AMA CPT® Assistant - 2009 Issue 10 (October)
Radiology/Diagnostic Radiology (Diagnostic Imaging) (October 2009)
October 2009 page 12-end Radiology: Diagnostic Radiology (Diagnostic Imaging), 72275 (Q&A) Question: During various injections of therapeutic substances into the spine, contrast is often injected to ensure that the needle or catheter is in the epidural space. Is it appropriate to code 72275, Epidurography, radiologic supervision and interpretation, in addition to the appropriate injection code? Answer: No. Code 72275 is only to be used when an epidurogram is performed, images documented, and a formal radiologic report issued. A statement indicating that contrast flows in the epidural space would only document localization and would not represent a diagnostic epidurogram...
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Article Overview
This article explains a CPT Assistant question-and-answer focused on diagnostic radiology coding in the setting of spinal injections. It discusses when epidural contrast findings do or do not support separate reporting, and it references CPT guidance on fluoroscopic guidance, localization, and formal contrast studies. The piece is relevant to coders, billing staff, and radiology practices working with spine-related procedures and imaging documentation.
Why This Topic Matters
It helps readers understand the scope of radiology supervision and interpretation services in relation to spine injection procedures and documentation requirements within CPT guidance.
Article Sections
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October 2009 page 12-end
A question-and-answer discussion addressing diagnostic radiology reporting in the context of spinal therapeutic injections and related imaging support.
What You Will Learn
- How this CPT Assistant Q&A frames diagnostic imaging support during spine injections
- What general documentation and reporting topics are discussed for epidural contrast studies
- How the article relates fluoroscopic guidance, localization, and formal contrast study references in CPT guidance
- Which CPT code families are referenced in connection with spine injection and imaging services
Who Should Read This
- Medical coders
- Radiology billing staff
- Compliance staff
- Diagnostic imaging practices
- Pain management practices
Codes Discussed
Code Ranges Discussed
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