How To Use CPT Code 62304

CPT 62304 describes the procedure of myelography via lumbar injection, including radiological supervision and interpretation, specifically in the lumbosacral region. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 62304?

CPT 62304 can be used to describe the procedure of myelography via lumbar injection, along with radiological supervision and interpretation. This code specifically applies to cases involving the lumbosacral region of the spine. It is important to note that CPT 62304 should not be reported in conjunction with codes 62284, 62302, 62303, 62305, 72240, 72255, 72265, or 72270.

2. Official Description

The official description of CPT code 62304 is: ‘Myelography via lumbar injection, including radiological supervision and interpretation; lumbosacral.’

3. Procedure

1. The provider begins the procedure by administering an injection of contrast into the subarachnoid space in the lumbar region of the spine.
2. Using imaging, typically fluoroscopy, the provider views and examines the spinal cord, nerve roots, and other structures in the lumbosacral region.
3. The provider performs radiological supervision and interpretation of the myelography procedure.

4. Qualifying circumstances

CPT 62304 is applicable when the provider performs myelography via lumbar injection in the lumbosacral region. It is important to note that this code should not be reported in conjunction with codes 62284, 62302, 62303, 62305, 72240, 72255, 72265, or 72270.

5. When to use CPT code 62304

CPT code 62304 should be used when the provider performs myelography via lumbar injection in the lumbosacral region. It is important to ensure that this code is not reported with any of the excluded codes mentioned above.

6. Documentation requirements

To support a claim for CPT 62304, the provider must document the following information:

• Confirmation of appropriate patient preparation and anesthesia
• Injection of contrast in the subarachnoid space in the lumbar region
• Imaging, typically fluoroscopy, used to view and examine the spinal cord, nerve roots, and other structures in the lumbosacral region
• Interpretation of the myelography procedure

7. Billing guidelines

When billing for CPT 62304, it is important to ensure that the procedure is performed in the lumbosacral region and that it is not reported with any of the excluded codes. Providers should also consider the appropriate use of modifiers if necessary.

8. Historical information

CPT 62304 was added to the Current Procedural Terminology system on January 1, 2015. There have been no updates to the code since its addition.

9. Examples

1. A patient undergoes myelography via lumbar injection in the lumbosacral region to assess spinal cord and nerve root abnormalities.
2. A provider performs myelography via lumbar injection in the lumbosacral region to evaluate a patient with suspected disc herniation.
3. Myelography via lumbar injection in the lumbosacral region is performed on a patient with persistent lower back pain to identify potential causes.
4. A provider utilizes myelography via lumbar injection in the lumbosacral region to assess spinal stenosis in a patient.
5. A patient undergoes myelography via lumbar injection in the lumbosacral region to evaluate the extent of a spinal tumor.
6. Myelography via lumbar injection in the lumbosacral region is performed on a patient with suspected nerve root compression.
7. A provider utilizes myelography via lumbar injection in the lumbosacral region to assess the presence of spinal cord lesions in a patient.
8. A patient undergoes myelography via lumbar injection in the lumbosacral region to evaluate the effectiveness of a previous spinal surgery.
9. Myelography via lumbar injection in the lumbosacral region is performed on a patient with unexplained lower extremity weakness.
10. A provider utilizes myelography via lumbar injection in the lumbosacral region to assess the presence of spinal cord inflammation in a patient.