Coding for fluoroscopically guided diagnostic lumbar puncture

Q.

What is the appropriate CPT^® code for fluoroscopically guided diagnostic lumbar puncture?

A.

That would be CPT code 62328. The codes and full description are as follows:

62328  Spinal puncture, lumbar, diagnostic; with fluoroscopic or CT guidance

CPT code 62328 includes the lumbar puncture and aspiration of CSF for diagnostic purposes, and either fluoroscopic or CT guidance.

If you perform the LP under ultrasound or MR guidance, you will assign CPT code 62270 plus the modality-specific guidance code – 76942 (US) or 77021 (MR).