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Back to seriousness- what are we doing about it? I can’t find it anywhere .
But is a lumbar ESI technically reimbursable without contrast use?
YesBut is a lumbar ESI technically reimbursable without contrast use?
Thank you for this!if you state the reason you did not use contrast - ie allergy.
from CMS:
- An initial injection of contrast is required to confirm epidural placement, unless the patient has a contraindication to contrast. The subsequent ESI should include corticosteroids and may be combined with anesthetics or saline.1
the 1. is this statement:
- Injections performed without image guidance or by ultrasound are not considered medically reasonable and necessary except in cases of documented contraindication to contrast media (e.g., allergy, pregnancy).13-15