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Presacral nerve plexus block
Question:
Dr. Z, I am unable to locate a CPT for this procedure (unless is it unlisted). Is an unlisted code most appropriate? Thank you.
Sacral region was prepped and draped in usual sterile fashion. 1% lidocaine was used locally.
Under CT guidance 4 separate 20-gauge spinal needles were advanced through the sacrum disease 2 on the right and 2 on the left.
On the left at the needles were advanced through a large infiltrating tumor and positioned more towards the anterior aspect of the sacrum. On the right at the more superior needle was advanced through the sacrum and into the anterior presacral space. The inferior needle was positioned along the right lateral margin of tumor extending across midline.
A total of 30 mL of 0.5% bupivacaine and 80 mg of triamcinolone were instilled through the for needles.
The needles were removed.
IMPRESSION:
CT-GUIDED THE PRESACRAL NERVE PLEXUS BLOCK
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