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Can someone please help me with the following: (Forgive me for mistakes I have to type this whole thing in)
Pt placed supine,Areas over both SI joints prepped and drapped. A point of maximum tenderness was found at each level and marked.
Over each side of maximum tenderness a total of 2mL of 1% lidocane was infused in the skin subctaneous tissue for analegesia. A specially designed radiofrequency needle, which was shielded except fo the 10-mm active tip was advanced toward the point of maximal tenderness. Once adequate depth was obtained and confirmed by pt, then sensorimotor testing was performed.Sensory testing showed a repeat of the patients pain at the levels noted on the below graph. The motor testing showed no untoward motor movements. Approximately 1 mL of 0.25% bupivacaine with 5 mg of Depo-Medrol were infused in this space.This was allowed to act approximately one minute before radiofrequency was performed. Radiofrequency ablation was then performed for a total of 2 minutes at 40 degrees at pulsed form. A second point of maximal tenderness was noted on the left side and this same procedure was performed at this level This procedure was repeated on the right with two points of maximal tenderness note in each SI joint. After the procedure was complete deep palpatation was performed at each level and no pain was elicited. Refer to the following levels:
R L5-S1
R S2
R S3
L SI
L S2
L S3
Can someone help me code this? Thank you in advance
Pt placed supine,Areas over both SI joints prepped and drapped. A point of maximum tenderness was found at each level and marked.
Over each side of maximum tenderness a total of 2mL of 1% lidocane was infused in the skin subctaneous tissue for analegesia. A specially designed radiofrequency needle, which was shielded except fo the 10-mm active tip was advanced toward the point of maximal tenderness. Once adequate depth was obtained and confirmed by pt, then sensorimotor testing was performed.Sensory testing showed a repeat of the patients pain at the levels noted on the below graph. The motor testing showed no untoward motor movements. Approximately 1 mL of 0.25% bupivacaine with 5 mg of Depo-Medrol were infused in this space.This was allowed to act approximately one minute before radiofrequency was performed. Radiofrequency ablation was then performed for a total of 2 minutes at 40 degrees at pulsed form. A second point of maximal tenderness was noted on the left side and this same procedure was performed at this level This procedure was repeated on the right with two points of maximal tenderness note in each SI joint. After the procedure was complete deep palpatation was performed at each level and no pain was elicited. Refer to the following levels:
R L5-S1
R S2
R S3
L SI
L S2
L S3
Can someone help me code this? Thank you in advance