CPT® Code 0610T

1. Indications

The procedure of magnetic resonance spectroscopy (MRS) is indicated for the evaluation of discogenic pain, which may arise from conditions affecting the cervical, thoracic, or lumbar regions of the spine. The following are specific indications for performing this procedure:

• Discogenic Pain Identification of pain originating from intervertebral discs, which may be contributing to chronic low back pain.
• Degenerative Disc Disease Assessment of the degree of degeneration in spinal discs to inform treatment decisions.
• Pre-Surgical Evaluation Providing critical data that may influence surgical outcomes and treatment planning for patients with chronic pain.

2. Procedure

The magnetic resonance spectroscopy procedure involves several key steps to ensure accurate determination and localization of discogenic pain:

• Step 1: Patient Preparation The patient is positioned comfortably on the MRI table, ensuring that the area of interest, typically the lumbar, thoracic, or cervical spine, is properly aligned with the magnetic resonance imaging (MRI) scanner. The patient may be instructed to remain still during the procedure to obtain clear images.
• Step 2: Voxel Geometry Selection The scanner operator prescribes a single voxel geometry that encompasses the disc nucleus while excluding the vertebral body. This precise targeting is crucial for obtaining relevant biochemical data from the disc itself.
• Step 3: Data Acquisition Once the voxel is defined, the MRS scan is performed. The scanner collects a series of frames per disc, capturing the biochemical signatures of the disc material. This data reflects the concentrations of various biomarkers that are indicative of disc health and metabolic activity.
• Step 4: Data Transmission After the imaging data is acquired, it is transmitted for customized post-processing. This step involves the use of specialized software that analyzes the biomarker data, allowing for a detailed assessment of the disc's condition and the potential for pain.

3. Post-Procedure

Following the magnetic resonance spectroscopy procedure, patients may be monitored briefly to ensure there are no immediate adverse effects from the imaging process. The results of the MRS will be analyzed using specialized software, and the findings will be documented for review by the healthcare provider. The data obtained can provide valuable insights into the biochemical environment of the discs, aiding in the diagnosis and management of discogenic pain. Patients may be advised on the next steps based on the results, which could include further diagnostic testing, conservative management strategies, or surgical interventions if indicated. Recovery from the procedure is typically quick, as MRS is a noninvasive technique with minimal risk of complications.