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Thread: Celiac Plexus Block w/ Neulolysis

  1. #1
    Join Date
    Apr 2007
    Dallas Ga

    Default Celiac Plexus Block w/ Neulolysis

    AAPC: Back to School
    Can anyone help me with how to code this?



    INDICATION: Advanced pancreatic cancer, intractable pain.

    TECHNIQUE: After written informed consent was obtained under sterile
    conditions with the patient placed in the right lateral decubitus
    position via paraspinal posterolateral approach a 21-gauge spinal needle
    was advanced to the left paraaortic space. Small amount of contrast was
    injected. A test dose of 5 mL of 2% lidocaine was infused. Patient
    reported some degree of mild pain relief with the injection. Next, a
    total of 20 mL of absolute _______ was slowly infused for neurolysis of
    the celiac plexus. Patient tolerated the procedure well. Post-procedure
    scanning showed dispersion of the injected under the iodinated contrast
    into a location at L1 at the expected location of the celiac plexus.


    Celiac plexus block and neurolysis as described.

  2. #2
    Join Date
    Apr 2007
    Denver Colorado


    64680 Absolute alcohol is used as the chemical mode of destruction. The initial injection of lidocaine is not separately reportable as it is included as part of the celiac plexus destruction.

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