The following patients should not have this injection: if you are allergic to any of the medications to be injected, if you are on a blood-thinning medication (. Coumadin, injectable Heparin), or if you have an active infection going on. With blood thinners like Coumadin, your doctor may advise you to stop this for 4-7 days beforehand or take “bridge therapy” with Lovenox prior to the procedures. Anti-platelet drugs like Plavix may have to be stopped for 5-10 days prior to the procedure. Aspirin should be stopped for cervical procedures for 10 days prior, but not for Lumbar.
Epidural steroid injections are most commonly used in situations of radicular pain, which is a radiating pain that is transmitted away from the spine by an irritated spinal nerve. Irritation of a spinal nerve in the low back ( lumbar radiculopathy ), such as from lumbar spinal stenosis , cervical spinal stenosis, herniated disc , and foraminal encroachment, causes back pain that goes down the leg. Epidural injection is also used as a minimally invasive procedure to treat nerve compression in the neck (cervical spine), referred to as cervical radiculopathy , which causes pain.
*Disclaimer* CPT code numbers now available for 2017 62320 Injection (s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid , other solution), not including neurolytic substances, including needle or. Nerve Blocks: A nerve block involves the injection of a peripheral nerve into or around a given site. If the anesthesiologist administers the injection or block postoperatively in an area separate from the operating room as part of the anesthesia time, additional time required for the injection may be included in the total number of anesthesia. April 19, 2018 Question: If a collar button tube is placed AFTER the 69801 transtympanic injection to keep the hole open for future injections, can I also report 69433 (insertion of tympanostomy tube under local anesthesia)?..