Lindseywingate1990
Guest
Dose anyone know or have any information on coding a Ganglion impar block? i have seen were some people use 64520 Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic). i dont know if this is correct i see where some people have said to use the 64999. the doctor is choosing 64520 but i am still not sure here is the OP report:
a skin wheal was raised above the coccygeal sacral ligament and disks. a 25 gauge 2 1/2 inch chiba needle with a slightly bent tip was advanced through the skin wheal and under careful floroscopic control advanced through the sacral coccygeal ligament and just past this joint or disk space in the presacral area under lateral floroscopy i injected omnipaque and finally the patient recieved 4 cc of bupivacaine plus 25 mg of ketamine
any advice? they also did a coccygeal block with this as well.
a skin wheal was raised above the coccygeal sacral ligament and disks. a 25 gauge 2 1/2 inch chiba needle with a slightly bent tip was advanced through the skin wheal and under careful floroscopic control advanced through the sacral coccygeal ligament and just past this joint or disk space in the presacral area under lateral floroscopy i injected omnipaque and finally the patient recieved 4 cc of bupivacaine plus 25 mg of ketamine
any advice? they also did a coccygeal block with this as well.