Results 1 to 4 of 4

myelogram with CT

  1. Question myelogram with CT
    Exam Training Packages
    Hi,
    How to coded this myelogram,will these three codes come(62284, 72240, 72126) plz confirm

    Technique: After 10 cc of Omnipaque 240 was administered into the
    thecal sac, under fluoroscopic visualization, a CT cervical
    myelogram was performed, with multiple axial CT images through the
    cervical spine obtained. Sagittal and coronal reformats were then
    performed. The images were reviewed in soft tissue and bone
    windows.

    Comparison is made with prior MRI done on 9/12/2008.

    Findings:

    There is straightening of the cervical spine seen. The cervical
    alignment is normal. The vertebral body heights are preserved.
    There is intervertebral disk space narrowing seen at the C5/6 and
    C6/7 levels.

    No intradural or paraspinal abnormality is seen. The cerebellar
    tonsils are normal in position.

    At the C2/3 and C3/4 levels, there are again noted small central
    disk herniations, indenting the thecal sac without cord
    compression, as observed on the prior MRI examination. The neural foramina are patent at these levels.

    At the C4/5 level, there is a large left paracentral disk
    herniation, resulting in moderate flattening of the ventral
    spinal cord margin, as observed on the prior MRI examination. No
    neural foraminal stenosis is observed.

    At the C5/6 level, there is a left paracentral disk herniation,
    resulting in mild-moderate flattening of the the ventral spinal
    cord margin, as observed on the prior MRI examination. No neural
    foraminal stenosis is observed.

    At the C6/7 level, there is a left paracentral disk herniation,
    resulting in mild-moderate flattening of the ventral spinal cord,
    as observed on the prior MRI examination. Moderate left foraminal
    stenosis is observed.

    At the C7-T1 level, there is a minimal annular bulge without
    spinal stenosis or cord compression.

    There is minimal ossification the posterior longitudinal ligament
    behind the C6 vertebral body.

    IMPRESSION:

    Multilevel disc herniations are observed at C2-3 through C6-7 with
    associated anterior cord flattening at C4-5, C5-6, C6-7. Largest
    disk herniation as well as the greatest degree of the anterior
    cord flattening is at the C4-5 level. Minimal annular bulge is
    also identified at C7-T1 .

  2. #2
    Location
    North Carolina
    Posts
    3,126
    Default
    We do perform these and 62284 is correct for the myelogram. Your "7" codes also appear to be correct.

  3. #3
    Default
    be carefull with myelograms, you need to see where they puncture to inject the contrast...if it's in the lumbar spine then you use 62284 but if it's a cervical puncture you use 61055 (per interventional radiology book). If they don't state, you need to send back the report and have this confirmed because you can't guess. Your other codes are correct.

    Amber, CPC

  4. #4
    Location
    North Carolina
    Posts
    3,126
    Default
    Myelography
    Myelography is a diagnostic study utilizing contrast in order to visualize the spinal subarachnoid space and its contents. This study may be performed with attention to any or all areas of the spine. The contrast injection portion of the procedure is typically done through the lumbar area, and reported with CPT code 62284 (Injection procedure for myelography and/or CT, spinal). Injection of contrast for myelography may also be performed through the cervical region, which is reported with CPT code 61055 (Cisternal or lateral cervical (C1-C2) puncture, with injection of medication for diagnosis or treatment). The surgical code is reported only once per encounter, even if more than one spinal area is studied.2 For example, if the cervical, thoracic, and lumbar areas were all studied from one lumbar puncture, report 62284 only once; however, in the unusual case of a myelogram of the entire spine requiring both a lumbar and cervical puncture, report both 62284 and 61055.

    I emphasized "however" because I have, yet, to see our neurosurgeons perform 61055. I have questioned why they don't/haven't performed this procedure, through this method, and I was told this was performed only when absolutley necessary. This method carries alot of potential risks.
    Last edited by RebeccaWoodward*; 11-26-2008 at 08:02 AM.

Similar Threads

  1. Myelogram
    By SHIRLEY RISHER in forum Interventional Radiology
    Replies: 1
    Last Post: 10-19-2015, 09:12 AM
  2. Lumbar Myelogram
    By Katiemkf in forum Interventional Radiology
    Replies: 5
    Last Post: 07-18-2012, 09:44 AM
  3. Attempted Myelogram???
    By Lynda Wetter in forum Medical Coding General Discussion
    Replies: 1
    Last Post: 02-29-2012, 03:08 PM
  4. ct myelogram
    By Evelyn Kim in forum Medical Coding General Discussion
    Replies: 0
    Last Post: 04-21-2011, 07:14 AM
  5. Conventional vs non-myelogram
    By rblanton in forum Interventional Radiology
    Replies: 3
    Last Post: 03-04-2009, 01:06 PM

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
  •  
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?

Login

Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.