lcole7465
Expert
Looking for some insight on this NB - Common Peroneal NB - in looking up the anatomy it looks like it is a branch of the sciatic nerve.
I'm thinking it should be coded 64450, my doctor is saying 64445. Op report info is below:
The area of the common peroneal nerve being cleansed with chlorhexidine and then ultrasound and a sterile probe was used to identify the left common peroneal nerve proximal to the fibular head. A 2-inch 27 gauge needle was then advanced under ultrasound guidance with the tip of the needle being put next to the common peroneal nerve and twitching being appropriately elicited and the stimulator being turned off. After negative aspiration, there was an injection of 1mL of 40mg of Depo-Medrol plus 5mL of bupivicaine 0.25% for a total volume of 6 mL being injected. With the spread of the injected being distributed around the area of the common peroneal nerve, confirming the medication went into the right area.
Thank you in advance for any input...
I'm thinking it should be coded 64450, my doctor is saying 64445. Op report info is below:
The area of the common peroneal nerve being cleansed with chlorhexidine and then ultrasound and a sterile probe was used to identify the left common peroneal nerve proximal to the fibular head. A 2-inch 27 gauge needle was then advanced under ultrasound guidance with the tip of the needle being put next to the common peroneal nerve and twitching being appropriately elicited and the stimulator being turned off. After negative aspiration, there was an injection of 1mL of 40mg of Depo-Medrol plus 5mL of bupivicaine 0.25% for a total volume of 6 mL being injected. With the spread of the injected being distributed around the area of the common peroneal nerve, confirming the medication went into the right area.
Thank you in advance for any input...