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Cisternogram/Non Nuc Med

  1. #1
    Question Cisternogram/Non Nuc Med
    Medical Coding Books
    Good morning all,
    I just searched the archives for some help with a cisternogram question. I see the post from August '09. I believe the the codes given there involve a procedure done using a nuclear medicine injection. The case I am working on is very similar, also looking for a CSF leak, however there is no nuc med injection, but an intrathecal injection of regular contrast, with a cisternogram and post cisternogram head CT. For the cisternogram I am looking at 62311/70015-26. I am wondering if I should also bill separately for a CT? Either 70460 or 70481 or 70487?
    Any help would be greatly appreciaed. Thank you.

  2. #2
    I woulde bill the CT head as 70460. You can bill a CT head with contrast if it is injected intra-arterially, intra-articularly or intra-thecally.
    Amanda Hollis, CPC, RCC, CIRCC

  3. #3
    Thank you!

  4. #4
    My thoughts
    if contrast injected,
    72131-if post ct lumbar
    if dtpa injected,
    78630-for post scan

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