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injection of lumbar stabilization hardware

  1. Default injection of lumbar stabilization hardware
    Medical Coding Books
    Hi
    can anyone help me code this procedure? Injection of lumbar stabilization hardware with fluoroscopic guidance for diagnostic and therapeutic purposes

    thanks

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    I'm not sure if I'm following the question. It sorta sounds like a myelogram (62284); however, I'm not certain if I'm understanding the question. Is there anyway you can elaborate on the procedure just a little more?

  3. Default
    fluoroscopy used to guide the tip of a 22-gauge needle to the S1 screw on the rt at its connection with the intravertebral bar. Pt status post L5-S1 fusion. Possible irritation secondary to the hardware.--Plan for hardware inj under fluoroscopy as both dx and therap modality

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Maybe this will help. There is still some gray area in my mind (no pun intended).......

    Since CSF isn't mentioned I'm not inclined to go with 62272. Maybe 62311...

    http://www.acr.org/Hidden/Economics/...duresDoc6.aspx

  5. Default
    He has a spine infusion pump if that helps

  6. #6
    Default
    If this is for pain management for spinal hardware, Anesthesia & Pain Management Coding Alert, 2008, Vol. 10, Number 11, recommends that 22899 or 64999 should be used unless otherwise indicated by the carrier.

  7. Default
    THANKS FOR THE INFO--CAN YOU SEND ME THAT CODING ALERT VIA EMAIL tdavislpmd@bellsouth.net or fax 502-363-4158--I will greatly appreciate it

  8. #8
    Default Can you also send that copy to me....

  9. Default
    Thanks for the info

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