2017 Coding Changes: Epidural Injections

Eight new codes and four deleted codes:

  •  62320 – Injection(s) of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, cervical or thoracic; without imaging guidance
  •  62321 – with imaging guidance (i.e., fluoroscopy or CT)
  •  62322 – Injection(s) of diagnostic or therapeutic substance(s) (e.g., anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance
  •  62323 – with imaging guidance (i.e., fluoroscopy or CT)
  •  62324 – 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; without imaging guidance
  •  62325 – with imaging guidance (i.e., fluoroscopy or CT)
  •  62326 – 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 neurlytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance
  •  62327 – with imaging guidance (i.e., fluoroscopy or CT)

 Codes are determined by use of imaging guidance, anatomic location, and technique.

 Deleted codes include 62310, 62311, 62318, 62319. Many parenthetical notes have been added directing the user to these new codes.

 An exclusionary parenthetical has been added following the Paravertebral Block code family (6446164463) to preclude reporting these thoracic codes with 62320 and 62324.  You can do both but you can’t report both.

 The continuous infusions are meant to be reported when performed over multiple days. Code 01996 should be reported for daily hospital management of the infusion. It can be reported per day.  If the continuous infusion is performed on a single day, use codes 6232062323.

 The region where the needle or catheter enters the body determines the code, not where the tip ends up.

 

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