Please note this question was answered in 2021. The coding advice may or may not be outdated.
lumbar myelogram vs ct lumbar myelogram
Question:
"Ordered lumbar myelogram and CT post lumbar myelogram: Report reads: A 20 gauge 6 inch spinal needle was advanced into the subarachnoid space via a left parasagittal approach at L3/L4. Approximately 9 cc of Omnipaque 180 was subsequently infused into the subarachnoid space with intermittent CT confirmation of intrathecal positioning and contrast opacification.Intrathecal contrast column opacifies the visualized lumbar thecal sac. The most superior extent of the contrast column is not visualized. The conus medullaris terminates at L1. The visualized cauda equina roots are normal.L1-2, L2-3, L3-4, and L4-5: There is no disc herniation, spinal canal, or neuroforaminal stenosis.L5/S1: There is shallow disc bulge projecting into the epidural fat without spinal canal compromise. There is mild circumferential prominence of the epidural fat. There is moderate right facet arthropathy contributing to severe right neuroforaminal stenosis. There is mild to moderate left neuroforaminal stenosis."
Would this be reported with code 62884 or 62304?
Need to ask Dr.Z?
Don't see the answer you're looking for in the knowledge base? No problem. You can ask Dr. Z directly!Ask Dr. Z a question now!