Cervical Myelogram

May 22, 2017

Question:

We have a disagreement of whether this is a cervical myelogram or not. "Procedure: Informed consent was obtained. With the patient prone on the angiography table, C1-2 level was targeted posteriorly. Skin was prepped in a sterile fashion and anesthetized with 1% lidocaine. A 22 gauge spinal needle was introduced carefully under fluoroscopic observation into the posterior thecal sac at the C1-2 level. Approximately 12 mL of Isovue 200M were injected. Needle was removed. Several digital spot films were obtained. Patient tolerated the procedure well without immediate complications. Findings: Surgical changes are present consistent with prior anterior fusion at C5-C7. Superior screws at C5 have backed out as noted previously. No fracture of the hardware. No vertebral body fracture. No myelographic block. No obvious stenosis in the opacified thecal sac." I believe that the correct codes for this procedure would be 61055 and 72240; however, I am being told code 72240 is not appropriate. Which is correct?

Question ID: 9388
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