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INTERSPINOUS INJECTION- L/3 L/4 SPINOUS PROCESS BLOCK/INJECTION

Date: Oct 27, 2023

Question:

Can you please tell me what code(s) this would be, as I am leaning toward an unlisted code 22899?

Dx is lower back pain

TECHNIQUE:

After obtaining informed consent and performing an appropriate timeout, the area overlying the lower back was prepped and draped in usual sterile fashion. The skin overlying the interspinous processes of L3-L4 and L4-L5 were anesthetized. Using a 22-gauge needle interspinous access was gained in both levels. An injectate which consisted of 80 mg of Kenalog, 2 mL of 0.5% bupivacaine, was injected into both spaces. The patient tolerated the procedure well and left the angiography suite in stable condition.

FINDINGS: Hypertrophy of the posterior spinous processes

IMPRESSION: Successful L3-L4 and L4-L5 interspinous blocks.

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