An MRI guided cisternal puncture with diagnostic contrast injection is performed at the C2 level...

Procedure Coding:

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.