|03.91||Injection of anesthetic agent into spinal canal for analgesia|
If the injection includes both steroids and anesthetics assign code 03.92, 03.91, and code 99.23
1. Right lower extremity lumbar radiculitis.
2. Lumbar recess foraminal stenosis L4-5 and L5-Sl.
3. Lumbar recess stenosis L3-4.
Same as above.
Right L4-5 and right L5-Sl transforaminal epidural under fluoroscopy.
Fluoroscopy was turned on. The C-arm was placed in an oblique view to right side.
Then the skin and subcutaneous tissue superior to the right L4-5 and L5-S 1 foramen
was each infiltrated with 3 mL of 1% Xylocaine. Using intermittent fluoroscopy from
an oblique trajectory 22-gauge spinal needles were gently and gradually advanced
under the 6 o’clock position of the right IA and L5 pedicle towards the right L4-5
and L5-Sl foramen. The needle was further visualized and advanced in
anterior-posterior view directing each needle tip directly underneath the 6 o’clock
position of the right IA and L5 pedicles into the superior aspect of the right L4-5
and L5-S1 foramen. After a negative aspiration for cerebrospinal fluid, heme or air,
1 mL of Isovue contrast was injected into the right L4 and L5 dural nerve root
sleeves with excellent evidence of contrast flow into the epidural space.
Once again after a negative aspiration for cerebrospinal fluid, heme or air, 1 niL
of (6 mg) of Celestone and 2 mL of 1% preservative free Xylocaine, and 1 mL of 0.25%
bupivacaine was placed into each dural root sleeve into the epidural space.
The patient tolerated the procedure without complications.
DX CODE DESCRIPTION