We begin the process by determining if we feel your pain is likely coming from the intervertebral disc. We make this determination from your clinical history, physical exam, imaging, and other diagnostic tests. Research has shown that PRP is likely helpful for conditions in other areas of the body with similar structural make up as intervertebral discs . Studies of PRP on disc tissue have demonstrated the healing properties. An ongoing trial of PRP for patients with discogenic low back pain has shown promising preliminary results. However, we will not know the extent of its benefit without further studies. The physicians at APM Spine and Sports are conducting a study to help evaluate this exciting treatment option. Before considering participating in this study, you should be aware of all the risks and potential benefits as well as any alternative treatment options for your condition. Our research physicians and staff will be happy to discuss these with you.
“Initially I had a work related injury that could not be treated with surgery. I was referred to Dr. Pasi from my orthopaedic surgeon with unbearable pain. This pain was not only affecting my everyday life, but was also causing some depression. Dr. Pasi dealt with my pain through procedures and overall pain management. She was also able to treat my depression with a pain psychologist. Dr. Pasi has been a great help not only as a physician but as a person. This has been a wonderful experience, and i could not have asked for anything more”
– Dennis J .
Before you code for this, be sure you know exactly what type of injection the provider administered and exact location where the injection is performed. According to your question, the injection is injected in the mid portion of the disk. Code intervertebral disk injections with 62292 (Injection procedure for chemonucleolysis, including diskography, intervertebral disk, single or multiple levels, lumbar). Report 62290 (Injection procedure for disk-ography, each level; lumbar) depending on the area injected, for any diskography procedures.
If the diskography diagnostic study is not performed, go directly with unlisted code 64999 (Unlisted procedure, nervous system).
If the provider used a spinal cord injection to administer anesthesia agents, use the appropriate single injection or continuous infusion code:
62311 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or thera-peutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; lumbar, sacral [caudal])
62319 (Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; lumbar, sacral [caudal]).
If the provider administered a neurolytic substance to destroy the nerve, code with 62282 (Injection/infusion of neurolytic substance [., alcohol, phenol, iced saline solutions], with or without other therapeutic substance; epidural, lumbar, sacral [caudal]).