Wiki injection of lumbar stabilization hardware

[tadavis]

Hi
can anyone help me code this procedure? Injection of lumbar stabilization hardware with fluoroscopic guidance for diagnostic and therapeutic purposes

thanks

 

[RebeccaWoodward*]

I'm not sure if I'm following the question. It sorta sounds like a myelogram (62284); however, I'm not certain if I'm understanding the question. Is there anyway you can elaborate on the procedure just a little more?

 

[tadavis]

fluoroscopy used to guide the tip of a 22-gauge needle to the S1 screw on the rt at its connection with the intravertebral bar. Pt status post L5-S1 fusion. Possible irritation secondary to the hardware.--Plan for hardware inj under fluoroscopy as both dx and therap modality

 

[RebeccaWoodward*]

Maybe this will help. There is still some gray area in my mind (no pun intended).......

Since CSF isn't mentioned I'm not inclined to go with 62272. Maybe 62311...

http://www.acr.org/Hidden/Economics...nosticandTherapeuticSpinalProceduresDoc6.aspx

 

[tadavis]

He has a spine infusion pump if that helps

 

[coderguy1939]

If this is for pain management for spinal hardware, Anesthesia & Pain Management Coding Alert, 2008, Vol. 10, Number 11, recommends that 22899 or 64999 should be used unless otherwise indicated by the carrier.

 

[tadavis]

THANKS FOR THE INFO--CAN YOU SEND ME THAT CODING ALERT VIA EMAIL tdavislpmd@bellsouth.net or fax 502-363-4158--I will greatly appreciate it

 

[karencollins]

Can you also send that copy to me....

kcollinscpc@bellsouth.net

 

[tadavis]

Thanks for the info