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Preoperative Localization Intervertebral Disc space

Date: Sep 5, 2019

Question:

Embolization coils were placed in the interlaminar space to serve as pre-operative localization devices. Would this be considered soft tissue 10035 or unlisted 64999? If unlisted, is the fluoroscopy separately reportable? Procedure note as follows: "INDICATION: Preoperative localization of T10-T11 intervertebral disc space. Local anesthesia (lidocaine) was administered at the site of entry. Under fluoroscopic guidance, a 6 inch 20 gauge Chiba needle was advanced into the interlaminar space between T10 and T11 in the midline. Stylet was removed, and tumor embolization coils (4 and 8 mm) were gradually pushed into the interlaminar space inferior to the lamina of T10. After the placement of the coils, the needle was removed. Sterile dressing was applied. The patient was then taken to computed tomography scan for confirmation of the position of the coils. Successful placement of embolization coils in the interlaminar space at the level of intervertebral disc at T10 and T11."

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