Hello!
I was wondering if I could get some help coding this procedure. I've been filling in for our pain management client since they don't have a coder and both my administrator and I are stumped on this. Please help!
Thanks in advance!
Pre-OP DX: Need for catheter evaluation
Post-OP DX: Same
Procedure Preformed: Irrigation of intrathecal catheter system with catheter evaluation; intraoperative myelogram
Anesthesia: IV/MAC
Description of Procedure: Following informed consent, the patient was taken to the procedure room and placed in the supine position. All noninvasic monitors were applied. She was prepped and draped in sterile field. Under C-arm fluoroscopic guidance, a 25 guage Huber needle was inserted into the side port of her SynchroMed infusion pump and connected to tubing and syringe full of Omnipaque 300 contrast was used to flush of all air. I then aspirated approximately 2 mL of clear cerebral spinal fluid from the catheter system. This was followed by injection of Omnipaque contrast to run 2-3 mL, demonstrating good myelographic spread. I then flushed the system with preservative free saline. She will be bolused with 0.2 mL postoperatively to clear the side port and the catheter system.
The Doctor marked 62284, 95999, 72265 and 77003. Any advice? Thanks again!
I was wondering if I could get some help coding this procedure. I've been filling in for our pain management client since they don't have a coder and both my administrator and I are stumped on this. Please help!
Thanks in advance!
Pre-OP DX: Need for catheter evaluation
Post-OP DX: Same
Procedure Preformed: Irrigation of intrathecal catheter system with catheter evaluation; intraoperative myelogram
Anesthesia: IV/MAC
Description of Procedure: Following informed consent, the patient was taken to the procedure room and placed in the supine position. All noninvasic monitors were applied. She was prepped and draped in sterile field. Under C-arm fluoroscopic guidance, a 25 guage Huber needle was inserted into the side port of her SynchroMed infusion pump and connected to tubing and syringe full of Omnipaque 300 contrast was used to flush of all air. I then aspirated approximately 2 mL of clear cerebral spinal fluid from the catheter system. This was followed by injection of Omnipaque contrast to run 2-3 mL, demonstrating good myelographic spread. I then flushed the system with preservative free saline. She will be bolused with 0.2 mL postoperatively to clear the side port and the catheter system.
The Doctor marked 62284, 95999, 72265 and 77003. Any advice? Thanks again!