Ask Dr. Z

"A 22 gauge spinal needle was inserted into spinal canal using fluoroscopy. Omnipaque was injected into the thecal sac. Multiple radiographs were performed. Subsequently, because a 'block' to the cephalad flow of contrast material was encountered from the lumbar region at the T12 level, a C1-C2 puncture was accomplished under fluoroscopy. Clear, colorless cerebral spinal fluid was obtained. Approximately 8 cc of Isovue-M 300 was injected into the cervical subarachnoid space. Because the procedure was performed in Special Procedures, the dynamics of the table would not allow sufficient elevation of the head for the contrast material to flow caudally to the thoracic spine. Afterwards the patient underwent a CT, which will be dictated separately." Would it be correct to report code 62305, or should we use code 61055?