An MRI guided cisternal puncture with diagnostic contrast injection is performed at the C2 level for cervical discography, with imaging supervision and interpretation.
62291 – Injection procedure for myelography and/or CT, cervical
Cisternal puncture at C2 level
72285 – Radiologic supervision and interpretation, cervical discography
77021 – MRI guidance for needle placement
Why Other Options Are Incorrect:
62290 – Lumbar injection
77012 – CT guidance, not MRI
72295 – Lumbar discography imaging
AAPC Coding Principle:
Use modality-specific guidance codes and match spinal level precisely.
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