CPT® Code 62291

Discography is a diagnostic procedure utilized to evaluate the intervertebral discs in the cervical or thoracic regions of the spine. This procedure is particularly important for identifying whether abnormalities in the discs are contributing to a patient's back pain. During discography, the patient is typically positioned on their side to facilitate access to the targeted disc levels. The area where the injection will occur is meticulously cleansed with an antiseptic solution to minimize the risk of infection. Following this, a local anesthetic is administered to ensure the patient experiences minimal discomfort during the procedure. A large-bore needle is then carefully advanced through the skin and directed towards the disc under fluoroscopic guidance, which is a separate reportable service. Once the needle is properly positioned, a specialized discography needle is inserted through the initial needle and into the center of the disc. At this point, a contrast material is injected into the disc to enhance imaging clarity, and radiographs are obtained to visualize the disc's condition. It is important to note that if multiple discs are evaluated, the procedure can be repeated for each level, with specific codes assigned for cervical or thoracic discs, as indicated by CPT® Code 62291.