traumajd Posted November 2, 2021 Share Posted November 2, 2021 Happy November everyone. I am currently working in an acute pain service practice in Pennsylvania. All inpatient with a mix of acute pain, exacerbations of chronic pain and pain/addiction. I would love to offer trigger point injections or other bedside procedures to help my patients (besides just giving meds). I have a few questions: Where do I learn to do it? No one at my hospital system does them. Is it reimbursable? Has anyone had issues with scope of practice stuff? Again, this is INPATIENT ONLY. The patients aren't being seen for chronic pain, so I'm concerned about reimbursement and, therefore, not being able to add it to my credentialing. Thanks for your anticipated feedback! JD Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted November 3, 2021 Share Posted November 3, 2021 i do lots of them in EM, also nerve blocks, hematoma blocks, some interacticular injections. Very reimbursable: there are 2 levels: 1-3 muscle groups (0.66 RVU) and > 3 muscle groups (0.75 RVU). You just need a good procedure note: consent, location, what meds injected (I typically use a combination of 2% lidocaine for rapid onset and 0.5% marcaine for longer duration, usually about a 20/80 mix). I'm largely self-taught. I've had no scope of practice issues in Ohio, Indiana, and Kentucky. Quote Link to comment Share on other sites More sharing options...
CO PA-C Posted November 16, 2021 Share Posted November 16, 2021 I agree with the response. Reimbursement is pretty good. I was self taught as well. Quote Link to comment Share on other sites More sharing options...
JohnnyLAX9 Posted October 3, 2022 Share Posted October 3, 2022 What did either of you use to teach yourself? Quote Link to comment Share on other sites More sharing options...
ohiovolffemtp Posted October 4, 2022 Share Posted October 4, 2022 There are a lot of videos on trigger point injections on Youtube. On a practical basis, if you palpate for tender areas of muscle spasm and inject there, you're off to a good start. Nerve blocks require more knowledge of anatomy. Quote Link to comment Share on other sites More sharing options...
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