Results 1 to 5 of 5

Thread: Spinal intervention coding

  1. #1

    Default Spinal intervention coding

    Promo: Code Books
    What CPT code would be appropriate to use in this case? Pt has multi-level lumbar fusion with instrumentation. Physician is performing a diagnostic injection using anesthetic via fluoro guidance into specific locations of the lumbar spine into the hardware. The purpose is to determine if the hardware is causing the pain. Thank you!

  2. #2
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    Could this be a discography?

    62290=This procedure is peformed to gauge the amount of damage suffered by an intervertebral disc. The injection site is determined and marked. Local anesthesia is injected. A small stab wound is made in the tissue overlying the vertebrae.

  3. #3

    Default

    Thank you for your reply. I was thinking perhaps 64493 paravertebral joint or nerves dennervating the joint (Medial branch block). Thoughts?

  4. #4
    Join Date
    Apr 2007
    Location
    North Carolina
    Posts
    3,126

    Default

    64493=Facet joint pain may is associated with post laminectomy syndrome or other spine surgery due to destabilization of the spinal joints, scar tissue formation, or recurrent disc herniation. Other causes include spondylosis, spondylolisthesis, and arthritis. Using fluoroscopic or CT guidance, a diagnostic or therapeutic facet joint injection or injection of nerves innervating the joint is performed. The skin overlying the facet joint is prepped and a local anesthetic injected. A spinal needle is directed into the facet joint space until bone or cartilage is encountered. A small amount of contrast material is injected to verify that the needle is correctly positioned. This is followed by injection of a local anesthetic and/or steroid. Diagnostic facet joint injection uses a local anesthetic to identify the specific area generating the pain. If the patient experiences pain relief for a significant period of time following a diagnostic injection, the physician will perform a therapeutic injection on a subsequent date of service using a long acting local anesthetic in conjunction with a steroid.

    With that information, this is a better fit.

  5. #5

    Default

    Wonderful! Thank you Rebecca!

Similar Threads

  1. Coding attempted coronary intervention
    By Chelsea1 in forum Cardiology
    Replies: 1
    Last Post: 05-13-2015, 11:34 AM
  2. Second Opinion on Coding Fistula Intervention
    By stephanie7480 in forum Interventional Radiology
    Replies: 2
    Last Post: 10-16-2014, 11:55 AM
  3. Coding angiograms with intervention
    By MADDIE in forum Interventional Radiology
    Replies: 1
    Last Post: 07-29-2014, 06:40 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?

Login

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.