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CT marker placement adjacent to spinous process

Date: Feb 8, 2024

Question:

Would this be 10035 or C9728/77012? We also charge for both facility and IR radiologists.

Excerpts from report:

PROCEDURE: CT-guided targe marker placement

Pre-procedure diagnosis: T8 metastatic lesion causing cord compression

Post-procedure diagnosis: Same

Indication: Presurgical planning for T8 laminectomy

Additional clinical history: None

IMPRESSION:

Technically successful CT-guided marker placement with the tip of the Kopans needle projecting adjacent to the tip of T8 the spinous process.

Imaging prior to biopsy

The patient was positioned prone. Initial imaging was performed using noncontrast CT.

Sagittal and axial images were obtained. The tip of T8 spinous process was identified.

Marker placement

Local anesthesia was administered. Under CT guidance, a Kopans needle was advanced to the target and deployed.

Imaging following biopsy

Immediate post-biopsy imaging was performed using noncontrast CT.

Post-biopsy imaging findings: No evidence of acute complications. Appropriate positioning of the tip of the Kopans needle

Thank you.

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