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Dr. Brian Hirsch, MD

Midland, TX

Accepting patients

Affiliated with a Castle Connolly Top Hospital

    Who is Dr. Hirsch, Interventional Pain Medicine Specialist in Midland, TX?

    Dr. Brian Hirsch, MD is an Interventional Pain Medicine Specialist, who primarily practices in Midland, TX. He is board certified. Dr. Hirsch is fluent in English, and is currently seeing new patients. Dr. Hirsch’s practice accepts Medicaid, Medicare, UnitedHealthcare and other major insurance plans. To book an appointment or to confirm insurance options, please call Dr. Hirsch’s office at (502) 459-6806.

    What languages does Dr. Hirsch speak?

    Dr. Hirsch and their clinical team can communicate with patients in the following languages:

    • English

    What conditions does Dr. Hirsch treat?

    As a Interventional Pain Medicine Specialist, Dr. Hirsch diagnoses, treats, and manages a wide range of conditions. This condition information is derived from anonymized insurance claims and highlights the medical conditions most commonly treated by Dr. Hirsch. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Pinched Nerve in Lower Back
    • Pinched Nerve in Neck
    • Back Pain
    • Peripheral Nerve Disorder
    • Neck Injuries and Disorder
    • Lumbar Radiculopathy
    • Lower Back Nerve Compression
    • Compressed Nerve in Lower Back
    • Cervical Radiculopathy
    • Neck Nerve Compression
    • Compressed Nerve in Neck

    ICD-10 Codes:

    • M5416: Radiculopathy, lumbar region
    • M5412: Radiculopathy, cervical region

    Also known as:

    • Chronic pain syndrome
    • Chronic Pain
    • Persistent pain syndrome
    • Long-term pain condition
    • Chronic widespread pain

    ICD-10 Codes:

    • G894: Chronic pain syndrome

    Also known as:

    • Lower Back Nerve Root Pain
    • Back Pain
    • Peripheral Nerve Disorder
    • Pinched Nerve in Lower Back
    • Lumbosacral Radiculopathy
    • Sciatica

    ICD-10 Codes:

    • M5417: Radiculopathy, lumbosacral region

    Also known as:

    • Lower Back Spinal Degeneration
    • Spine Injuries and Disorder
    • Lumbar Spondylosis
    • Lower Back Arthritis
    • Degenerative Disc Disease in Lower Back

    ICD-10 Codes:

    • M47896: Other spondylosis, lumbar region

    Also known as:

    • Long-Term Opioid Pain Reliever Use
    • Pain Relievers
    • Chronic opioid therapy
    • Ongoing narcotic pain medication
    • Opioid analgesic use

    ICD-10 Codes:

    • Z79891: Long term (current) use of opiate analgesic

    Also known as:

    • Neck Spondylosis
    • Neck Injuries and Disorder
    • Cervical Spondylosis
    • Neck Arthritis
    • Degenerative Neck Disease

    ICD-10 Codes:

    • M47892: Other spondylosis, cervical region

    What procedures does Dr. Hirsch perform?

    As a Interventional Pain Medicine Specialist, Dr. Hirsch performs a variety of medical procedures. This procedure information is derived from anonymized insurance claims and highlights the medical procedures most commonly performed by Dr. Hirsch. It provides insight into the doctor’s areas of experience and expertise based on real-world patient encounters from the past two years, updated quarterly.

    Also known as:

    • Lumbar Transforaminal Epidural Injection
    • Epidural Steroid Injection
    • Facet Joint Injection (Lower Back/Sacrum)
    • Lumbar or Sacral Epidural Injection with Imaging
    • TFESI (Lumbar)
    • Nerve Root Block (Lumbar)
    • Lower Back Nerve Injection with Imaging
    • Cervical Epidural Injection
    • Thoracic Epidural Injection
    • Spinal Nerve Block
    • Pain Relief Spinal Injection
    • Lumbar Facet Joint Injection
    • Sacral Facet Joint Injection
    • Paravertebral Facet Injection
    • Lower Back Pain Injection (Guided)
    • Caudal Epidural Injection
    • Pain Management Injection

    CPT Codes:

    • 64483: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, single level
    • 62321: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)
    • 64493: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; single level
    • 62323: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT)

    Also known as:

    • Lumbar or Sacral Epidural Injection (Guided)
    • Guided Facet Joint Injection (Neck/Upper Back)
    • Sacroiliac Joint Injection
    • Sacroiliac Joint Pain Injection
    • Spinal Nerve Block Injection
    • Transforaminal Epidural Injection
    • Spinal Nerve Block
    • Lower Back Pain Injection with Guidance
    • Paravertebral Facet Joint Injection
    • Cervical Facet Injection
    • Thoracic Facet Injection
    • Zygapophyseal Joint Injection
    • SI joint injection
    • Sacroiliac steroid injection
    • Image-guided SI joint injection
    • Sacroiliac joint block
    • Sacroiliac nerve block
    • Steroid injection for SI joint pain
    • Cervical Epidural Injection
    • Thoracic Epidural Injection
    • Nerve Root Block

    CPT Codes:

    • 64484: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
    • 64490: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; single level
    • 27096: Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (fluoroscopy or CT) including arthrography when performed
    • 64451: Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)
    • 64479: Injection(s), anesthetic agent(s) and/or steroid; transforaminal epidural, with imaging guidance (fluoroscopy or CT), cervical or thoracic, single level

    Also known as:

    • Lumbar or Sacral Facet Joint Injection
    • Lumbar/Sacral Facet Joint Nerve Destruction (Additional)
    • Facet joint block
    • Zygapophyseal joint injection
    • Lower back facet injection
    • Sacral facet injection
    • Facet Joint Nerve Ablation
    • Radiofrequency Ablation (RFA) Spine
    • Lumbar Facet Denervation

    CPT Codes:

    • 64494: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure)
    • 64636: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, each additional facet joint (List separately in addition to code for primary procedure)

    Also known as:

    • Facet Joint Nerve Ablation (Lumbar/Sacral)
    • Sacroiliac Joint Nerve Ablation
    • Lumbar Facet Joint Denervation
    • Sacral Facet Nerve Block
    • Radiofrequency Ablation for Back Pain
    • SI Joint Radiofrequency Ablation
    • Nerve Burning for SI Joint Pain
    • Sacroiliac Nerve Treatment

    CPT Codes:

    • 64635: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); lumbar or sacral, single facet joint
    • 64625: Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)

    Also known as:

    • Facet Joint Injection (Neck/Upper Back)
    • Cervical Facet Injection
    • Thoracic Facet Injection
    • Zygapophyseal Joint Injection
    • Spinal Joint Injection

    CPT Codes:

    • 64491: Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image guidance (fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure)

    Also known as:

    • Facet Joint Nerve Ablation (Neck/Mid-Back)
    • Heat Treatment for Back Pain Nerve (Basivertebral Nerve)
    • Radiofrequency Ablation Facet Joint
    • Cervical Facet Nerve Destruction
    • Thoracic Facet Nerve Block
    • Spine Nerve Ablation
    • Basivertebral nerve ablation
    • Intraosseous nerve destruction
    • Radiofrequency ablation for back pain
    • Vertebral nerve thermal destruction

    CPT Codes:

    • 64634: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, each additional facet joint (List separately in addition to code for primary procedure)
    • 64628: Thermal destruction of intraosseous basivertebral nerve, including all imaging guidance; first 2 vertebral bodies, lumbar or sacral

    Also known as:

    • Nerve Ablation for Neck or Upper Back Pain
    • Facet Joint Nerve Ablation
    • Radiofrequency Ablation (RFA) Neck
    • Cervical Facet Denervation
    • Thoracic Facet Nerve Block

    CPT Codes:

    • 64633: Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (fluoroscopy or CT); cervical or thoracic, single facet joint

    Also known as:

    • Spinal Cord Stimulator Implant
    • Epidural neurostimulator placement
    • Percutaneous spinal stimulator
    • SCS implant

    CPT Codes:

    • 63650: Percutaneous implantation of neurostimulator electrode array, epidural

    Also known as:

    • Implanted Pain Pump Management
    • Intrathecal Pump Reprogramming
    • Epidural Pump Refill
    • Pain Pump Evaluation
    • Drug Infusion Pump Management

    CPT Codes:

    • 62370: Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional)

    Also known as:

    • Peripheral Nerve Block
    • Nerve Destruction for Pain
    • Suprascapular Nerve Block
    • Nerve injection
    • Pain relief injection
    • Steroid injection for nerve pain
    • Neurolytic nerve block
    • Peripheral nerve ablation
    • Nerve destruction procedure
    • Shoulder Nerve Injection
    • Suprascapular Nerve Injection
    • Pain Relief Injection for Shoulder Nerve
    • Shoulder Pain Nerve Block

    CPT Codes:

    • 64450: Injection(s), anesthetic agent(s) and/or steroid; other peripheral nerve or branch
    • 64640: Destruction by neurolytic agent; other peripheral nerve or branch
    • 64418: Injection(s), anesthetic agent(s) and/or steroid; suprascapular nerve

    Also known as:

    • Spinal Cord Stimulator Insertion
    • Spinal Neurostimulator Placement
    • SCS Implantation
    • Back Pain Stimulator Surgery

    CPT Codes:

    • 63685: Insertion or replacement of spinal neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver

    Also known as:

    • Greater Occipital Nerve Block
    • Knee Nerve Pain Injection
    • Trigeminal Nerve Block
    • Occipital Nerve Injection
    • Headache Nerve Block
    • Steroid Injection for Occipital Neuralgia
    • Genicular Nerve Block
    • Knee Pain Steroid Injection
    • Knee Nerve Anesthetic Injection
    • Trigeminal Nerve Injection
    • Facial Nerve Block
    • Ophthalmic Nerve Block
    • Maxillary Nerve Block

    CPT Codes:

    • 64405: Injection(s), anesthetic agent(s) and/or steroid; greater occipital nerve
    • 64454: Injection(s), anesthetic agent(s) and/or steroid; genicular nerve branches, including imaging guidance, when performed
    • 64400: Injection(s), anesthetic agent(s) and/or steroid; trigeminal nerve, each branch (ie, ophthalmic, maxillary, mandibular)

    Also known as:

    • Peripheral Nerve Stimulator Implantation
    • Percutaneous Nerve Stimulator Placement
    • Electrode Array Implantation (Peripheral Nerve)
    • Nerve Pain Stimulator

    CPT Codes:

    • 64555: Percutaneous implantation of neurostimulator electrode array; peripheral nerve (excludes sacral nerve)

    Also known as:

    • Neurostimulator Device Implantation (Peripheral, Sacral, or Gastric)
    • Nerve Stimulator Implant
    • Sacral Neuromodulation Device
    • Gastric Stimulator Placement
    • Peripheral Nerve Stimulator

    CPT Codes:

    • 64590: Insertion or replacement of peripheral, sacral, or gastric neurostimulator pulse generator or receiver, requiring pocket creation and connection between electrode array and pulse generator or receiver

    Also known as:

    • Kyphoplasty for Lumbar Spine Fracture
    • Vertebral Augmentation (Lumbar)
    • Percutaneous Kyphoplasty (Lower Back)
    • Spine Fracture Repair (Lumbar)

    CPT Codes:

    • 22514: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; lumbar

    Also known as:

    • Kyphoplasty for Thoracic Spine Fracture
    • Thoracic Vertebral Augmentation
    • Spine Fracture Repair (Kyphoplasty)
    • Backbone Compression Fracture Treatment

    CPT Codes:

    • 22513: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; thoracic

    Also known as:

    • Joint or Bursa Injection/Fluid Removal
    • Arthrocentesis
    • Major Joint Aspiration
    • Bursa Injection
    • Joint Fluid Removal

    CPT Codes:

    • 20610: Arthrocentesis, aspiration and/or injection, major joint or bursa (eg, shoulder, hip, knee, subacromial bursa); without ultrasound guidance

    Also known as:

    • Kyphoplasty for Additional Vertebra
    • Vertebral Augmentation (Extra Level)
    • Spine Fracture Repair (Additional)
    • Percutaneous Vertebral Body Augmentation

    CPT Codes:

    • 22515: Percutaneous vertebral augmentation, including cavity creation (fracture reduction and bone biopsy included when performed) using mechanical device (eg, kyphoplasty), 1 vertebral body, unilateral or bilateral cannulation, inclusive of all imaging guidance; each additional thoracic or lumbar vertebral body (List separately in addition to code for primary procedure)

    Also known as:

    • Trigger Point Injection
    • Muscle Pain Injection
    • Myofascial Trigger Point Injection
    • Trigger Point Release Injection

    CPT Codes:

    • 20552: Injection(s); single or multiple trigger point(s), 1 or 2 muscle(s)

    Also known as:

    • Lumbar Disc Cell Injection
    • Intervertebral Disc Injection
    • Stem Cell Disc Injection
    • Back Pain Cell Therapy
    • Fluoroscopic Guided Disc Injection

    CPT Codes:

    • 0627T: Percutaneous injection of allogeneic cellular and/or tissue-based product, intervertebral disc, unilateral or bilateral injection, with fluoroscopic guidance, lumbar; first level

    Does Dr. Hirsch accept my insurance?

    Dr. Hirsch accepts most major insurance plans. Important: Please call our office at (502) 459-6806 before your appointment to verify that your specific plan and network are accepted.

    What insurance plans does Dr. Hirsch accept in Midland, TX?

    Dr. Hirsch in Midland, TX accepts plans from many carriers. While this list is updated regularly, it is not a guarantee of coverage.

    Top Insurances

    • All Other Third Party

    • CVS Health (formerly Aetna)

    • Department of Veterans Affairs

    • FirstCare

    • Health Care Service Corporation (HCSC)

    • Humana

    • Medicare

    • Other Health Care Provider

    • State of Tennessee

    • UnitedHealthcare

    View All Insurances

    Where is Dr. Hirsch's office located?

    Dr. Brian Hirsch's Primary Practice

    3300 N A St Ste 110

    Midland, TX 79705

    (502) 459-6806

    Get Directions

    What is Dr. Hirsch's NPI number?An National Provider Identifier (NPI) is a unique ID number that identifies doctors and healthcare providers nationwide.

    Dr. Hirsch's National Provider Identifier (NPI) number is 1255652962.

    What common questions do patients ask about Dr. Hirsch?

    Here are answers to patients Frequently Asked Questions (FAQ’s) about Dr. Hirsch

    What is Dr. Brian Hirsch's specialty?

    Dr. Hirsch is a Interventional Pain Medicine Specialist near Midland, TX. Interventional pain medicine focuses on diagnosing and treating pain and related disorders using interventional techniques. It is primarily aimed at managing subacute, chronic, persistent, and intractable pain, either as a standalone treatment or in combination with other therapeutic approaches. Contact Dr. Hirsch to book an appointment today.

    Is this Dr. Brian Hirsch affiliated with a ranked Castle Connolly Top Hospital?

    Yes, Dr. Hirsch is affiliated with Plains Regional Medical Center, Grace Surgical Hospital, United Regional Healthcare System, Lubbock Heart & Surgical Hospital, Shannon Medical Center which are a Castle Connolly Top Hospitals. Castle Connolly Top Hospitals are healthcare institutions recognized for their excellence in specific medical procedures and overall patient care. They are identified through a rigorous peer nomination process, evaluating factors like patient outcomes, quality of care, and expertise. The list recognizes hospitals that excel in 20 or more specific medical procedures, representing the top 25% nationwide. Castle Connolly Top Hospitals

    Where can I learn more about Interventional Pain Medicine Specialist?

    Explore Interventional Pain Medicine Specialist with insights from trusted medical experts on EverydayHealth.com, where you'll find the most relevant content and helpful condition guides for up-to date information about symptoms, causes, diagnosis, treatment and more. See all our health guides to find trusted information on medical conditions from our experts at Everyday Health.

    Is Brian Hirsch accepting new patients in Midland, TX?

    Yes, Dr. Brian Hirsch is accepting new patients at this time.

    Does Dr. Brian Hirsch offer online booking?

    Please contact Dr. Hirsch's office at (502) 459-6806 for information about online booking, telehealth, or to schedule an appointment.

    How can I make an appointment with Brian Hirsch?

    Please contact Dr. Hirsch's office at (502) 459-6806 for information regarding telehealth appointment availability or for scheduling assistance.

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