AHA Coding Clinic® for HCPCS - 2020 Issue 1; Ask the Editor

Intrathecal Spinraza injection

Patient with Type 2 spinal muscular atrophy presents for evaluation of cerebral spinal fluid (CSF) and an intrathecal injection of Spinraza. Under direct fluoroscopic guidance a lumbar puncture was performed at the L2/L3 level to obtain spinal fluid for cytologic evaluation. Next, a catheter was placed and a therapeutic intrathecal injection of Spinraza was administered. What would be the appropriate code for intrathecal Spinraza injection via spinal puncture with fluoroscopic guidance, 62323 or 96450? ...

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