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Celiac Plexus Block w/ Neulolysis

  1. #1
    Dallas Ga
    Question Celiac Plexus Block w/ Neulolysis
    Medical Coding Books
    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. Default

    The physician injects the celiac plexus with an anesthetic to block sympathetically mediated or visceral pain. Anesthesia is provided with or without radiologic monitoring.

    64680 – celiac plexus neurolysis , 77012

    The physician destroys the celiac plexus by applying a neurolytic agent to the celiac plexus. The celiac plexus is a network of nervous tissue that mediates sympathetic pain from the abdomen. This neurolytic block is often performed for pain relief of unresectable cancer in the upper abdomen. The celiac plexus is destroyed usually by chemodenervation, injecting phenol or alcohol to paralyze the network of nervous tissue. This procedure may be performed with or without radiologic monitoring, but is normally performed under CT guidance.

    This is my suggestion I am not dealing with nerve block.
    Last edited by Shirleybala; 05-24-2009 at 10:58 PM.

  3. #3
    Dallas Ga
    Thanks for your help!


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