AAPC - Back to school
Results 1 to 4 of 4

Thread: Crazy Question

  1. #1
    Join Date
    Apr 2007
    Long Island/New York

    Default Crazy Question

    AAPC: Back to School
    do all injections need floro? nerve, facet, etc. Curious..thanks

  2. #2
    Join Date
    Apr 2007
    Athens, Ga.


    My Pain Management physicians use flouro whenever possible. Certainly facets and epidurals need them for the best needle placement.
    Walker Bachman, CPC, CPPM

  3. #3
    Join Date
    Apr 2007
    St. Joseph County, Indiana


    Actually, I believe the new standard of care for Medicare for facet/Medial branch blocks requires fluoro.

    For epidurals, fluoro isn't required but you can't tell what's going on in a pt's back without it. The best example is a pt with low back pain with shooting left leg pain. The pain specialist may try to target the left side of the spine, however, the medication may not go to the left side of the spine due to scar tissue, strange anatomy or bad needle placement. Without fluoro, you would never know if the medication got to the proper area.

    Brock Berta, CPC

  4. #4


    I agree with Brock, you can't properly place a facet joint without flouro, and epidurals do not require it, but it is advantageous. I would add that transforaminal injections and true SI joint injections also require flouro. Again it is advantageous but not required for other nerve blocks, such as interscalene, peripheral, femoral, and so on, as well as other joint injections such as shoulder, hip and knee.

    Hope this helps.

Similar Threads

  1. crazy derm question :)
    By BABS37 in forum Dermatology
    Replies: 2
    Last Post: 07-09-2013, 12:12 PM
  2. Crazy over hernias
    By Jody Mortensen in forum General Surgery
    Replies: 4
    Last Post: 05-14-2010, 05:11 PM
  3. Crazy consult question
    By mb12345 in forum E/M
    Replies: 3
    Last Post: 04-17-2009, 11:10 AM

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.