Wiki Suprascapular & axillary circumflex regional block for postop pain control

[msm8teen]

This is a new one for me. Pt had arthoscopic shoulder surgery and the note on the anesthesia procedure record states: "combination block recommended vs. interscalene because of respiratory function and sleep apnea."

Not sure how to code this - landmarks /approach states: 1] suprascapular groove and
2] posterior humeral head.

Anyone have some insight to this??

Thanks!

 

[dwaldman]

http://www.nysora.com/jnysora/jnyso...ircumflex-nerve-block-the-shoulder-block.html

The above link describes this technique and it sounds like two separate blocks are being done and if two separate blocks are being it could be reported as such:


64418 Injection, anesthetic agent; suprascapular nerve

64415 Injection, anesthetic agent; brachial plexus, single

 

[msm8teen]

Thank you so much for your help!