2025 CPT code 62323
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Nervous System - Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord Surgery Feed
Injection(s) of diagnostic or therapeutic substances (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), excluding neurolytic substances; includes needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (fluoroscopy or CT).
Modifiers may apply depending on the circumstances of the procedure.Consult the CPT manual for appropriate modifier use. For example, modifier 59 may be used to indicate a distinct procedural service if multiple injections are performed at different levels on the same day.
Medical necessity for 62323 is established by the presence of documented radiculopathy, confirmed by physical examination and imaging. The procedure is medically necessary for managing pain and improving function when conservative treatments have failed.
The physician is responsible for patient assessment, selecting the appropriate injection site, performing the procedure under fluoroscopic or CT guidance, administering the chosen substance, monitoring the patient's response post-procedure, and documenting the procedure and patient's response.
- Surgery
- Surgical Procedures on the Nervous System > Injection, Drainage, or Aspiration Procedures on the Spine and Spinal Cord
In simple words: This code covers injecting medicine, like pain relievers or steroids, into your lower back or tailbone area to help with pain or diagnose a problem.A doctor uses imaging like X-rays to guide the needle or tube used for the injection.
This CPT code encompasses the injection of diagnostic or therapeutic substances, such as anesthetics, antispasmodics, opioids, steroids, or other solutions (excluding neurolytic substances), into the interlaminar epidural or subarachnoid space of the lumbar or sacral (caudal) region.The procedure includes the placement of a needle or catheter, and the use of imaging guidance, specifically fluoroscopy or CT, for precise injection.The injection may be for diagnostic or therapeutic purposes.
Example 1: A patient presents with chronic low back pain radiating into the leg (L4-L5 radiculopathy) confirmed by MRI.The physician performs a fluoroscopically-guided lumbar epidural steroid injection at the L4-L5 level using 62323., A patient experiences post-surgical pain after a lumbar fusion.The physician uses fluoroscopy to guide an epidural injection of local anesthetic and steroid for pain management using 62323., A patient is diagnosed with cauda equina syndrome and needs an emergent injection to relieve pressure on the nerve roots. The physician utilizes 62323 for a fluoroscopy guided lumbar injection of medication.
** This code does not include the use of neurolytic agents.If neurolytic agents are used, separate codes are required.Always verify payer specific guidelines and local coverage determinations (LCDs).
- Payment Status: Active
- Modifier TC rule: The modifier TC (technical component) does not apply to this code.
- Fee Schedule: Fee schedules vary by payer and location and are subject to change. Consult the appropriate fee schedule for the specific payer and year.
- Specialties:Pain Management, Anesthesiology, Neurosurgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center