2025 CPT code 62320
(Active) Effective Date: N/A Revision Date: N/A Surgery - Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord Surgical Procedures on the Nervous System Feed
Injection(s) of diagnostic or therapeutic substance(s) into the cervical or thoracic epidural or subarachnoid space without imaging guidance.
Modifiers may be applicable depending on the circumstances of the procedure. Review the official CPT guidelines and payer-specific rules for appropriate modifier usage.
The injection must be medically necessary based on the patient's symptoms, diagnosis, and failure of conservative management. Documentation supporting medical necessity is crucial for proper reimbursement.
The physician is responsible for patient assessment, determining the need for the injection, proper placement of the needle or catheter, injection of the substance, monitoring the patient for adverse reactions, and post-procedure care.
- Surgical Procedures on the Nervous System
- Surgical Procedures on the Nervous System > Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord
In simple words: The doctor injects medicine, like a pain reliever or steroid, into the area around the spinal nerves in your neck or upper back to help with pain or diagnose a problem.No special imaging is used during this injection.
This CPT code encompasses the injection of diagnostic or therapeutic substances, excluding neurolytic agents, into the interlaminar epidural or subarachnoid space of the cervical or thoracic spine.The procedure includes needle or catheter placement and removal.Imaging guidance (fluoroscopy or CT) is not included and should not be reported separately. The injection may be for diagnostic or therapeutic purposes.
Example 1: A patient presents with chronic neck pain radiating into the right arm, consistent with cervical radiculopathy. After conservative management fails, the physician performs a cervical epidural steroid injection (CESI) using code 62320 to reduce inflammation and pain., A patient experiences acute thoracic pain following a motor vehicle accident.A thoracic epidural steroid injection (TESI) is performed utilizing code 62320 to manage pain and inflammation related to the trauma. , A patient has chronic upper back pain related to degenerative disc disease.The physician uses code 62320 to perform a diagnostic injection of a local anesthetic to pinpoint the exact source of their pain.
* Thorough history and physical examination documenting the patient's symptoms and clinical findings.* Documentation supporting the medical necessity of the injection, including failed conservative treatments.* Detailed description of the procedure performed, including the approach, location of injection, type and amount of substance injected, and patient's response.* Appropriate diagnostic codes reflecting the underlying condition.
** Always confirm the correct code selection based on the specific location of the injection (cervical or thoracic), the use of imaging guidance, and other relevant factors.Pay close attention to payer-specific policies and requirements.
- Revenue Code: P6B (Minor Procedures - Musculoskeletal)
- RVU: The RVUs for this code will vary based on several factors including geographic location and payer. Consult your specific payer's fee schedule for the most accurate information.
- Global Days: Not applicable. This is a single procedure code.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not typically applicable to this code because it represents the entire procedure.
- Fee Schedule: Historical fee schedule data is not available here.Consult your specific payer's historical fee schedules for information.
- Specialties:Anesthesiology, Pain Management, Neurology, Neurosurgery, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center