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Need coding help

  1. #1
    Dallas Ga
    Default Need coding help
    Medical Coding Books
    Can someone help me with the coding of the following report?

    "Indication: Chronic severe back pain, filled steroid injections for pain management, nonoperative candidate.

    Procedure: The patient was informed and consented for the procedure the prepped and draped in the usual sterile fashion. 1% lidocaine without epinephrine was utilized as a local anesthetic. Under fluorscopic guidance, percutaneous access needles were placed from a posterior lateral approach into the doral central aspects of the left and right L4-5 and L5-S1 facet joints. Access needle positions were confirmed with sensory and motor nerve testing at all four sites. Bilateral L4-5 and L5-S1 facet/median nerve root of radiofrequency ablation was performed at 80 degrees celsius for 90 seconds at each site. No complications were encountered.


    Successful fluorscopic guided L4-5 and L5-S1 bilateral facets/median nerve radiogrequency ablations."

    Any help will be appreciated.


  2. #2
    Albany, New York


    If you code the Fluoroscopy-----77003
    Karen Maloney, CPC
    Data Quality Specialist

  3. #3
    Dallas Ga
    Thanks Karen,

    I feel like such an air head, , I looked right over it apparently!

    Have a great day!


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