Wiki transforaminal epidural injection HELP going insane

HeidiLynn

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If dr dictates
is this bi lat one level? or two levels each side? Ive always understood this to be one level l4-l5 the number if injections and needles used don't matter??
64483- lt
64484- Lt

64483--rt
64484-rt
or

64483- Lt
64484- Rt

Lt L4 spinal needle level and pedicle was identified spread through foramen through epidural space along the nerve root. floro for placement and all that etc..
Lt L5 same as above different needle

then
Rt L4
Rt L5 dictation is the same as above.
 
Looks like 2 levels and bilateral to me. Transforaminal injections are coded per single level. So L4 is one level and L5 is additional level. Plus in this he performed both sides at each level.
64483-50
64484-50
 
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