Shirleybala
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Should we need to code this procedure as 23350 or 20610
The anterior left shoulder was prepped and draped in the usual
sterile fashion. Following local anesthesia with one percent
lidocaine, a 20 gauge spinal needle was introduced into the
glenohumeral joint using fluoroscopic guidance. 3 cc of omnipaque
240 was injected intra-articularly, confirming the intra-articular
location of the needle tip. This was followed by injection of 8
cc of a dilute gadolinium mixture (.1 cc of gadolinium in 20 cc of
sterile saline). 40 mg of Depo-Medrol and 5 cc of 0.5% and
bupivicaine were also injected intra-articularly. The patient
tolerated the procedure well. No complications were encountered.
He was sent for subsequent MR examination.
Impression:
Left shoulder gadolinium arthrogram prior to MR examination.
Therapeutic injection of Depo-Medrol and bupivicane into the left
glenohumeral joint.
The anterior left shoulder was prepped and draped in the usual
sterile fashion. Following local anesthesia with one percent
lidocaine, a 20 gauge spinal needle was introduced into the
glenohumeral joint using fluoroscopic guidance. 3 cc of omnipaque
240 was injected intra-articularly, confirming the intra-articular
location of the needle tip. This was followed by injection of 8
cc of a dilute gadolinium mixture (.1 cc of gadolinium in 20 cc of
sterile saline). 40 mg of Depo-Medrol and 5 cc of 0.5% and
bupivicaine were also injected intra-articularly. The patient
tolerated the procedure well. No complications were encountered.
He was sent for subsequent MR examination.
Impression:
Left shoulder gadolinium arthrogram prior to MR examination.
Therapeutic injection of Depo-Medrol and bupivicane into the left
glenohumeral joint.