interesting to see the effect. it is difficult to imagine a practice without prior auths at this point. it would be wonderful, but the biggest issue we have is with federal medicare -- and facet interventions specifically. i dont see that changing, unfortunately
juice is still not worth the squeeze.
id much rather go straight to RF. i find it hard to get them thorugh the algorithma a second time. theoretically, that is 6-8 injections in 2 years. not to mention all the follow ups.
when i get a call from a patient who had an RF 2-3 years ago and...
a great way to never get an RFs is to let the NPs see the MBB f/u.
these are easy 99213/4 and you can steer them better to RF.
extenders are for the patients you dont really want to see, interpreter patients, patients you havent seen in a while but still want a shot and need to be evaluated...
why not the impar as well as sacrococcygeal joint? just push a bit farther and get both?
also, i have never seen anyone improve with the "internal techniques" unless there is concomitant pelvic floor tension myalgia. that seems to be a better diagnsosis. but pure coccydynia? not really
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