2025 CPT code 62326
(Active) Effective Date: N/A Revision Date: N/A Musculoskeletal - Spinal Injections Surgery Feed
Injection(s), including catheter placement, continuous or intermittent infusion of therapeutic substances (excluding neurolytic agents), into the lumbar or sacral epidural or subarachnoid space; without imaging guidance.
Modifiers may be applicable depending on the circumstances of the procedure. Consult the most recent CPT and NCCI guidelines.
Medical necessity for 62326 would be supported by documentation of significant pain unresponsive to conservative management, evidence of inflammation or nerve compression consistent with the patient’s symptoms, and the appropriateness of the chosen medication based on the patient’s history and condition.
The physician is responsible for prepping the patient, performing the injection under sterile conditions, confirming catheter placement, administering the medication, monitoring the patient post-procedure, and documenting the procedure and patient response.
- Surgery
- Spinal injections without imaging guidance, lumbar or sacral region, catheter placement and continuous or intermittent bolus injections
In simple words: The doctor inserts a thin tube (catheter) into your lower back near your spine to deliver medication like pain relievers or steroids.This is done without using imaging like X-rays to guide the placement of the catheter.The medication is given as a continuous drip or in several doses.
This CPT code 62326 encompasses the administration of therapeutic substances, such as anesthetics, antispasmodics, opioids, steroids, or other solutions (excluding neurolytic agents), via an indwelling catheter placed into the interlaminar epidural or subarachnoid space of the lumbar or sacral region.The procedure involves catheter placement, continuous infusion, or intermittent bolus injections, without the use of imaging guidance like fluoroscopy or CT.This code is reported only once for a series of injections performed on the same day.
Example 1: A patient presents with chronic lower back pain unresponsive to conservative management.The physician performs a 62326 procedure to deliver a steroid injection into the epidural space to reduce inflammation and pain., A patient experiences post-surgical pain after lumbar spine surgery.The physician places an epidural catheter and uses code 62326 to deliver continuous infusion of anesthetic medication for pain management over several hours., A patient suffers from chronic radiculopathy (nerve pain) stemming from the lumbar spine. The physician performs an intermittent bolus injection using local anesthetic and steroid medication with code 62326 for pain relief.
Detailed history and physical examination, including pain assessment; imaging studies (if done prior to procedure); procedural notes detailing medication administered, catheter placement technique, patient response, and post-procedure assessment; any complications encountered.Consent form signed by the patient.
** Accurate coding requires meticulous documentation of all aspects of the procedure, including the type and amount of medication used, catheter placement technique, patient response, and post-procedure care.Consult with a qualified medical coding specialist for clarification in complex cases.
- Global Days: The global period for this code is not explicitly defined but should be considered in the context of other similar spinal injections.
- Payment Status: Active
- Modifier TC rule: A Technical Component (TC) modifier might be applicable in certain situations, especially if the procedure is performed by multiple providers. Consult the relevant guidelines for the specific situation.
- Fee Schedule: Fee schedules vary by payer and location.Refer to payer-specific fee schedules for accurate pricing information.Historical data can be obtained from published fee schedules from prior years.
- Specialties:Anesthesiology, Pain Management, Neurosurgery, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center