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These codes maintain the CPT hierarchy of combining cervicothoracic procedures, which risk spinal cord injury, with lumbosacral injections which typically do not as well as differentiating the use of image guidance, which was separately reportable under prior coding rules, says Gregory Przybylski, MD , director of neurosurgery at the New Jersey Neuroscience Institute, JFK Medical Center in Edison

Regulators have looked at it closely