What is the CPT code for a myelogram?

What is the CPT code for a myelogram?

This study may be performed with attention to any or all areas of the spine. The contrast injection portion of the procedure is typically done through the lumbar area, and reported with CPT code 62284 (Injection procedure for myelography and/or CT, spinal).

What is the CPT code for CT myelogram lumbar?

The imaging is reported with the codes for CT scan of the spine with contrast. For example, CPT® code 72132 is assigned for CT myelogram of the lumbar spine.

What is a myelogram procedure?

A myelogram is a diagnostic imaging test generally done by a radiologist. It uses a contrast dye and X-rays or computed tomography (CT) to look for problems in the spinal canal. Problems can develop in the spinal cord, nerve roots, and other tissues. This test is also called myelography.

What is the CPT code for lumbar puncture?

Review the above description of a lumbar puncture, however, and you’ll realize that you have in fact performed the procedure in its entirety. In other words, it is appropriate to bill CPT 62270.

What does a CT myelogram show of the lumbar spine?

What can you see from a myelogram? A myelogram is able to show your spinal cord, spinal nerves, nerve roots, and bones in the spine by injecting contrast into your spinal fluid. As a result, it will also reveal whether anything is pressing against your spinal cord or nerves.

What is a CT myelogram used to diagnose?

A CT myelogram is a two-part procedure performed to detect abnormalities including a tumor, herniated disc, arthritis, spinal narrowing and/or nerve impingement of the spinal canal.

Is myelogram better than MRI?

In that case, radiologists typically order a myelogram as an alternative to the giant magnet known as an MRI machine. Myelograms can outperform MRIs: In addition to the fact that MRIs aren’t safe for some people, myelograms can perform better than MRIs in analyzing some areas of the body.

What is the difference between 62270 and 62272?

Answer: As the descriptions indicate, 62270 is purely diagnostic and 62272 is therapeutic (i.e., used to decrease intrathecal pressure). In the case of 62272, the fluid also may be used for diagnostic purposes, but the primary reason the lumbar puncture is for treatment.

What is the CPT code for CT hip?

74178, Computed tomography, abdomen and pelvis; without contrast material in one or both body regions, followed by contrast material(s) and further sections in one or both body regions. Report 74176 when both studies (abdomen and pelvis) are performed without contrast.

What is the CPT code for CT guided bone biopsy?

The PTP edits apply to CPT codes 20220 (Biopsy, bone, trocar, or needle; superficial [eg, ilium, sternum, spinous process, ribs]) and 20225 (Biopsy, bone, trocar, or needle; deep [eg, vertebral body, femur]) reported in conjunction with CPT code 38222 (Diagnostic bone marrow; biopsy[ies] and aspiration[s]).

Is lumbar puncture painful?

A lumbar puncture is where a thin needle is inserted between the bones in your lower spine. It should not be painful, but you may have a headache and some back pain for a few days. It’s carried out in hospital by a doctor or specialist nurse.

What diseases can be diagnosed with a lumbar puncture?

Information gathered from a lumbar puncture can help diagnose:

  • Serious bacterial, fungal and viral infections, including meningitis, encephalitis and syphilis.
  • Bleeding around the brain (subarachnoid hemorrhage)
  • Certain cancers involving the brain or spinal cord.

Why would a doctor order a myelogram?

A myelogram is particularly useful in terms of displaying a clearer picture of the bones, herniated discs and other soft tissues surrounding your spinal canal that may be compressing your nerves and/or spinal cord.

What is the difference between 62270 and 62328?

62270 Spinal puncture, lumbar, diagnostic. 62328 with fluoroscopic or CT guidance. 62272 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter). 62329 with fluoroscopic or CT guidance.

Does CPT code 62270 need a modifier?

You should report 62270 without a modifier, says Diane M. Minard, CPC, pediatric coding adviser for Dartmouth Hitchcock Medical Center in Lebanon, N.H. “The pediatrician completed the procedure and obtained a specimen.” The results have no impact on the procedure or reimbursement.