Injection for Pain after Myelogram

June 12, 2017

Question:

I have a patient who was in the hospital (outpatient) for a lumbar myelogram. The procedure was performed and also the post CT scan. Lately I've noticed that I'm getting a report (usually several hours later) for a CT-guided translaminar epidural lumbar spine steroid injection for chronic pain. I billed 62323 for the steroid injection, 62304 for the myelogram, and 72132 for the post CT L spine. I am getting edits between codes 62323 and 62304. NCCI says, "No modifier allowed." My first question is, did I use the correct codes? Is this normal that the radiologist who performed the myelogram would go back and do a spine injection for pain? Like I've said, I've never seen it before, but we do have a newer doctor in the group, and it seems to be his reports. Can you give me any insight on this? 

Question ID: 8931
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