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Conventional vs non-myelogram

  1. Cool Conventional vs non-myelogram
    Medical Coding Books
    What is the diffeerence and how would I code a lumbar myelogram?
    Regina S. Blanton

  2. #2
    North Carolina
    I can tell you that a lumbar myelogram is 62284

  3. #3
    North Carolina
    CT Myelography
    A CT myelogram is a CT scan performed after intrathecal (spinal) contrast injection. A CT myelogram is coded as a CT scan with contrast (for example, CPT® code 72132 for CT myelogram of the lumbar spine). In addition, the contrast injection should be coded (for example, 62284 for spinal injection other than C1-2 or posterior fossa). If fluoroscopy is used to guide the injection, code 76005 can also be reported. However, if a conventional myelogram is performed (for example, 72265 for lumbosacral myelogram) in addition to CT myelogram, fluoroscopy cannot be reported as it is considered a component of the conventional arthrogram.
    Under fluoroscopic guidance, contrast is injected into the lumbar spine, following which CT lumbosacral myelogram is performed. Report codes 62284, 76005, and 72132.

    62284-physician injects dye into the epidural or intrathecal space for myelography and/or computed tomography. The patient is placed in a spinal tap position. The site is placed to the proper level and the dye is administered. The needle is removed and wound dressed.

    72265-Radiographic study using fluro is performed on the spinal cord and nerve root branches when a lesion is suspected. A nonionic water-soluble radiopaque contrast media is used to enhance visibility and is instilled in the patient through a lumbar or cervical area puncture into the subarachnoid space. The radiologist takes a series of pictures by sending and xray beam thru the body using fluro to enhance structure on a television camera. The pt is angled from an erect position through a recumbent position with the body tilted so as to maintain feet higher than the head to help the flow of contrast into the study area.

  4. Thumbs up
    Thank You So Much..
    Regina S. Blanton

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