How To Use CPT Code 62305

CPT 62305 describes the procedure of myelography via lumbar injection, including radiological supervision and interpretation, for two or more regions of the spine. This article will cover the description, official description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 62305?

CPT 62305 is used to describe the procedure of myelography via lumbar injection, which involves injecting contrast into the subarachnoid space in the lumbar region of the spine. This procedure allows the provider to view and examine the spinal cord, nerve roots, and other structures in two or more regions of the spine. The provider also performs radiological supervision and interpretation of the procedure.

2. Official Description

The official description of CPT code 62305 is: ‘Myelography via lumbar injection, including radiological supervision and interpretation; 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical).’ It is important to note that CPT code 62305 should not be reported in conjunction with codes 62284, 62302, 62303, 62304, 72240, 72255, 72265, or 72270. Additionally, for myelography lumbar injection and imaging performed by different physicians or qualified healthcare professionals, see codes 62284 or 72240, 72255, 72265, 72270. For injection procedure at C1-C2, use code 61055.

3. Procedure

1. The provider begins the procedure by injecting contrast into the subarachnoid space in the lumbar region of the spine.
2. The contrast spreads along the length of the spinal cord, allowing the provider to view and examine the spinal cord, nerve roots, and other structures in at least two regions of the spine.
3. The provider uses imaging, typically fluoroscopy, to visualize the spinal structures and performs radiological supervision and interpretation of the procedure.

4. Qualifying circumstances

CPT 62305 is performed on patients who require myelography via lumbar injection for the examination of two or more regions of the spine. It is important to note that CPT 62305 should not be reported with codes 62284, 62302, 62303, 62304, 72240, 72255, 72265, or 72270. If the injection and radiological services are performed by different providers, the injecting provider should report the appropriate injection code, such as 62284, while the radiological provider should report the appropriate code from the range 77240 to 77270.

5. When to use CPT code 62305

CPT code 62305 should be used when the provider performs myelography via lumbar injection and radiological supervision and interpretation for two or more regions of the spine. It is important to ensure that the procedure is not reported with other codes that are not compatible with CPT 62305.

6. Documentation requirements

To support a claim for CPT 62305, the provider must document the following information:

• Indication for the procedure
• Specific regions of the spine examined
• Date of the procedure
• Start and end time of the procedure
• Details of the injection procedure
• Imaging findings and interpretation
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 62305, ensure that the procedure meets the requirements of myelography via lumbar injection for two or more regions of the spine. It is important to note that CPT 62305 should not be reported with codes 62284, 62302, 62303, 62304, 72240, 72255, 72265, or 72270. If the injection and radiological services are performed by different providers, the appropriate injection and radiological codes should be reported separately.

8. Historical information

CPT 62305 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 for examination of the lumbar and thoracic regions of the spine.
2. A provider performs myelography via lumbar injection for examination of the cervical and thoracic regions of the spine.
3. A patient requires myelography via lumbar injection for examination of the lumbar, thoracic, and cervical regions of the spine.
4. A provider performs myelography via lumbar injection for examination of the lumbar and cervical regions of the spine.
5. A patient undergoes myelography via lumbar injection for examination of the lumbar, thoracic, and cervical regions of the spine.
6. A provider performs myelography via lumbar injection for examination of the lumbar and thoracic regions of the spine.
7. A patient requires myelography via lumbar injection for examination of the cervical and thoracic regions of the spine.
8. A provider performs myelography via lumbar injection for examination of the lumbar, thoracic, and cervical regions of the spine.
9. A patient undergoes myelography via lumbar injection for examination of the lumbar and cervical regions of the spine.
10. A provider performs myelography via lumbar injection for examination of the lumbar, thoracic, and cervical regions of the spine.