tci Outpatient Facility Coding Alert - 2016 Issue 6

Reader Question: Learn the Terms to Better Understand Epidurals

Question: Our physicians use several different terms when describing epidural steroid injections, and I don’t understand all of them. Can you explain epidural steroid injections (ESI) to me? Hawaii Subscriber Answer: Epidural steroid injections (ESI) are given in the epidural space and may be either “translaminar” or “transforaminal” injections. Common terms your provider might document in the patient’s chart could include: Epidural space or extradural space – The area located inside the spinal canal that is separated from the spinal cord and the surrounding CSF (cerebrospinal fluid) Dura mater (dura) – Separates the epidural space...

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