What is the difference between CPT code 62270 and 62272?

What is the difference between CPT code 62270 and 62272?

Answer: As the descriptions indicate, 62270 is purely diagnostic and 62272 is therapeutic (i.e., used to decrease intrathecal pressure). In the case of 62272, the fluid also may be used for diagnostic purposes, but the primary reason the lumbar puncture is for treatment.

What is CPT code for intrathecal chemotherapy?

96450 Chemotherapy administration, into CNS (e.g. intrathecal), requiring and including spinal puncture • Non-timed based service.

What is included in CPT 96365?

The Current Procedural Terminology (CPT®) code 96365 as maintained by American Medical Association, is a medical procedural code under the range – Therapeutic, Prophylactic, and Diagnostic Injections and Infusions (Excludes Chemotherapy and Other Highly Complex Drug or Highly Complex Biologic Agent Administration).

Does CPT 62270 need a modifier?

Modifier -52. Use this code to report services that are partially reduced or eliminated at your election. Make sure your documentation explains the circumstances that led you to stop the procedure before it was complete.

How do you bill methotrexate injection?

A: Methotrexate is classified as a chemotherapy drug, specifically an antimetabolite. Therefore, the intramuscular injection of Methotrexate should be reported with CPT code 96401, representing injection of a non-hormonal antineoplastic. You should not report the injection using CPT code 96372 for a therapeutic drug.

What is the CPT code for an intrathecal chemotherapy injection?

The appropriate code is 96450 – intrathecal chemotherapy injection – and it includes the spinal puncture. If the oncologist bills 96450 and the radiologist bills 62270 or 62272, then the patient is being double billed for the spinal puncture.

What is the CPT code for methotrexate sodium 50 mg?

HCPCS Code J9260 Methotrexate sodium, 50 mg Drugs administered other than oral method, chemotherapy drugs J9260 is a valid 2021 HCPCS code for Methotrexate sodium, 50 mg or just “ Methotrexate sodium inj ” for short, used in Medical care.

What is the CPT code for lumbar puncture with methotrexate?

We use CPT 62272, 77003 when coding a lumbar puncture with methotrexate injection — injection not performed by Rad.

What is methotrexate used to treat?

Methotrexate is a component of combination regimens used to treat non-Hodgkin and Burkitt lymphomas and breast, lung, bladder, cervical, gastric, and ovarian carcinomas.