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robert g schwartz
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  • Greenville, SC
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robert g schwartz added a discussion to the group Musculoskeletal Ultrasound Community
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Updates on posted US guidance for spinal and SI injections.

Here is a summary of what I posted so far, and a few new ones.   Feel free to add to the list!Pain Medicine News published in its Dec 2011 edition an article by Michael Gofeld, MD (U. Wash) wherein he cites that there is level 1 (conclusive) support of lumbar zygoapophysial joint injections, medial branch and dorsal ramus block.  The Am.J Phy. Med. Rehab.  Vol 90, No. 10, Oct 2011, pages 860-867 has a ;ublished article on "Ultrasound -Guided Injection Techniques for the Low Back adn Hip Joint"…See More
May 11
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robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"US Guided SI Joint Injection Technique,Dominic Harmon, Pain Physician 2008; 11:543-547. Advanced Ultrasound Imaging in Pain Medicine,Michael Gofeld, Pain Medicine News, Dec 2011, pgs 14-20. "
Apr 3
robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"I have contacted the AAPMR to see if efforts can be coordinated. "
Mar 2
Balfor, George W. replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"Not every one can get to this annual meeting . However on line forums are a great way to bring these issues to an associations leadership . I must disagree with who ever posted above . They should accept these posts as equal to standing up at the…"
Feb 28
robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"OK , here are two more references (I'll consider these to for March!).. US imaging facilitates spinal anesthesia in adults with difficult anatomic landmarks, Ki Jinn Chin et al, Anesthesiology, C 115, no 1, pg 94, July 2011.  This article…"
Feb 25
robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"So far no reply form AIUM....Will AIUM help its membership to communicate to the AMA that transitional codes need to be replaced with permanent codes or not?  Also will it commnunicate to the AMA the full scope of accepted US guided spine,…"
Feb 3
Robin Hurni replied to robert g schwartz's discussion msk us equipment in the group Musculoskeletal Ultrasound Community
"If you have  a good machine..you will have good results in both MSK and Vascular studies.  The main factor is the experience of the person holding the probe.  I see so many MD's not utilizing all the equipment has to offer. …"
Feb 2
Robin Hurni replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"I have been a Sonographer for 27 years.  I was an IR tech prior.  Mr. Schwartz nailed it..the biggest resistance is from the flouro Radiologists."
Feb 2
robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"Pain Medicine News published in its Dec 2011 edition an article by Michael Gofeld, MD (U. Wash) wherein he cites that there is level 1 (conclusive) support of lumbar zygoapophysial joint injections, medial branch and dorsal ramus block.   AIUM…"
Jan 15
robert g schwartz replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"I agree. By way of this forum I would like to make a formal request to the AIUM leadership to lobby, provide organizational support as required, and help the membership make the necessary case to the AMA to enhance coverage for US Guided spine…"
Dec 18, 2011
Balfor, George W. replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"Fortunately or unfortunately the  AMA committee does control this process. Codes only count if the payers recognize and accept them.  Only the AMA can generate codes that are accepted as valid. If the AIUM wants to protect the economic…"
Dec 17, 2011
Paul J Allen MD replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"Maybe another organization needs to develop codes outside of the AMA. Then market these codes to insurance companies as a better means of monitoring and paying for appropriate use of ultrasound. This has to happen sometime or it is the AMA…"
Dec 16, 2011
robert g schwartz replied to Alvin F. Wells, MD, PhD's discussion MSK accredidation in the group Musculoskeletal Ultrasound Community
"its probably best to just send this directly to the home office.  there are several downloads.  the process is described in detail."
Dec 11, 2011
Syed Amir Gilani replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"Interesting"
Nov 4, 2011
robert g schwartz replied to Paula Woletz's discussion Reimbursement issue: Designated Health Service? in the group Musculoskeletal Ultrasound Community
"no matter what any one posts here the first reply is to contact your health care attny. having said that, to my understanding the regulation is not ment to apply to services performed in your own office (at least it used to be that way). M/C is…"
Oct 31, 2011
Balfor, George W. replied to robert g schwartz's discussion US Guided Injecitions in the group Musculoskeletal Ultrasound Community
"clearly Ultrasound improves patient care and reduces risk at a low level of expense. Diagnositic Ultrasound also saves money by reducing the numbers of more expensive studies being done AIUM and other representive body groups need to make that point…"
Oct 30, 2011

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