ICD-10 code T88. 7 for Unspecified adverse effect of drug or medicament is a medical classification as listed by WHO under the range - Injury, poisoning and certain other consequences of external causes .
PDPH Definition. The International Headache Society (IHS) defines PDPH as a headache occurring within 5 days of a lumbar puncture, caused by cerebrospinal fluid (CSF) leakage through the dural puncture. It is usually accompanied by neck stiffness and/or subjective hearing symptoms.
349.0ICD-9 Code 349.0 -Reaction to spinal or lumbar puncture- Codify by AAPC.
A lumbar puncture may be performed for diagnostic or therapeutic purposes. Diagnostic lumbar puncture is a procedure which is done to remove a small amount of cerebrospinal fluid for laboratory testing, and is reported with CPT code 62270. A therapeutic lumbar puncture is reported with CPT code 62272.
What are possible complications of lumbar puncture (LP)?Post–spinal puncture headache.Bloody tap.Dry tap.Infection.Hemorrhage.Dysesthesia.Post–dural puncture cerebral herniation.
Spinal headaches are caused by leakage of spinal fluid through a puncture hole in the membrane (dura mater) that surrounds the spinal cord. This leakage decreases the pressure exerted by the spinal fluid on the brain and spinal cord, which leads to a headache.
62270 Spinal puncture, lumbar, diagnostic. 62328 with fluoroscopic or CT guidance. 62272 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter). 62329 with fluoroscopic or CT guidance.
CPT code 62270 and 62272 are used for coding lumbar/spinal puncture procedures.
If you perform an unsuccessful, incomplete or difficult spinal tap, knowing when to apply a modifier is your ticket to deserved CPT 62270 reimbursement. Sometimes you can complete a spinal tap, but the results aren't want you wanted.
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.
62323. Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including. neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with. imaging guidance (ie, fluoroscopy or ct)
CPT® Code 62282 in section: Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance.