Ask Dr. Z

Should this be coded 62323 and 77015 or with 62323 only? +70470/CT? "Procedure: The patient was placed in the prone position on the fluoroscopic table. The L3-4 interspace was localized fluoroscopically. The skin overlying the L3-4 region was prepped in the usual aseptic manner. Generous quantities of one percent lidocaine was used for local anesthesia. The L3-4 space was then accessed with a 22 gauge spinal needle. A fluoroscopic spot image was obtained. 10 cc of Omnipaque 300 were injected into the epidural space with confirmation by fluoroscopy. The patient was then placed in the Trendelenburg position in both the prone and supine positions. Confirmation of cranial transit of contrast by fluoroscopy was performed. The needle was removed. The site was dressed with an adhesive bandage. The patient tolerated the procedure well. There was no immediate complication. The patient was then transferred to the CT scanner. FINDINGS: Fluoroscopic spot image demonstrates the needle tip projecting over the L3-4 spinal canal. Technically successful lumbar puncture for CT cisternogram."