CPT code for lateral femoral cutaneous nerve block plays a crucial role in various medical procedures. This detailed guide delves into the intricacies of this code, providing a comprehensive understanding of its purpose, applications, and implications.
The subsequent paragraphs explore the anatomical considerations, indications, contraindications, and potential complications associated with lateral femoral cutaneous nerve block. Additionally, patient selection criteria, preoperative considerations, and postoperative care guidelines are thoroughly discussed.
Lateral Femoral Cutaneous Nerve Block
Lateral femoral cutaneous nerve block is a regional anesthetic technique that provides analgesia to the anterolateral aspect of the thigh. It is commonly used for surgical procedures involving the hip, knee, and lower leg.
CPT Code
The specific CPT code for lateral femoral cutaneous nerve block is 64448.
Coding guidelines specify that this code should be used when the block is performed as a separate procedure, distinct from other nerve blocks or anesthetic techniques.
Anatomy and Technique
Anatomy
The lateral femoral cutaneous nerve originates from the lumbar plexus (L2-L4) and innervates the skin over the anterolateral aspect of the thigh.
Technique
The nerve block is typically performed using ultrasound guidance. A needle is inserted lateral to the femoral artery and advanced until the tip is adjacent to the nerve. Local anesthetic is then injected around the nerve.
Indications and Contraindications
Indications, Cpt code for lateral femoral cutaneous nerve block
- Surgical procedures involving the hip, knee, or lower leg
- Pain management in conditions such as meralgia paresthetica
Contraindications
- Infection at the injection site
- Coagulopathy or anticoagulant therapy
- Neurological deficits in the distribution of the nerve
Complications and Risks
- Infection
- Hematoma
- Nerve damage
- Local anesthetic toxicity
Risk factors include patient age, obesity, and the use of anticoagulants.
Patient Selection and Preoperative Considerations
Patients should be carefully selected for lateral femoral cutaneous nerve block. Preoperative considerations include patient history, physical examination, and laboratory testing.
Contraindications and potential risks should be discussed with the patient prior to the procedure.
Postoperative Care and Monitoring
Following the procedure, patients should be monitored for potential complications such as infection, bleeding, or nerve damage.
Patients may experience numbness or weakness in the distribution of the nerve, which typically resolves within a few hours.
Evidence and Outcomes: Cpt Code For Lateral Femoral Cutaneous Nerve Block
Numerous studies have demonstrated the efficacy of lateral femoral cutaneous nerve block for pain management and surgical anesthesia.
Patient satisfaction is generally high, with low rates of complications and adverse effects.
Questions and Answers
What is the CPT code for lateral femoral cutaneous nerve block?
The CPT code for lateral femoral cutaneous nerve block is 64445.
What are the indications for lateral femoral cutaneous nerve block?
Lateral femoral cutaneous nerve block is indicated for pain management during surgical procedures involving the anterolateral aspect of the thigh, such as hip arthroplasty and knee surgery.
What are the contraindications for lateral femoral cutaneous nerve block?
Contraindications for lateral femoral cutaneous nerve block include infection at the injection site, coagulopathy, and nerve injury.
