Coder.Melisa
Contributor
Insurance claim denied. Was told that the CPT code of 62268 was not adequate. May someone please help with figuring out the corrected code to use for aspirating serosanguineous fluid. Thank you. Any help would be greatly appreciated. Medical record is as follow
"Using fluoroscopy, the right L4-5 neural foramen was identified and the skin above the this region was infiltrated with Xylocaine using a 25-gauge needle. A 22-gauge spinal needle was advanced under fluoroscopic guidance to the neural foramen. The needle was advanced while aspirating a small amount of serosanguineous fluid. A 22-gauge Whitaker needle was advanced under fluoroscopic guidance to the right L5-S1 neural foramen. Proper needle placements were confirmed using multiple fluoroscopic views in the oblique, lateral and AP positions. Proper needle placement were further confirmed by administrations of 1 cc of Isovue M200 contrast material at each level. Appropriate transforaminal epidural spread patterns were identified. There was no vascular uptake."
"Using fluoroscopy, the right L4-5 neural foramen was identified and the skin above the this region was infiltrated with Xylocaine using a 25-gauge needle. A 22-gauge spinal needle was advanced under fluoroscopic guidance to the neural foramen. The needle was advanced while aspirating a small amount of serosanguineous fluid. A 22-gauge Whitaker needle was advanced under fluoroscopic guidance to the right L5-S1 neural foramen. Proper needle placements were confirmed using multiple fluoroscopic views in the oblique, lateral and AP positions. Proper needle placement were further confirmed by administrations of 1 cc of Isovue M200 contrast material at each level. Appropriate transforaminal epidural spread patterns were identified. There was no vascular uptake."