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Percutaneous ethanol ablation of the bilateral pudendal nerves
Question:
PROCEDURE SUMMARY:
- Target organ: pudendal nerves
- Image-guided chemical ablation
Chemical ablation
Under CT guidance, the ablation needle was advanced and positioned within the target(s). For each target lesion, the needle was placed and repositioned as necessary to achieve the desired ablation zone. Contrast injection through needle: Performed, confirming extravascular position.
Ablation needles: 21 gauge Chiba
Target #1
Ablation position 1
- Volume of chemical (mL): 5
Ablation position 2
- Volume of chemical (mL): 5
Intraprocedural imaging findings: appropriately positioned needles in the pudendal canal.
Needle removal :The ablation needle was removed and a sterile bandage was applied.
Imaging following ablation
Post-ablation imaging: noncontrast CT
Post-ablation imaging findings: post ablation changes without complication.
Contrast
Contrast agent: Omnipaque 180
Contrast volume (mL): 8
Radiation Dose
CT dose length product (mGy-cm): 2208
Will this be coded as 64999? What is an equlivent procedure for billing purpose?
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