CPT® Code 62304

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. The procedure is performed under the direct supervision of a radiologist, ensuring that the imaging is conducted safely and effectively. Myelography is particularly useful for 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 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 until cerebrospinal fluid (CSF) is observed flowing freely, indicating proper placement. Subsequently, a non-ionic contrast material is injected into the subarachnoid space, allowing for enhanced visualization of the spinal structures. The flow of the contrast dye is monitored through fluoroscopy, and X-rays are taken to document any abnormalities present. Upon completion of the procedure, the patient is returned to a comfortable position, and the imaging results are interpreted to guide further clinical decision-making.