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Date: Mar 15, 2010

Question:

Dr. Z, Please give me your insight on this case. I'm just not sure which codes to use - patient with a CSF fluid leak has a lumbar puncture and contrast injected. The patient is tilted head down for 20 minutes then transported to CT for a maxillofacial and cerebral scan. Would the lumbar puncture be coded -- 62311, 77003 or 62284, 77003? We are coding the CTs separately. Thanks for your help.

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