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2nd request-Discography/FAD

Date: Mar 15, 2023

Question:

Is this coded with an unlisted for FAD or 62290/72295 for discography each level or both? 

Provocative discogram of L2-3, L3-4, L4-5, L5-S1. (4 separate levels). Technique: The patient was prepped and draped in usual sterile fashion. Local anesthesia was achieved with 1% lidocaine. The L2-3 disc space was accessed with a 22g Chiba needle introduced coaxially through a 18g spinal needle from the left. The L3-4, L4-5, and L5-S1 levels were similarly accessed. Injection of contrast was performed at each level, blinded to the patient. Findings are listed for each level similar to this: Level L2-L3: Opening Pressure: 30 psi CC's of contrast: 1 End Pressure: 100 psi Pain Severity: moderate Pain Classification: Concordant Moderate concordant pain elicited at L2-3, L3-4, and L5-S1. No pain elicited at L4-5. Endpoint for each level is as follows: 1) 3cc total contrast volume, or 2) pain level of "severe" or 3) pressure of 100 PSI in a normal disc or 4) pressure of 50 PSI over the opening pressure if there is grade 3 degeneration or higher.

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