2025 CPT code 62284
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Nervous System - Spinal Injections Surgery Feed
Injection procedure for myelography and/or computed tomography, spinal (excluding C1-C2 and posterior fossa).
Modifiers may be used as clinically appropriate; for example, modifier 59 may be used if the injection is performed as a distinct service from other procedures, or modifiers 22 or 52 to adjust relative procedural service value based on the level of service provided.
Medical necessity for a myelogram with contrast injection (CPT 62284) is established when other imaging modalities have been insufficient to diagnose the cause of the patient's spinal symptoms.The decision to proceed with this procedure is guided by the patient's clinical presentation, physical exam findings, and results of less invasive imaging studies. Payer-specific guidelines may also influence the determination of medical necessity.
The clinical responsibility typically falls on a radiologist who performs the injection of contrast material under fluoroscopic guidance and interprets the resulting images.A neurosurgeon or other physician may refer the patient for the procedure.The procedure requires expertise in performing spinal injections and interpreting the resulting images.
In simple words: This code describes a medical procedure where a doctor injects a special dye into your spine to take X-ray images of your spinal cord and nerves. This helps doctors diagnose problems in your back.
This CPT code, 62284, represents the injection procedure for myelography and/or computed tomography of the spinal column, excluding the C1-C2 region and posterior fossa.The procedure involves the percutaneous injection of contrast material into the spinal canal to visualize the spinal cord, nerve roots, and surrounding structures for diagnostic purposes.The injection site is typically lumbar, but may be other regions of the spine depending on the clinical scenario.Fluoroscopic guidance may be used.This code is reported only once per encounter, even if multiple spinal regions are studied during the same procedure. It does not include radiological supervision and interpretation; separate codes are used for those services.
Example 1: A patient presents with lower back pain and suspected nerve root compression. A myelogram with contrast injection (CPT 62284) is performed to visualize the lumbar spine and identify the cause of the pain. This is often followed by radiological supervision and interpretation, typically using code 72265., A patient has undergone a previous spinal surgery, and the surgeon suspects adhesions may be contributing to ongoing pain. A contrast injection (CPT 62284) is performed to visualize the spinal canal and guide any subsequent adhesiolysis procedures. The additional adhesiolysis procedures would be reported with separate codes. , A patient is being evaluated for suspected spinal stenosis. A CT myelogram with contrast (CPT 62284) is performed to assess the spinal canal and nerve roots and differentiate between various forms of spinal stenosis.
* Pre-procedure consent form signed by the patient.* Detailed clinical history outlining the indication for the myelogram.* Imaging reports and findings of the myelogram, including the location of injection, images obtained, and diagnostic interpretations.* Any medications or allergies the patient has.* Documentation of any complications during or after the procedure.
** The use of this code implies a lumbar injection as the primary access,though other regions can be accessed and studied as needed.Always refer to the most current CPT codebook for accurate information.
- Revenue Code: I4B (IMAGING/PROCEDURE - OTHER)
- Payment Status: Active
- Specialties:Radiology, Neurosurgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgery Center