CPT code 62323 can be billed for injecting diagnostic or therapeutic substances into the spine’s lumbar or sacral (caudal) region and performed with imaging guidance.
What Is CPT Code 62323?
CPT code 62323 describes the injection of a diagnostic or therapeutic substance.
The injection can be an anesthetic, antispasmodic, opioid, steroid, or other solution, into the interlaminar epidural or subarachnoid space in the lumbar or sacral (caudal) region of the spine.
CPT 62323 includes the placement of a needle or catheter for the injection and the use of imaging guidance, such as fluoroscopy or CT, to ensure proper needle or catheter placement.
The 62323 procedure may be done for different purposes, such as administering an anesthetic for pain management or a steroid solution for inflammation in the epidural space.
Imaging guidance is necessary to ensure the proper placement of a needle or catheter and to avoid injury to the surrounding nerve roots and spinal cord.
It’s important to note that CPT 62323 doesn’t cover the injection of neurolytic substances.
The CPT book describes CPT code 62323 as: “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); with imaging guidance (i.e., fluoroscopy or CT).”
The provider begins by preparing the patient and numbing the area of treatment.
Using fluoroscopy or CT guidance, the provider carefully inserts a needle into the skin, targeting the interlaminar epidural or subarachnoid space in the lower back or sacral region.
To ensure proper placement, the provider may inject a small amount of contrast dye before proceeding.
To avoid injury to the surrounding nerve roots and spinal cord, they take care while confirming the location of the needle.
The provider then injects a substance, such as a steroid solution, for diagnostic or therapeutic purposes and closely monitors the patient for 15-20 minutes following the injection.
Once completed, the needle is removed, the site is cleansed with sterile saline, and gauze is applied to the insertion site.
How To Use CPT 62323
It’s important to note that if the provider performs this procedure without imaging guidance, report it using CPT code 62322 instead of 62323.
If the injection is performed in the neck or upper or middle back area, report the procedure with CPT code 62321.