| G910 |
Vertebral facet injections - Cervical, first site |
$0.00 |
N/A |
N/A |
| G911 |
Vertebral facet injections - Thoracic, first site |
$0.00 |
N/A |
N/A |
| G912 |
Vertebral facet injections - Lumbar/Sacral, first site |
$0.00 |
N/A |
N/A |
| G913 |
Vertebral facet injections - each additional site, to G910, G911 or G912 … add |
$0.00 |
N/A |
N/A |
| G914 |
Percutaneous diagnostic lumbar facet medial branch block with ultrasound guidance - First site |
$0.00 |
N/A |
N/A |
| G915 |
Percutaneous diagnostic lumbar facet medial branch block with ultrasound guidance - each additional site, to G914 … add |
$0.00 |
N/A |
N/A |
| N556 |
Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy - First site |
$0.00 |
N/A |
N/A |
|
E396
- Percutaneous vertebral facet medial branch or sacral lateral branch neurotomy each
additional site to N556 . . . Add
|
$0.00 |
N/A |
N/A |
| G916 |
Sacroiliac joint injections - Percutaneous diagnostic and/or corticosteroid sacroiliac joint injection with fluoroscopic guidance, unilateral |
$0.00 |
N/A |
N/A |
| G917 |
Nerve root injections - Percutaneous diagnostic selective nerve root block with fluoroscopic guidance, with or without contrast – any number of sites |
$0.00 |
N/A |
N/A |
| N534 |
Percutaneous radio frequency posterior dorsal root rhizotomy any number of levels |
$0.00 |
N/A |
N/A |
| G246 |
Lumbar |
$0.00 |
N/A |
N/A |
| G117 |
Thoracic |
$0.00 |
N/A |
N/A |
| G119 |
Cervical |
$0.00 |
N/A |
N/A |
| G918 |
Caudal |
$0.00 |
N/A |
N/A |
|
E440
- with injection of contrast using fluoroscopy, to G246, G117, G119 or G918 … add
|
$0.00 |
N/A |
N/A |
|
E441
- when performed at same level of previous spinal surgery, to G246, G117, G119 or G918 … add
|
$0.00 |
N/A |
N/A |
|
E442
- when performed using a transforaminal technique, to G246, G117, G119 or G918 … add
|
$0.00 |
N/A |
N/A |
|
E443
- with catheter for continuous infusion, to G246, G117, G119 or G918 … add
|
$0.00 |
N/A |
N/A |
|
E833
- with insertion of subcutaneous port, G117, G119, G246 or G918 … add
|
$0.00 |
N/A |
N/A |
| G245 |
Lumbar epidural or intrathecal injection of sclerosing solution |
$0.00 |
N/A |
N/A |
| G239 |
Differential intrathecal spinal block |
$0.00 |
N/A |
N/A |
| G919 |
Percutaneous epidural adhesiolysis by infusion with fluoroscopic guidance |
$0.00 |
N/A |
N/A |
| G920 |
Percutaneous cervical sympathetic nerve block or Stellate ganglion block - with ultrasound or fluoroscopic guidance, unilateral |
$0.00 |
N/A |
N/A |
| G234 |
Percutaneous cervical sympathetic nerve block or Stellate ganglion block - without ultrasound or fluoroscopic guidance, unilateral |
$0.00 |
N/A |
N/A |
| G236 |
Percutaneous lumbar, thoracic or sacral sympathetic nerve block with fluoroscopic guidance - unilateral or bilateral |
$0.00 |
N/A |
N/A |
| G374 |
I.V. regional guanethidine |
$0.00 |
N/A |
N/A |
| G233 |
Percutaneous celiac, splanchnic or hypogastric ganglion/plexus block with
fluoroscopic guidance |
$0.00 |
N/A |
N/A |
|
E444
- with radiofrequency ablation, to G233 ... add 50%
|
$0.00 |
N/A |
N/A |
| G217 |
Percutaneous trigeminal ganglion block with fluoroscopic guidance |
$0.00 |
N/A |
N/A |
| G232 |
Percutaneous spheno-palatine ganglion block with fluoroscopic guidance |
$0.00 |
N/A |
N/A |
|
E445
- when alcohol or other sclerosing solutions are used, to G920, G234, G236,
G233, G217 or G232 … add 50%
|
$0.00 |
N/A |
N/A |
| G921 |
Spheno-palatine ganglion block, transnasal topical, uni or bilateral |
$0.00 |
N/A |
N/A |