Assistance Needed - Facet Inj

ccooke9956

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How is the below coded? What does the "ala" mean?
Lumbar medial branch blocks with fluro guidence, Right and Left, L2,L3,L4 (L5), sacral ala levels?

Thanks
 

20Hiker16

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Bennington, VT
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Medial branch blocks, Paravertebral Joint injections: 66475-50; 66476-50 and 64475-50

hope the attached helps explain.

Sacral Ala
The Sacral Ala are the "wings" of the sacrum. They are an important part of the connection between the sacrum and pelvis and they are often used during spine surgery as a point of attachment for instrumentation that helps to stabilize the lumbosacral junction.

The attached site will also give a visual of the anatomy


http://www.maturespine.com/anatomy/sacral.html
 

ssebikari

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Morristown
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I'm sure Lynn intended to type 64475-50, 64475-50 & 64476-50.
In addition fluro guidance should be billed with 77003.
Hope this helps!
 
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