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8. CPT codes 64400-64530 describe injection of anesthetic agent for diagnostic or therapeutic purposes, the codes being distinguished from one another by the named nerve and whether a single or continuous infusion by catheter is utilized. All injections into the nerve including branches described (named) by the code descriptor at a single patient encounter constitute a single unit of service(UOS). For example:
(1) If a physician injects an anesthetic agent into multiple areas around the sciatic nerve at a single patient encounter, only one UOS of CPT code 64445 (injection, anesthetic agent; sciatic nerve, single) may be reported.
(2) If a physician injects the superior medial and lateral branches and inferior medial branches of the left genicular nerve, only one UOS of CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) may be reported regardless of the number of injections needed to block this nerve and its branches.
Patients usually remain in the hospital for one day after a minimally invasive SI fusion surgery. Postoperative pain control will be achieved with the use of IV pain medication, epidural pain medication, and/or oral pain medications. Patients are discharged home on oral pain medication. Patients begin a physical therapy program in the hospital and will use crutches or a cane to walk for several weeks after surgery. The physical therapist works with the patient to learn how to get out of bed and walk safely with crutches. Patients need to be comfortable with walking, climbing stairs, and getting in and out of bed before going home. The final goal is to make sure the gastrointestinal and urinary systems are working appropriately. Patients must be able to eat a regular meal and urinate without difficulty prior to leaving the hospital. Make sure you understand your post-operative plan before your surgery date.