Thoracic interlaminar epidural steroid injection cpt

The Procedure
The patient is placed prone (lying face down) with two pillows under the chest and a small pillow under the forehead. The appropriate region of the skin is sterilely prepared. Using fluoroscopic (x-ray) guidance, the appropriate path for the needle is determined. The skin is anesthetized and a thin needle is advanced to the appropriate region. A small volume of contrast solution is injected to show that the medication will flow exactly where intended. Then a small volume of anesthetic, along with steroid (usually betamethasone), is injected. The patient is cared for in the recovery area for 20-30 minutes.

It is typically done with you lying on your stomach. Your blood pressure and oxygen levels will be monitored. In addition to your doctor and the x-ray technician, there will be a nurse in the room at all times. The skin on the back is cleaned with antiseptic solution. A separate area where a good vein is available is also cleaned with antiseptic solution. A small intravenous catheter is placed in the vein. After your doctor has placed the epidural needle near the affected area, he will draw about 20-25 cc of blood from your vein and will then gradually inject the blood.

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.

Thoracic interlaminar epidural steroid injection cpt

thoracic interlaminar epidural steroid injection cpt

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