ED Coding & Reimbursement Alert - 2018 Issue 7
Reader Question: Know What Terms Do, Do Not Constitute Myelography Radiographic Imaging
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Article Overview
This reader question addresses documentation review for a lumbosacral myelogram and the difference between fluoroscopic guidance and documentation that supports radiographic imaging. It is aimed at coding professionals handling spine imaging and myelography claims who need help understanding what types of wording are relevant, what general categories of imaging are discussed, and how documentation language can affect code selection.
Why This Topic Matters
Myelography documentation is often written in ways that can be ambiguous for coding review. Understanding which terms support radiographic imaging versus fluoroscopic guidance helps coders evaluate whether the record is sufficient for reporting the service accurately.
What You Will Learn
- How documentation language can affect interpretation of a lumbosacral myelogram report
- The general distinction between fluoroscopic guidance and radiographic imaging terminology
- What types of imaging references are discussed in relation to myelography documentation
- Why clarification of provider wording may be needed before selecting a code
Who Should Read This
- Medical coders
- Coding auditors
- Compliance staff
- Revenue cycle professionals
- Physician documentation specialists
Codes Discussed
Modifiers Discussed
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