CPT® Code 62302

Myelography is a specialized imaging technique utilized to obtain detailed visualizations of the spinal canal, spinal cord, and spinal nerve roots. This procedure employs real-time fluoroscopy in conjunction with X-ray imaging to create comprehensive images that assist in diagnosing various spinal conditions. Myelography is particularly valuable in identifying issues such as intervertebral disc herniation, spinal stenosis, tumors, infections, inflammation, and other lesions that may arise due to disease or trauma. During the procedure, the patient is typically positioned either lying on their abdomen or side to facilitate access to the lumbar region of the spine. A spinal needle is carefully advanced into the spinal canal under fluoroscopic guidance until cerebrospinal fluid (CSF) is observed to flow freely, indicating proper placement. Following this, a non-ionic contrast material is injected into the subarachnoid space to enhance the visibility of the spinal structures. The flow of the contrast dye is monitored through fluoroscopy, and X-rays are subsequently taken to document any abnormalities present. Upon completion of the myelography, the procedure table is returned to a horizontal position, allowing the patient to assume a comfortable posture. The specific CPT® code 62302 is designated for myelography performed via lumbar injection with a focus on the cervical region of the spine, while other codes are available for different spinal areas, including thoracic and lumbosacral regions.