To establish medical necessity for spinal injections, the claim form must cite, and documentation must support, an appropriate diagnosis. Allowable diagnoses may vary by payer (Check with your particular payers for specifics.); however, commonly-allowable ICD-9-CM codes to establish medical necessity for 64479-64484 include intervertebral disc disorders (), spinal stenosis ( Spinal stenosis in cervical region , ), post-laminectomy syndrome (), and radiculitis ( Brachial neuritis or radiculitis NOS, Thoracic or lumbosacral neuritis or radiculitis, unspecified), among others.
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.