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A transforaminal epidural injection is a medical procedure designed to alleviate pain associated with conditions such as foraminal stenosis and large or lateral disc herniations. This procedure involves the precise delivery of an anesthetic agent and/or steroid into the epidural space of the lumbar or sacral region of the spine. The patient is typically positioned in a prone (face down) position on a treatment table to facilitate access to the targeted area. Utilizing ultrasound guidance, the physician carefully advances a needle through the skin and into the nerve root foramen of the affected vertebra, ensuring accurate placement within the epidural space. The use of contrast material is critical during this process, as it confirms the correct positioning of the needle before the injection of the therapeutic agents. The primary code for billing this procedure when performed at a single lumbar or sacral level is 0230T. For any additional levels that may require injection, the code 0231T should be utilized.
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