Test

CT cervical myelogram (if MRI contraindicated)

Order as

CT myelogram cervical

CPT

72126 (CT); 62284 (fluoro-guided injection)

Strengths: specialized workup for spinal stenosis in patients who cannot have MRI and occasionally ordered for post surgical patients and/or evaulation of hardware; Intrathecal contrast injected under fluoroscopy in radiology immediately prior to CT.
Limitations: MRI mainstay for most other C spine indications. Except acute trauma where CT C spine without contrast can be useful.
Contraindications: 1) Allergy to contrast, but we will premedicate patient as necessary.

Patient preparation

NPO 4 hours, but can take meds with small sip of water. Patient will be monitored for 2 to 3 hours after the procedure. May need driver.

To schedule, call Orange Coast or Saddleback Medical Center — numbers on the contact page.