Results 1 to 3 of 3

Cervical epi steroid injection under fluoroscopy

  1. Default Cervical epi steroid injection under fluoroscopy
    Clearnace Sale
    Hi all - I really need some help on coding this one as I am in the dark.
    P.S. Procedure was done on 12/4/09

    Diagnosis: Cervical spine pain

    Procedure: Cervical epidural steroid injection under fluoroscopy

    Description: After sterile triple Betadine prep and drape, appropriate positioning and fluoroscopic evaluation, the L4-L5 level was identified. Marcaine 0.25% with epinephrine was injected in the subdermal space, followed by placement of a Tuohy catheter. Utilizing a loss of resistance technique and under fluoroscopic visualization, the epidural space was identified. Aspiration for blood and CSF was negative.

    Contrast was injected, 1cc, and the epidural space was identified. This was followed by injection of 2cc of steroid and 5cc of sterile saline and 1cc of 1% lidocaine, all without preservative, into the epidural space. The patient tolerated this well and the catheter was removed.

    The paraspinal facet spaces were identified and under fluoroscopic visualization 0.5cc of corticosteroid and 0.5cc of lidocaine was injected into the facets for a facet block on the right and left side.

  2. #2
    Was this a lumbar injection?
    It is saying that L4 & L5 levels. That is lumbar.

    I would code the epidural 62311 &77003

    Hope this helps.

  3. Default
    Thanks for catching that - it was cervical, the l4 and l5 were typos in the doc's dictation which i need to have corrected. I did use those codes though except for cervical and not lumbar. He did the l and r side of the spine and we originally billed w/lt and rt modifiers which i believe is what caused it to deny. I found out from researching today that i needed to use the modifier 50 for bilat and i am rebilling. Thanks a lot for your input.

Similar Threads

  1. Accidental Epi Injection
    By spstarke in forum Diagnosis Coding
    Replies: 4
    Last Post: 08-10-2018, 09:07 AM
  2. cervical epidural steroid inj?
    By NJcoder in forum Anesthesia
    Replies: 2
    Last Post: 10-28-2010, 11:51 AM
  3. Steroid Injection
    By grothrock in forum Family Practice
    Replies: 1
    Last Post: 10-15-2010, 02:54 PM
  4. Steroid Injection
    By grothrock in forum Family Practice
    Replies: 0
    Last Post: 10-15-2010, 10:35 AM
  5. steroid injection
    By sharonbell in forum Anesthesia
    Replies: 1
    Last Post: 02-23-2010, 07:16 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.