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Epidural aspiration and fibrin glue injection

Date: Nov 21, 2019

Question:

Can I code the aspiration of CSF fluid (62272/77003) and an unlisted code for fibrin glue patch? Or blood patch 62273? If unlisted code, would the unlisted code be spine procedure unlisted CPT 22899? "I used fluoroscopy to mark the puncture site for a dorsal approach through the left L5 laminectomy to the left L5 level epidural space. I advanced a 20 gauge Touhy needle to the left L5 epidural space, confirming correct position of the needle tip by contrast Isovue M 4 cc injection. I then aspirated 30 cc of blood tinged fluid. I injected 2 cc of Isovue-M contrast showing the needle still in the correct position and then I injected 20 cc of fibrin paste."

Question ID : 13073
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