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Renal Hilar Nerve Block

Date: May 5, 2021

Question:

Can you please assist in CPT code for right renal hilar nerve block?

"1% lidocaine was instilled into the skin and surrounding soft tissues. Under intermittent CT fluoroscopy, a 20 gauge spinal needle was advanced into the right renal hilar region. Aspiration was performed to ensure the needle was extravascular. A test injection using dilated contrast was performed. Approximately 20 cc of a 50-50 mixture of 2% lidocaine and 0.5% bupivacaine was instilled. 40 mg Kenalog was also instilled. The needle was cleared with a small injection of air and removed. MEDICATIONS: 3 mL 1% lidocaine,10 mL 2% lidocaine,10 mL 0.5% bupivacaine,40 mg Kenalog. CT images demonstrate adequate positioning of the needle within right renal hilar region. CT images demonstrate adequate positioning of the needle within the right renal hilar region with dilute contrast visualized as expected. Pre-procedure pain 7/10, post-procedure pain 2/10. Technically successful right renal hilar nerve block."

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