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Trigeminal neuralgia - Trigeminal glycerol rhizolysis and trigeminal cisternog

Tanesha Posted Mon 17th of February, 2020 23:01:43 PM
Would I only code 61055? Fluoroscopy used throughout the operation. Initially, I gave lidocaine plain using the following trajectory 18-gauge, the midpupillary line, 1 cm anterior to the tragus of the ear, 2 cm left to the angle of the mouth. Using the last trajectory, the injection was given and then a spinal needle was injected. I used an 18-gauge exact same trajectory. Using the last trajectory, the needle was advanced to the base of the skull. Fluoroscopic guidance was used to enter the foramen ovale which was done without any complications. Once the CSF leak was noticed, the patient was brought into sitting position. In that position, I did the cisternography personally by giving Isovue drop by drop, 0.4 mL necessary to opacify the system. Because of the involvement of the first division, the patient was maintained in sitting position all the way up to 90 degrees. Glycerol was given, *** of 0.4 mL was given.
SuperCoder Answered Tue 18th of February, 2020 09:09:10 AM

Hi,

Thanks for your question.

As per the documentation available, it appears code 77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures (epidural or subarachnoid) can be added with the primary code 61055.

Hope this helps.

Thanks.

Tanesha Posted Mon 24th of February, 2020 08:10:55 AM
Thank you
SuperCoder Answered Mon 24th of February, 2020 23:20:11 PM

Happy to Help!

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