Jinx75
Networker
Procedure: Radiofrequency lesioning od right L5 dorsal ramus
Radiofrequency lesioning of S1, S2, S3 lateral branches
Op note states "For medial branch radiofrequency lesioning a 150mm, 20 gauge (with 15mm active tip) curved radiofrequency needle was guided using oblique fluoroscopic views at the appropriate verterbral level to make boney contact with the inferior medial border of transverse process (junction of the superior articular process and transverse process). For lateral branch radiofrequency lesioning a 150mm, 20 gauge (with 15mm active tip) curved radiofrequency needle was guided using oblique fluoroscopic views to make boney contact between the appropriate sacral foramen and the sacroiliac joint. Lateral fluroscopic images were viewed. Next sensory stimulation was obtained at each level at or below 1Hz up to 1 volt. Then motor simulation at 2Hz up to 2 volts did not cause any radicular symptoms at each level. Continuous radiofrequency was then performed at 80 degrees C for 90 seconds.
The Dr is coding:
64635
64636
64640 x3
Is this correct? I am trying to understand how she is getting 5 levels?
Radiofrequency lesioning of S1, S2, S3 lateral branches
Op note states "For medial branch radiofrequency lesioning a 150mm, 20 gauge (with 15mm active tip) curved radiofrequency needle was guided using oblique fluoroscopic views at the appropriate verterbral level to make boney contact with the inferior medial border of transverse process (junction of the superior articular process and transverse process). For lateral branch radiofrequency lesioning a 150mm, 20 gauge (with 15mm active tip) curved radiofrequency needle was guided using oblique fluoroscopic views to make boney contact between the appropriate sacral foramen and the sacroiliac joint. Lateral fluroscopic images were viewed. Next sensory stimulation was obtained at each level at or below 1Hz up to 1 volt. Then motor simulation at 2Hz up to 2 volts did not cause any radicular symptoms at each level. Continuous radiofrequency was then performed at 80 degrees C for 90 seconds.
The Dr is coding:
64635
64636
64640 x3
Is this correct? I am trying to understand how she is getting 5 levels?