2025 CPT code 62322
(Active) Effective Date: N/A Surgery - Surgical Procedures on the Nervous System Feed
Injection(s) of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance.
Modifiers may be applicable to this code.For example, modifier 52 may be used for reduced services.Modifier 73 or 74 can be used to report when the procedure was discontinued.
Medical necessity must be established for all injections. Payers typically require documentation that supports the diagnosis, demonstrates failed conservative treatments, and justifies the need for the injection. Specific guidelines may vary by payer.
The physician prepares the patient, anesthetizes the injection site, and advances the needle into the interlaminar epidural or subarachnoid space.They confirm the needle placement while avoiding damage to nerve roots or the spinal cord. The substance is then injected, and the patient is monitored. After the procedure, the needle is removed, the site is cleaned, and a dressing is applied.
In simple words: The doctor injects medicine for pain relief or diagnosis into the lower back area.This is done with a needle or small tube, without using x-ray or other imaging to guide the injection.
This code describes an injection of a diagnostic or therapeutic substance into the epidural or subarachnoid space of the lumbar or sacral spine.It includes needle or catheter placement but specifically excludes imaging guidance.Substances injected can include anesthetics, antispasmodics, opioids, steroids, or other solutions, but neurolytic substances are not included in this code. The injection can be interlaminar epidural or subarachnoid.
Example 1: A patient with lower back pain receives a steroid injection into the epidural space using a needle, without imaging guidance., A patient with sciatica receives an injection of an anesthetic and steroid in the sacral region using a catheter, without imaging guidance., A patient presents with lumbar radiculopathy.After confirming the diagnosis and obtaining consent, the provider performs an interlaminar epidural injection of an anesthetic and anti-inflammatory medication at the affected level without image guidance.
Documentation should include: the patient's diagnosis and the medical necessity for the injection, the specific substance(s) injected, the location of the injection (lumbar or sacral), the approach used (interlaminar, epidural, or subarachnoid), confirmation that the procedure was performed without imaging guidance, and any complications encountered.
** As of 01 December 2024, this information is current.Always check the most up-to-date coding guidelines before submitting claims.
- Payment Status: Active
- Specialties:Pain Management, Anesthesiology, Physiatry, Neurology, Orthopedic Surgery, Neurosurgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center