct placement of the needles. A mallet was used to try to advance the trocars into the vertebral body. A hand drill was then inserted into the left sided trocar to attempt to drill a space for the balloon. A bone biopsy was obtained. Due to the extreme density of the bone, neither the trocar or the drill was able to reach the middle of vertebral body. Because of this the procedure was aborted. The cannulas were removed and hemostatis achieved. Mastisol and steri-strips were used to close the incision. The patient tolerated the procedure well and there were no clinical complications. The procedure was performed at the following levels T10.
Radiation exposure time: 1 minute 42 seconds
The skin overlying the area to be injected was prepped with duraprep. All surgical staff involved with performing the procedure wore standard sterile gown, mask, hat and gloves. Sterile drapes were placed around the operative field. A local anesthetic skin wheal was raised with 2% lidocaine using a 25 gauge needle. Under fluoroscopic guidance, two 10 gauge trocar needles were then advanced bipedicular at the targeted level. Flouroscopy in the AP and lateral views was used multiple times throughout the procedure to verify correct placement of the needles. A mallet was used to try to advance the trocars into the vertebral body. A hand drill was then inserted into the left sided trocar to attempt to drill a space for the balloon. A bone biopsy was obtained. Due to the extreme density of the bone, neither the trocar or the drill was able to reach the middle of vertebral body. Because of this the procedure was aborted. The cannulas were removed and hemostatis achieved. Mastisol and steri-strips were used to close the incision. The patient tolerated the procedure well and there were no clinical complications. The procedure was performed at the following levels T10.
Radiation exposure time: 1 minute 42 seconds