What is the correct cpt for coccyx injection with fluroscopy?
Prior to Procedure
Prior to Procedure: Time out completed before, Informed consent obtained, Risks explained, Benefits explained
Patient Position
Patient Position: prone
Imaging Modality Used
Imaging Modality Used: Fluoroscopy
Fluroscopy View Used: AP view, lateral view
Time exposed to radiology:
0:24
Level
Level: Midline (Coccyx distal joint)
Procedure Prep
Prep: Betadine, Sterile Drape
Lidocaine Local Given: Yes
Needle Placement
Needle Placed: Other (distal coccyx joint)
Number of Injection Sites: 1
Needle Gauge,Length,Type
Needle Gauge: 22 Gauge
Needle Length: 1.5 inch
Needle Type: Quincke
Dye
Constrast Dye used: Isovue M-200
Isovue Dye Shows: other (joint spread anterior and post)
Medications
Depomedrol: 80 mg
Bupivacaine 0.25%ml each level: 0.5 ml
CSF
CSF Present: Negative
Heme
Heme Present: No
Paresthesia
Paresthesia Present: Negative
Procedure Performed
Procedure done under: Local
Patient Physical Location: Pain Clinic
Complication: no complications
Prior to Procedure
Prior to Procedure: Time out completed before, Informed consent obtained, Risks explained, Benefits explained
Patient Position
Patient Position: prone
Imaging Modality Used
Imaging Modality Used: Fluoroscopy
Fluroscopy View Used: AP view, lateral view
Time exposed to radiology:
0:24
Level
Level: Midline (Coccyx distal joint)
Procedure Prep
Prep: Betadine, Sterile Drape
Lidocaine Local Given: Yes
Needle Placement
Needle Placed: Other (distal coccyx joint)
Number of Injection Sites: 1
Needle Gauge,Length,Type
Needle Gauge: 22 Gauge
Needle Length: 1.5 inch
Needle Type: Quincke
Dye
Constrast Dye used: Isovue M-200
Isovue Dye Shows: other (joint spread anterior and post)
Medications
Depomedrol: 80 mg
Bupivacaine 0.25%ml each level: 0.5 ml
CSF
CSF Present: Negative
Heme
Heme Present: No
Paresthesia
Paresthesia Present: Negative
Procedure Performed
Procedure done under: Local
Patient Physical Location: Pain Clinic
Complication: no complications