Does CPT code 62270 need a modifier?

You should report 62270 without a modifier, says Diane M. Minard, CPC, pediatric coding adviser for Dartmouth Hitchcock Medical Center in Lebanon, N.H. “The pediatrician completed the procedure and obtained a specimen.” The results have no impact on the procedure or reimbursement.

What is a 24 modifier used for?

Modifier 24 is defined as an unrelated evaluation and management service by the same physician or other qualified health care professional during a post-operative period. Medicare defines same physician as physicians in the same group practice who are of the same specialty.

What is procedure code 62270?

CPT® Code 62270 – Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord – Codify by AAPC. CPT. Surgical Procedures on the Nervous System.

What is the difference between CPT code 62270 and 62272?

Answer: As the descriptions indicate, 62270 is purely diagnostic and 62272 is therapeutic (i.e., used to decrease intrathecal pressure). In the case of 62272, the fluid also may be used for diagnostic purposes, but the primary reason the lumbar puncture is for treatment.

How do you bill a lumbar puncture procedure?

Diagnostic lumbar puncture is a procedure which is done to remove a small amount of cerebrospinal fluid for laboratory testing, and is reported with CPT code 62270. A therapeutic lumbar puncture is reported with CPT code 62272.

What is the difference between 62270 and 62272?

How do you bill for a lumbar puncture?

A therapeutic lumbar puncture is reported with CPT code 62272. Fluoroscopy may or may not be required to assist with visualization of specific spinal anatomy for lumbar puncture needle placement. If fluoroscopy is utilized for lumbar puncture, fluoroscopic guidance should be additionally reported with CPT code 76005.

How do you code intrathecal chemotherapy?

Code assignment: 96450, Chemotherapy administration, into CNS (e.g., intrathecal) requiring and including spinal puncture.

Can you bill for failed lumbar puncture?

It’s also acceptable to bill for critical care services that you perform in the same encounter as a lumbar puncture. To calculate the time you bill for critical care services, remember to deduct the amount of time you spend performing the lumbar puncture and any other separately billable charges.