BFAITHFUL
Expert
I have a report which states doc did S1, S2 & S3 radiofrequency, I have a CPT Assist. which states CPT 64999 should be used if there was only one probe used to destroy each.. but use 64640x3 if each was destroyed individually with more than one probe. what do you guys think?
Using an OEC 9800 fluoroscope, inferomedial aspect of the rigthg S1 joint was identified with caudal tilt and lateral oblique. the right sacroiliac region was prepped and draped in sterile fashion with betadine. after anesthetizing the skin with 1% lidocaine, a 10mm sharp curved tip 22 gauge RF cannula was passed and was advanced towards the lower aspect of the infero medial right sacroiliac joint. the impedance was a range from 150 ohms to 180 ohms and the cannula was close to the medial aspect of the joint for the S3 median branch which was then lesioned at 80 degrees for 1 minute and 30 seconds. after than, the cannula was advanced along the medial aspect of the right S1 joint to the mid of the lower one third of the joint for the S2 nerve root and similiarly for the S1 median branch. the upper part of the inferomedial aspect of the right S1 joint was lesioned at 80 degrees each for one minute and 30 seconds. the cannula was then removed. prior to the removal 2cc of 1% lidocaine and 40mg of depomedrol were injected along the rigth S1 joint.
thanks
Using an OEC 9800 fluoroscope, inferomedial aspect of the rigthg S1 joint was identified with caudal tilt and lateral oblique. the right sacroiliac region was prepped and draped in sterile fashion with betadine. after anesthetizing the skin with 1% lidocaine, a 10mm sharp curved tip 22 gauge RF cannula was passed and was advanced towards the lower aspect of the infero medial right sacroiliac joint. the impedance was a range from 150 ohms to 180 ohms and the cannula was close to the medial aspect of the joint for the S3 median branch which was then lesioned at 80 degrees for 1 minute and 30 seconds. after than, the cannula was advanced along the medial aspect of the right S1 joint to the mid of the lower one third of the joint for the S2 nerve root and similiarly for the S1 median branch. the upper part of the inferomedial aspect of the right S1 joint was lesioned at 80 degrees each for one minute and 30 seconds. the cannula was then removed. prior to the removal 2cc of 1% lidocaine and 40mg of depomedrol were injected along the rigth S1 joint.
thanks