CPT® Code 64467

A thoracic fascial plane block is a medical procedure designed to alleviate post-operative pain, particularly following chest surgery, while also aiming to reduce the reliance on opioid medications for pain management. This procedure involves the administration of a local anesthetic into the fascial plane of the thoracic region, which is the area surrounding the chest wall. The technique utilizes continuous infusion through a catheter, allowing for sustained pain relief over an extended period. Imaging guidance, typically ultrasound, is employed to ensure accurate placement of the needle and catheter. During the procedure, the ultrasound transducer is positioned over the targeted anatomical area, enabling the healthcare provider to visualize the relevant structures and layers of the chest wall. Hydrodissection is a critical safety measure used to confirm the correct positioning of the needle before the anesthetic is administered. This involves injecting saline in front of the needle tip, creating a halo effect that helps in visualizing the needle's location within the appropriate fascial plane, thereby minimizing the risk of intramuscular injection. The catheter is then secured in place, allowing for the continuous infusion of local anesthetic, which provides effective pain control on one side of the thorax. This procedure is particularly beneficial for patients undergoing thoracic surgeries, as it enhances comfort and can lead to improved recovery outcomes.