Hi, Need some help on coding for our pain management doctor. He did a bilateral L4, L5 and S1 Hardware injection with Corticosteroid.
Patient placed prone on fluoroscopy table. Light conscious sedation was provided. The lumbosacral area was prepped and draped in the usual matter.
Landmarks were indentified using C-arm fluoroscopic image intensifier. The overlying skin and soft tissue structures were anesthetized with 1% buffered Lidocaine. A 25 gauge spinal needle was advanced to approximate the LEFT L4,L5 and S1 target screw heads. Isovue 300 contrast was thereafter injected to confirm placement and delivery of the injected solution to the appropriate target: there was no evidence of intravascular spread. 10mg Methylprednisolone Acetate PF + 2cc 0.5% Marcaine without epinephrine PF was thereafter slowly injected at each level without complications.
The above procedure was repeated at the right L4,L5,S1 hardware block.
Any help on coding this would be most helpful.
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