2025 CPT code 62302
(Active) Effective Date: N/A Revision Date: N/A Radiology - Myelography Nervous System Feed
Myelography via lumbar injection, including radiological supervision and interpretation; cervical.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the current CPT manual and your payer's guidelines for appropriate modifier usage.
Myelography is medically necessary when other imaging modalities (MRI, CT) are contraindicated or insufficient for evaluating spinal cord and nerve root pathology. It is particularly useful in patients with suspected cervical spinal stenosis, trauma, tumors, or post-surgical complications.
The radiologist is responsible for performing the lumbar puncture, injecting the contrast medium, acquiring the images, and providing the radiological interpretation.A referring physician may be involved in pre- and post-procedural care.
In simple words: This code describes an X-ray test of the neck area of the spine. A special dye is injected into the lower back, then X-rays are taken of the neck to see the spinal cord and nerves. A doctor specializing in X-rays reads the images.
This CPT code encompasses myelography performed via lumbar injection, with radiological supervision and interpretation specifically focusing on the cervical spine region.The procedure involves injecting contrast medium into the lumbar subarachnoid space, allowing it to flow to the cervical spine for imaging. The radiologist interprets the resulting images to diagnose spinal cord and nerve root pathologies.
Example 1: A patient presents with neck pain and neurological symptoms.MRI is contraindicated due to a pacemaker. A cervical myelogram is ordered to visualize the spinal cord and nerve roots in the cervical spine to identify the cause of the symptoms., A patient with suspected cervical spinal stenosis undergoes a myelogram to assess the degree of spinal canal narrowing and its impact on the spinal cord. The lumbar puncture is chosen due to better contrast flow., Post-surgical evaluation of a cervical spine fusion is performed. Myelography is used to assess the position of the hardware and the integrity of the spinal canal.
* Detailed history and physical examination focusing on neurological symptoms.* Imaging reports (including pre-procedure imaging, if available).* Consent form.* Procedure report detailing the injection site, amount of contrast used, imaging techniques, and findings.* Radiologist's interpretation report.
** This procedure carries inherent risks, including headache, bleeding, and infection.Proper patient selection, informed consent, and adherence to aseptic techniques are crucial.
- Revenue Code: 0360, 0361
- RVU: This information varies by payer and location.Consult your specific payer's fee schedule.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Fee Schedule: Historical fee schedule data varies by payer and location. Consult your payer's historical fee schedules for specific information.
- Specialties:Neurology, Neurosurgery, Radiology
- Place of Service:Hospital (Inpatient or Outpatient), Ambulatory Surgical Center