CPT® Code 72270

Myelography, 2 or more regions (eg, lumbar/thoracic, cervical/thoracic, lumbar/cervical, lumbar/thoracic/cervical), radiological supervision and interpretation

Myelography is a specialized diagnostic imaging procedure that involves the use of contrast material to visualize the spinal cord and its surrounding structures. This procedure is performed by injecting a contrast agent into the subarachnoid space, which is the area surrounding the spinal cord. The injection is typically done using a needle that is carefully placed into the spinal canal. Once the contrast material is introduced, real-time fluoroscopic X-ray imaging is utilized to monitor the flow of the contrast agent through the spinal canal, allowing for a dynamic assessment of the spinal anatomy. The radiologist can observe the spinal cord, nerve roots, meninges, and blood vessels as the contrast material enhances these structures, making them more visible on the imaging studies. In addition to real-time imaging, permanent X-ray images may also be captured during the procedure for further analysis. Myelography is particularly useful in diagnosing various spinal conditions, including intervertebral disc herniation, meningeal inflammation, spinal stenosis, tumors, and other lesions that may arise from infections or previous injuries. The CPT® code 72270 specifically refers to myelography performed on two or more regions of the spine, such as combinations of lumbar, thoracic, and cervical areas, providing a comprehensive evaluation of the spinal anatomy across multiple segments.