NESmith
Guest
Once again, please help. Procedure: Right lower extremity neuroma injection with insulated needle and nerve stimulation/
With the patient having had an IV started ans all routine monitoring intact to include noninvasive blood pressure cuff and continuous pulse oximetry; the patient was placed in a prone position. The painful region was identified in the right popliteal fossa with visual palpation. We then anesthetized the superficial skin with 1% lidocaine local anesthesia. Through the anestheized skin we placed a radiofrequency needle with a 10 mm active tip. It was advanced with use of sensory simulation. Sensory stimulation reproduced the patient's pain originally at a tubal setting. The average was decreased with stimulation obtained at 0.2 V. After obtaining the stimulation we then prepared a solution containing 1-1/2 cc of Celestone Soluspan 10 mg and 6 cc of 0.25% bupivacaine. After negative aspiration the solution was injected incrementally. The needle was then removed and the are was sterilely cleaned and bandaged. the patient had a preoperative pain level of 7/10 and a postoperative pain level of zero. the patient was discharged with no apparent complications and will followup accordingly.
Please advise what CPT code you would use. Thanks for your help
With the patient having had an IV started ans all routine monitoring intact to include noninvasive blood pressure cuff and continuous pulse oximetry; the patient was placed in a prone position. The painful region was identified in the right popliteal fossa with visual palpation. We then anesthetized the superficial skin with 1% lidocaine local anesthesia. Through the anestheized skin we placed a radiofrequency needle with a 10 mm active tip. It was advanced with use of sensory simulation. Sensory stimulation reproduced the patient's pain originally at a tubal setting. The average was decreased with stimulation obtained at 0.2 V. After obtaining the stimulation we then prepared a solution containing 1-1/2 cc of Celestone Soluspan 10 mg and 6 cc of 0.25% bupivacaine. After negative aspiration the solution was injected incrementally. The needle was then removed and the are was sterilely cleaned and bandaged. the patient had a preoperative pain level of 7/10 and a postoperative pain level of zero. the patient was discharged with no apparent complications and will followup accordingly.
Please advise what CPT code you would use. Thanks for your help