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Myelogram and CT spine

Date: Sep 12, 2011

Question:

Dr.Z,

We see lot of myelograms where they use fluoroscopy to injection contrast and then sent patient to the CT myelogram for lumbar, cervical and thoracic. For myelogram we only code 62284 and 77003-59 and then CT cervical, Lumbar and thoracic separate. Lately our physicians documenting a small paragraph describing the myelogram images
“digital images were obtained of the lumbar and thoracic spine to document the flow of contrast. There was prompt flow of intrathecal contrast surrounding the cauda equine nerve roots, conus and cord without evidence of myelographic block” then transferred the patient to CT myelogram for lumbar and thoracic regions where very clear documentation for both CTs separate. My question is can we charge complete myelogram 62284 72270 based on the myelogram images documentation besides charging separate CTs? Please advice.

Thanks
 

Question ID : 3262
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