Wiki Myleogram with trial pain pump

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celcano

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My physician did a trial pain pump injection (62311) and wants to bill a myleogram. In his report, all he states is "A free flow of clear CSF was obtained". Is billing of a myleogram appropriate in this situation?

Thank you for your advice.
 
According to NCCI, the below is indicating that "injection for myelography" would be considered a bundled procedure when reporting CPT 62311.

It is considered that CPT 62284 is intended for a sole diagnostic procedure on the date of service with not significant amount of therapeutic substances being administered. It would not be reported for Medicare or any carrier that follow NCCI edits. For a private payer, they have the same stance if it is for the purpose of accomplishing a procedure such as a pump trial it is not separately reimbursable. And it is just going to flag the claims you are submitting as inappropriate coding to report CPT 62284 in conjunction with CPT 62311.

Code 62311(column 1) has a CCI conflict with code 62284(column 2). A modifier is not allowed to override this relationship.
 
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