AAPC - Back to school
Results 1 to 3 of 3

Thread: Celiac Plexus Block w/ Neulolysis

  1. #1
    Join Date
    Apr 2007
    Dallas Ga

    Question 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



    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.
    Shirley CPC,CPC-H

  3. #3
    Join Date
    Apr 2007
    Dallas Ga


    Thanks for your help!


Similar Threads

  1. Replies: 6
    Last Post: 11-01-2014, 07:30 PM
  2. celiac plexus block
    By jdorn1356 in forum Anesthesia
    Replies: 6
    Last Post: 11-01-2012, 07:04 AM
  3. EUS with celiac plexus block help please
    By blathrop19@gmail.com in forum Gastroenterology
    Replies: 2
    Last Post: 05-13-2011, 02:28 PM
  4. celiac plexus block
    By jmarsh in forum Gastroenterology
    Replies: 0
    Last Post: 08-07-2009, 06:30 AM
  5. Celiac Plexus Block w/ Neulolysis
    By baash1124 in forum Anesthesia
    Replies: 1
    Last Post: 05-26-2009, 11:08 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts

Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.