Pain Docs Doing Trufuse or Vertos MILD

[Aether2000]

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If you have names of any pain physicians doing these procedures, please forward their names to me at [email protected] Research purposes.
Thanks!

 

[drusso]

Did someone just get back from NASS??

 

[Aether2000]

I was unable to attend this year, but made it last year. My office manager tells me I have to work occasionally to pay the bills so some of the better meetings have to be sacrificed. It would be so nice to be able to attend all the best conferences for one year and after retirement somewhere around the year 2050, I may just do that.

 

[lobelsteve]

I may start doing Trufuse next week.

Have one or two patients in mind and ready to go.

Why?

PM me please.

 

[Jcm800]

I may start doing Trufuse next week.

Have one or two patients in mind and ready to go.

Why?

PM me please.

i ahve been looking for the right patient for trufuse this whole year. I still havent found anyone. Im not sure it makes sense. I need to do it, before I have to re-credential or I will loose my provisional privileges for it...

let me know how it goes, if it really helps.

 

[Ligament]

I looked into the MILD procedure, only billable in the hospital setting...but the procedure itself looks very do-able by pain docs with good skills.

 

[NOSfan]

+1 for Vertos MILD

 

[Jcm800]

+1 for Vertos MILD

i just watched the video, it looks pretty neat. But...i dont know if i could get privileges to do this, and i dont know if the spine surgeons would back me up.

NOSfan, how are you doing it, practically speaking

 

[rubenk1]

I've done a hand-full during my fellowship and the results are pretty good. We had one lady with 100% pain relief after the incisional pain (I only call it that because we used an 11-blade to make space for the trochars) resolved. Overall, pretty impressed but agree politics with NS will limit its utilization.

 

[Hoaiviet]

very soon... we will hear about lawsuits for these procedures... if you think they will fix facet pain..think twice... if you think it will help instability... think a thousand times.... by the way, listhesis is slippage of vertebral bodies on one another, it is instability...depending your definition of instability... it is segmental instability.. I hear many surgeons will have trouble putting their screws and hardwares in even though they have done them for ages, let alone a weekend warrior or a quickie pain course...

 

[SleepIsGood]

http://www.painphysicianjournal.com/


Look at the Jan/Feb edition. There is a multicenter study that was published by no other than T.Deer and Leo Kapural.

They claim..NO COMPLICATIONS from VERTOS MILD procedure. 90 cases, NO epidural hematoma....

Obvious, the "n" is low..but still that's great to read such great outcomes.

 

[SleepIsGood]

i just watched the video, it looks pretty neat. But...i dont know if i could get privileges to do this, and i dont know if the spine surgeons would back me up.

NOSfan, how are you doing it, practically speaking

What do you mean they wont back you up?

Arent the spine surgeons and neurosurgeons at your hospital contracted? If someone came in with an epidural hematoma or needed a crani STAT, they can't just refuse it...usually these guys are contracted. Additionally, especially for epidural hematomas there is a 'window' to do these.

 

[Doctodd]

Kapural seems to have his stuff together with the Cleveland Clinic i think......im pending training for MILD. I wasnt thrilled with the reimbursement however.....from what i was told it is less than what i can make in the office doing basic procedures in 1 hour, and i have to deal with doing it in the hospital.

 

[SleepIsGood]

Kapural seems to have his stuff together with the Cleveland Clinic i think......im pending training for MILD. I wasnt thrilled with the reimbursement however.....from what i was told it is less than what i can make in the office doing basic procedures in 1 hour, and i have to deal with doing it in the hospital.

?

How? It's billed as a laminotomy right?

 

[powermd]

What do you mean they wont back you up?

Arent the spine surgeons and neurosurgeons at your hospital contracted? If someone came in with an epidural hematoma or needed a crani STAT, they can't just refuse it...usually these guys are contracted. Additionally, especially for epidural hematomas there is a 'window' to do these.

Might cut into your bread and butter referrals however...

Is there a CPT code for this procedure?

 

[lobelsteve]

I have a Trufuse case pending at the hospital. It's on hold until I can get clarification on CPT and if overnight stay is required.

Anyone want to send me an EOB and additional info so I can be comfortable that the patient will not get stuck overnight in the hospital, the hospital will get paid, and I won't get dinged in an audit?

PM me if you have the info.

 

[Doctodd]

?

How? It's billed as a laminotomy right?

Im not sure, i havent seen an actual EOB yet after asking for one. If this was in the private forum id post the number i was told. Might vary in your state anyway.

 

[Jcm800]

Im not sure, i havent seen an actual EOB yet after asking for one. If this was in the private forum id post the number i was told. Might vary in your state anyway.

please move this to the private forum. I have some things i would like to say, but wont here...

 

[Doctodd]

there is a Vertos MILD thread in the doc forum...ill post there