tci Outpatient Facility Coding Alert - 2018 Issue 7
Reader Question: Know What Terms Do, Do Not Constitute Myelography Radiographic Imaging
Question: A patient had a fluoroscopic guided lumbosacral myelogram. In the report, it documents the fluoroscopic guidance by stating “the spinal needle was advanced under fluoroscopic guidance into the thecal sac at the L5-S1 level.” Further down the report, the provider then states that “fluoroscopic and/or plain radiograph images were acquired of the lumbar spine.” Should this be coded as 62304 or 62284/+77003? Texas Subscriber Answer: The problem here relates to the wording in the dictation report. Since the provider states “fluoroscopic and/or plain radiograph images were acquired,” you cannot make a positive...
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