Thoracic interlaminar epidural steroid injection cpt code

Dr. Tai is certified by the American Board of Physical Medicine and Rehabilitation with subspecialty certification in Pain Medicine. He is licensed as a Physician by the New Jersey State Board of Medical Examiners and as an acupuncturist by the New Jersey State Acupuncture Examining Board. He is currently practicing pain management at his office in Bridgewater New Jersey, at Robert Wood Johnson University Hospital-Somerset, and at Somerset Ambulatory Surgical Center.

An assessment by the BlueCross BlueShield Association Technology Evaluation Center (BCBSA, 2014) stated: "The choice of bone material for interbody fusion in [anterior cervical discectomy and fusion] ACDF has important clinical implications. Allograft bone has several drawbacks, including a minute (albeit unproven) risk of infectious disease transmission; possible immunological reaction to the allograft; and possible limited commercial availability of appropriate graft material. In contrast, the use of autograft bone in ACDF has potentially substantial morbidities at the harvest site, generally the iliac crest. These include moderate-to-severe, sometimes prolonged pain; deep infection; adjacent nerve and artery damage; and increased risk of stress fracture. Although there may be slight differences between autograft and allograft sources in the postoperative rate of union, clinical studies have demonstrated similar rates of postoperative fusion (90%–100%) and satisfactory outcomes for single-level, anterior-plated ACDF using either bone source. Thus, the choice of graft material involves a trade-off between the risks specific to autograft harvest versus those specific to use of allograft material."

In fact, the anatomical studies have demonstrated that after the radicular medullary arteries enter the neuroforamen in the anterior aspect of exiting nerve root and dorsal root ganglion, they often travel a distance superiorly and laterally in the lateral epidural space to join the anterior spinal artery supplying the anterior two thirds of the spinal cord. Additionally, in about 63% of cases of cadaver studies, there is a posterior branch of the radicular medullary artery going to the dorsal aspect of the cauda equina. It is conceivable that the epidural needle in the interlaminar lumbar epidural steroid injection will very likely encounter the radicular medullar artery in the lateral aspect of the epidural space or midline posterior epidural space.

At Gateway Spine & Pain Physicians, we believe in an interdisciplinary, team approach to treating pain. After a thorough evaluation, the patient and physician work together to develop a treatment plan. No two patients are exactly alike, and thus, each patient receives a personalized treatment plan depending on the probable diagnosis.  Diagnostic studies such as MRI, CT scan, X-rays, and EMG/NCV tests may be recommended. Treatments may include counseling, physical therapy, medications, and advanced interventional techniques. We consider the patient an active part of the treatment team.

Thoracic interlaminar epidural steroid injection cpt code

thoracic interlaminar epidural steroid injection cpt code

At Gateway Spine & Pain Physicians, we believe in an interdisciplinary, team approach to treating pain. After a thorough evaluation, the patient and physician work together to develop a treatment plan. No two patients are exactly alike, and thus, each patient receives a personalized treatment plan depending on the probable diagnosis.  Diagnostic studies such as MRI, CT scan, X-rays, and EMG/NCV tests may be recommended. Treatments may include counseling, physical therapy, medications, and advanced interventional techniques. We consider the patient an active part of the treatment team.

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