Genicular RFA

[med7343]

Are we doing 2 diagnostic blocks and then RFA like MBB
or one block and then knee RFA?

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[SommeRiver]

The fewest the insurance allows.

 

[Orin]

The fewest the insurance allows.

I don't think insurance requires any

Actually on a Google check, with the new CPT code some do mandate two sets of diagnostic blocks

 

[bedrock]

I don't think insurance requires any

Actually on a Google check, with the new CPT code some do mandate two sets of diagnostic blocks

Certain Medicare plans ? Like Medicare advantage plans?

Because almost no commercial insurance will cover the ablations with the new codes.

 

[JelloIsJigglin]

One diagnostic block for genicular, lateral branches, suprascap, articular branch to obturator/femoral prior to rfa

 

[deleted875186]

One diagnostic block for genicular, lateral branches, suprascap, articular branch to obturator/femoral prior to rfa

How do you block articulate branch of obturator? Are you doing this for chronic hip pain?

 

[stsa84]

How do you block articulate branch of obturator? Are you doing this for chronic hip pain?

Articular branch of femoral up top, obturator below. Yup, for hip joint pain.

 

[deleted875186]

View attachment 322392

Articular branch of femoral up top, obturator below. Yup, for hip joint pain.

Does it work in your experience?

also, is this done AP? Ever hit the femoral vessels?

 

[lobelsteve]

A few of the articles

 

[Baron Samedi]

In that last article they pass the needle between the femoral artery and femoral vein oh my

 

[JelloIsJigglin]

How do you block articulate branch of obturator? Are you doing this for chronic hip pain?

a nice animation