2025 CPT code 62325
(Active) Effective Date: N/A Revision Date: N/A Surgical Procedures on the Nervous System - Spinal Procedures 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; with imaging guidance (i.e., fluoroscopy or CT).
Modifiers may be applicable depending on the circumstances of the procedure.For example, modifier 59 may be used if multiple procedures are performed on the same day.
The procedure is medically necessary when conservative management (e.g., medication, physical therapy) has failed to alleviate symptoms and the patient's pain significantly impacts their quality of life. The decision to perform the injection must be based on a thorough clinical evaluation and diagnostic findings.
The physician is responsible for patient preparation, anesthesia administration (if applicable), needle placement under imaging guidance, catheter insertion and securing, injection of the therapeutic substance, post-procedure monitoring, and dressing application.
In simple words: The doctor injects medicine, like pain relievers or steroids, into the space around the spinal nerves in your neck or upper back to help with pain or diagnose a problem.A thin tube is placed to allow for continuous or repeated injections.Imaging is used to guide the procedure, ensuring accuracy and safety.
This CPT code describes the injection of diagnostic or therapeutic substances, such as pain medication or steroids, into the interlaminar epidural or subarachnoid space of the cervical or thoracic spine.The procedure involves the percutaneous placement of an indwelling catheter for continuous infusion or intermittent bolus injections.Imaging guidance (fluoroscopy or CT) is an integral component. The code encompasses catheter insertion, substance administration, and catheter removal, all performed on a single day. If the catheter remains in place for more than one day, code 62327 should be used instead.Neurolytic substances are excluded. The selection of this code is determined by the location of needle or catheter insertion (cervical or thoracic).This code should only be reported once, even if the injected substance spreads to another spinal region or the catheter tip advances into a different spinal area.It is not reported in conjunction with codes 77003, 77012, or 76942.
Example 1: A patient presents with chronic cervical radiculopathy unresponsive to conservative management. The physician performs a cervical epidural steroid injection (CESI) with fluoroscopic guidance using code 62325.A catheter is left in place for 24 hours for continuous infusion., A patient with thoracic spine pain undergoes a diagnostic epidural injection with contrast under CT guidance for localization of a suspected lesion. Code 62325 is used because the procedure includes catheter placement, injection, and removal on the same day., A patient with post-surgical spinal adhesions experiences severe pain. A physician performs an interlaminar epidural injection with a steroid solution using fluoroscopic guidance and an indwelling catheter to deliver medication over a single day. Code 62325 is reported.
* Detailed history and physical examination documenting the indication for the procedure.* Imaging studies (pre-procedure and potentially post-procedure) demonstrating the location of the injection.* Operative report detailing the procedure steps, including the approach, substances used, and catheter placement.* Anesthesia record if applicable.* Documentation of patient tolerance and post-procedure monitoring.
** This code should not be used for neurolytic injections.The physician should carefully select the appropriate code based on the anatomical location of the injection and the duration of catheter placement.
- Revenue Code: P6B
- Global Days: The global period is not explicitly defined for this code; however, based on similar codes, it's likely a short period, possibly only encompassing the day of the procedure.Clarification is needed for a precise timeframe.
- Payment Status: Active
- Modifier TC rule: A technical component (TC) modifier is not applicable to this code because it encompasses the entire procedure.
- Specialties:Anesthesiology, Pain Management, Neurosurgery, Orthopedic Surgery
- Place of Service:Office, Outpatient Hospital, Ambulatory Surgical Center