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ICD-9 code: 355.9 Piriformis syndrome (mononeuritis) CPT codes: 20552 Trigger point injections, 1-2 muscles 77002 Fluoroscopic guidance, non-spinal Remember to bill for the injectables (contrast, steroid) if done in an office procedure room Solution (injectable): Corticosteroids: 40-mg of Depo-Medrol or Kenalog Local anesthetics: 3-5-ml of local anesthetic (lidocaine or bupivacaine) Note: Can also be done with botulinum toxin (Botox, Myobloc, Dysport) for longer relief than steroid and local anesthetic

Analogous to the use of solar and wind as alternative energy sources to replace or supplement fossil fuel consumption, the use of non-potable water acts as an alternative water source, replacing potentially scarce drinking water

For calculating reference memory, no platforms were set during the test

Confirmed disability progression at 12 weeks was reduced in the ofatumumab groups (HR: 0.66, p=0.002): 10.9% with ofatumumab versus 15% with teriflunomide