AHA Coding Clinic® for ICD-9 - 2002 Third Quarter

Intradiscal ElectroThermal Therapy (IDET)

Intradiscal ElectroThermal Therapy (IDET) is a new minimally invasive treatment modality for patients with discogenic back pain. IDET is used primarily to treat patients with bulging of the disc and degenerative herniations of the disc. Joints, tendons, ligaments, and disc walls are made of collagen. Disc collagen reacts to temperatures of 65 degrees centigrade or greater. IDET enables treatment of the disc without actually destroying tissue and minimizes risks associated with open spinal surgery. IDET is accomplished by inserting a catheter into the disc. Performed under mild sedation with local anesthesia, the catheter is positioned under fluoroscopic guidance. The...

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