NICHOLAS JUAN, M.D.

Insertion of spinal neurostimulator electrode array through skin

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, single facet joint

Destruction of upper or middle spinal facet joint nerves using imaging guidance, single facet joint

Insertion of spinal neurostimulator generator or receiver

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, single level

Injection of lower or sacral spine facet joint using imaging guidance, single level

Injection of upper or middle spine facet joint using imaging guidance, single level

Injection of anesthetic agent and/or steroid into knee nerve branch using imaging guidance

Injection of substance into middle or upper spine canal using imaging guidance

Destruction of lower or sacral spinal facet joint nerves using imaging guidance, each additional facet joint

Injection of substance into lower spine canal using imaging guidance

Injection of anesthetic or steroid into joint between lower spine and hip bone using imaging guidance

Drug test(s), definitive, utilizing (1) drug identification methods able to identify individual drugs and distinguish between structural isomers (but not necessarily stereoisomers), including, but not limited to gc/ms (any type, single or tandem) and lc/ms

Injection of lower or sacral spine facet joint using imaging guidance, second level

Destruction of upper or middle spinal facet joint nerves using imaging guidance, each additional facet joint

New patient office or other outpatient visit, 60-74 minutes

Injection of upper or middle spine facet joint using imaging guidance, second level

Electronic analysis reprogramming and refill of spinal canal drug infusion pump by physician

New patient office or other outpatient visit, 45-59 minutes

Fluoroscopic guidance for needle placement

Established patient office or other outpatient visit, 40-54 minutes

Injection of anesthetic and/or steroid drug into sacral spine nerve root using imaging guidance, each additional level

Injection of anesthetic agent and/or steroid into other nerve or branch

Established patient office or other outpatient visit, 30-39 minutes

Aspiration and/or injection of fluid from large joint

Testing for presence of drug, by chemistry analyzers

Injection of trigger points, 3 or more muscles

Established patient office or other outpatient visit, 20-29 minutes

Injection of trigger points, 1-2 muscles

Use of a drug to induce depression of consciousness by physician performing a procedure (5 years or older), initial 15 minutes

Ultrasonic guidance for needle placement

Hyaluronan or derivative, trivisc, for intra-articular injection, 1 mg

Injection, dexamethasone sodium phosphate, 1 mg

Low osmolar contrast material, 200-299 mg/ml iodine concentration, per ml