Wiki CPT Help, 64445 or 20552

[Lynda Wetter]

64445 or 20552?


Reason for Study: SCIATIC NERVE PALSY

Reason For Visit: SCIATIC NERVE PALSY

CT-guided right piriformis injection.

History: Pain.

Procedure: After informed oral and written consent were obtained and
the patient was properly identified, the patient was placed in the
prone position on the CT scanner gantry. A site overlying of the
right piriformis muscle was localized using CT guidance. The skin was
prepped and draped in the usual sterile fashion. The skin and
subcutaneous tissues were anesthetized with 2% buffered lidocaine. A
22-gauge coaxial needle was advanced under CT guidance 2 the deep
margin of the right piriformis muscle posterior to the right
acetabulum. 40 mg Depo-Medrol and 2.5 mL 2% buffered lidocaine were
slowly injected within and around the muscle. The needle was then
removed. There was no acute complication.

Impression: CT-guided right piriformis muscle injection as above.

 

[missy874]

Hi, I was just wondering if you got an answer to your question. I just came here with a similar note, wondering the same question. My provider stated he injected into the muscle belly which leads me to believe it should be a 20552, but he chose 64445.