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Lumbar Puncture to measure pressure

Deborah h Posted Mon 30th of March, 2015 00:15:16 AM

If a lumbar puncture is done to measure pressure and the physician does a open and close pressure reading with a manometer;culture sent to the lab; would this be considered a diagnostic 62270 or therapeutic procedure 62272? Would it be therapeutic because a manometer was used or is the manometer used also for diagnostic procedure 62270?

SuperCoder Answered Mon 30th of March, 2015 08:07:32 AM

It is a therapeutic procedure. Code 62272 would be appropriate.

Deborah h Posted Mon 30th of March, 2015 09:09:41 AM

I thought 62272 was performed to lessen cerebrospinal fluid as in treating the condition; if the physician is doing the lumbar puncture to measure pressure and sending CSF off for lab testing; would it still be coded 62272 instead of 62270?

SuperCoder Answered Tue 31st of March, 2015 03:35:33 AM

Yes this would still be coded as 62272. Following is the procedure:
When fluid returns through the needle, the provider may attach a manometer, a special tube that attaches to the needle to measure the pressure of the CSF. The provider then may withdraw the fluid through the needle, or she may insert a catheter to syphon CSF, or she may allow it to drip out of the needle on its own and collect a small amount, about one tablespoon, in test tubes. In any case, she collects the fluid and sends it to the laboratory for testing.

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