2025 CPT code 62303
(Active) Effective Date: N/A Revision Date: N/A Surgery - Spinal Procedures Surgery Feed
Myelography via lumbar injection, including radiological supervision and interpretation; thoracic region.
Modifiers may be applicable depending on the circumstances of the procedure (e.g., 59 for distinct procedural services, 25 for significant, separately identifiable E/M service). Consult current modifier guidelines for specific applications.
Myelography is medically necessary when other non-invasive imaging techniques (CT, MRI) are contraindicated or have failed to provide sufficient diagnostic information.It is often utilized to evaluate spinal cord compression, post-surgical complications, and suspected disc herniations where precise visualization of the neural structures is crucial.
The physician is responsible for performing the lumbar puncture, injecting the contrast agent, monitoring the patient's condition, performing fluoroscopy, interpreting the images obtained, and providing a comprehensive report of findings.This often involves collaboration with radiology staff.
In simple words: This code covers a special X-ray test of the spine called a myelogram.A doctor injects dye into the lower back, which then flows up to the middle back, allowing the doctor to see the spinal cord and nerves on an X-ray screen.
This CPT code encompasses myelography performed via lumbar injection, incorporating fluoroscopic guidance, contrast injection into the subarachnoid space, and radiological supervision and interpretation of the resulting images. The procedure focuses specifically on the thoracic region of the spine.The contrast agent is injected into the lumbar spine and migrates upwards to visualize the thoracic spinal cord, nerve roots, and surrounding structures.
Example 1: A patient presents with persistent back pain and neurological symptoms suggestive of spinal cord compression. MRI is contraindicated due to a metallic implant. A myelogram is performed to visualize the spinal cord and identify the source of compression in the thoracic region., A patient has undergone previous spinal surgery, and there is concern about potential post-surgical complications such as CSF leaks or nerve root impingement. A myelogram is conducted to assess the integrity of the spinal canal and surrounding structures in the thoracic spine., A patient exhibits symptoms consistent with a herniated disc in the thoracic spine, and other imaging modalities (CT, MRI) have not provided conclusive results. Myelography is used to evaluate the disc and its relationship to the spinal cord and nerve roots.
Thorough patient history documenting symptoms, prior imaging results, and contraindications to MRI.Pre-procedure consent form, including risks and benefits of myelography. Detailed procedural notes including the approach, amount and type of contrast used, fluoroscopic findings, and images.Radiological interpretation report clearly outlining findings and their clinical significance.
** The contrast agent used (e.g., iohexol, metrizamide) should be documented.If a catheter is used for contrast administration, it should be noted. The use of fluoroscopy is inherently included in this code.Consider potential complications such as headache, allergic reactions to contrast, and bleeding at the puncture site when documenting the procedure.
- Payment Status: Active
- Modifier TC rule: Not applicable.
- Specialties:Neurology, Neurosurgery, Radiology
- Place of Service:Office, Hospital (Inpatient and Outpatient), Ambulatory Surgical Center