CPT® Code 72265

Myelography is a specialized diagnostic imaging procedure that involves the use of contrast material to visualize the spinal cord and its surrounding structures. This technique is performed by injecting a contrast agent into the subarachnoid space, which is the area surrounding the spinal cord. The procedure is guided by real-time fluoroscopic X-ray imaging, allowing the radiologist to observe the flow of contrast material as it moves through the spinal canal. The process begins with the careful insertion of a needle into the spinal canal, followed by the injection of the contrast material. This enables the radiologist to assess various components of the spinal anatomy, including the spinal cord, nerve roots, meninges (the protective membranes covering the brain and spinal cord), and blood vessels. The dynamic imaging provided during the procedure helps in identifying abnormalities such as intervertebral disc herniation, meningeal inflammation, spinal stenosis, tumors, and other lesions that may arise from infections or prior trauma. Myelography is particularly useful in diagnosing conditions affecting the lumbosacral region of the spine, which is the focus of CPT® Code 72265. This code specifically pertains to the radiological supervision and interpretation of lumbosacral myelography, distinguishing it from similar procedures performed on other regions of the spine, such as the cervical or thoracic areas.