Tvitolo
New
Please help with the levels : OP note documentation
Using AP fluroscopy the right L5 facet joint was identified using a 25g needle, 3 ml of Lidocaine was injected overlying the base of the L6 facet joint. Then a 22 ga inch spinal needle was advanced anteriorly util the bony contact was made at the L5-S1 facet joint under ap fluoroscopic view. There was no parasthesia during the placement of the needle. After negative aspiration for heme and csf, one ml of .5% lidocaine and 13mg of depomedrol was easily injected at the right L5 medial branch nerve without parasthesia.
This procedure was repeated for the right medial branch nerve block at L4 and Left medical branch nerve block at L4 and L5 with negative aspiration for heme and csf total of 80 mg of depomedral
What CPT codes would you use
64493 RT and 64493 LT
Using AP fluroscopy the right L5 facet joint was identified using a 25g needle, 3 ml of Lidocaine was injected overlying the base of the L6 facet joint. Then a 22 ga inch spinal needle was advanced anteriorly util the bony contact was made at the L5-S1 facet joint under ap fluoroscopic view. There was no parasthesia during the placement of the needle. After negative aspiration for heme and csf, one ml of .5% lidocaine and 13mg of depomedrol was easily injected at the right L5 medial branch nerve without parasthesia.
This procedure was repeated for the right medial branch nerve block at L4 and Left medical branch nerve block at L4 and L5 with negative aspiration for heme and csf total of 80 mg of depomedral
What CPT codes would you use
64493 RT and 64493 LT