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Cisternography

Date: May 6, 2014

Question:

For the case that follows, I don't think code 61055 is correct (puncture not at the cervical level). I don't think this qualifies as a myelogram (62884). Is it correct to use code 62311 or lumbar puncture 62272? Radiology code 70015. Could you please clarify? "Patient has CSF leak from nose. Procedure: Fluoroscopically-guided lumbar puncture for cisternography. Under fluoroscopic guidance a spinal needle was advanced into the thecal sac at level L3-4; clear CSF return was noted. Omnipaque was instilled under fluoroscopic guidance."

Question ID : 5628
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