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Nuclear intrathecal injection with a blood patch

Date: Oct 22, 2010

Question:

"Nuclear cisternogram blood patch" ordered for CSF leak. Procedure report reads, "...spinal needle was advanced into the thecal sac. 1.1 mCi indium0111 DTPA radiopharmaceutical is injected into the thecal sac. Subsequently, the needle is retracted into the epidural space." Blood patch px is performed. "Impression: Under fluoroscopic guidance, nuclear medicineradiopharmaceutical placed in the thecal sac. Subsequently, blood patch performed at the L3-4 level..." I am considering coding 62273, 77003 and 78650. Any advice is greatly appreciated!

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