2025 CPT code 62327
(Active) Effective Date: N/A Revision Date: N/A Surgery - Surgical Procedures on the Nervous System 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, lumbar or sacral (caudal); with imaging guidance (i.e., fluoroscopy or CT).
Modifiers may be applicable to further specify the circumstances of the procedure. Examples include modifier 22 (Increased Procedural Services), 52 (Reduced Services), 59 (Distinct Procedural Service) etc. Documentation should justify modifier usage.
Medical necessity should be supported by documentation of the patient's condition and the rationale for using continuous infusion or intermittent bolus injection for diagnostic or therapeutic purposes.This may include failed conservative treatments, imaging findings, and functional limitations.
The physician prepares the patient, anesthetizes the area, and advances a needle into the interlaminar epidural or subarachnoid space using imaging guidance. After confirming needle placement and avoiding nerve or spinal cord injury, a catheter is inserted, and the substance is administered. The catheter is anchored for further injections, and the patient is monitored post-procedure.
In simple words: The doctor uses imaging to guide a small tube (catheter) into your lower back near your spinal nerves.Through this tube, they slowly deliver medication, like pain medicine or steroids, to help with diagnosis or treatment.
This code describes a procedure where the provider inserts a catheter into the epidural or subarachnoid space in the lumbar or sacral region of the spine using imaging guidance (fluoroscopy or CT). The catheter is then used to administer diagnostic or therapeutic substances, such as pain medication or steroids, via continuous infusion or intermittent boluses. This code does not include the injection of neurolytic substances.
Example 1: A patient with chronic low back pain receives an epidural steroid injection via continuous infusion over several days using a catheter placed under fluoroscopic guidance in the lumbar region., A patient with lumbar radiculopathy undergoes a diagnostic injection of anesthetic and steroid into the subarachnoid space via an indwelling catheter placed with CT guidance for pain relief and diagnostic purposes., A patient with post-surgical pain in the sacral region receives intermittent bolus injections of pain medication through an epidural catheter placed under fluoroscopic guidance.
Documentation should include details of the imaging guidance used, the substance injected, the location of injection (lumbar or sacral), the type of administration (continuous infusion or intermittent bolus), and any associated diagnoses, such as low back pain or radiculopathy.
- Payment Status: Active
- Specialties:Pain Management, Anesthesiology, Radiology, Neurosurgery, Physiatry (Physical Medicine and Rehabilitation)
- Place of Service:Inpatient Hospital, Outpatient Hospital, Ambulatory Surgical Center