2025 CPT code 62324
(Active) Effective Date: N/A Surgery - Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord Surgery Feed
Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance.
Modifiers may be applicable.
Medical necessity should be established by documenting the patient's condition, prior treatments, and the rationale for using this specific method of drug delivery.
The physician prepares the patient, administers local anesthesia, inserts the needle and catheter, confirms placement, injects the substance, anchors the catheter, and monitors the patient for any adverse reactions.
In simple words: The doctor inserts a small tube (catheter) near your spinal cord in your neck or upper back to deliver pain medication or other medicine continuously or in large doses.This is done without using imaging like x-ray or CT scans to guide the placement.
This code describes a procedure where a catheter is placed in the cervical or thoracic epidural or subarachnoid space to administer diagnostic or therapeutic substances (such as anesthetics, antispasmodics, opioids, steroids, or other solutions, excluding neurolytic substances) via continuous infusion or intermittent bolus. Imaging guidance is not used.
Example 1: A patient with chronic neck pain receives an epidural steroid injection via an indwelling catheter for continuous infusion over several days., A patient with thoracic spinal stenosis receives an anesthetic and antispasmodic medication via intermittent bolus through an indwelling catheter., A patient with post-surgical pain in the thoracic region receives opioid pain medication via continuous infusion through an indwelling catheter placed in the subarachnoid space.
Documentation should include details of the procedure, including the substance injected, the location of injection (cervical or thoracic, epidural or subarachnoid), the type of infusion (continuous or intermittent bolus), and any complications.
- Specialties:Pain Management, Anesthesiology, Neurosurgery, Physiatry (Physical Medicine and Rehabilitation), Neurology.
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center, Inpatient Hospital (if medically necessary).