How To Use CPT Code 62320

CPT 62320 describes the injection of a diagnostic or therapeutic substance into the space around the spinal nerves of the cervical or thoracic region. This article will cover the description, procedure, qualifying circumstances, appropriate usage, documentation requirements, billing guidelines, historical information and billing examples.

1. What is CPT Code 62320?

CPT 62320 can be used to describe the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space of the cervical or thoracic region. This code is used when the provider administers the injection without the use of imaging guidance.

2. Official Description

The official description of CPT code 62320 is: ‘Injection(s), of diagnostic or therapeutic substance(s) (eg, 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.’

3. Procedure

1. The provider prepares the patient and administers local anesthesia to the injection site.
2. Using a needle or catheter, the provider advances towards the interlaminar epidural or subarachnoid space in the cervical or thoracic region.
3. The provider carefully confirms the location of the needle to avoid any damage to nearby nerve roots or the spinal cord.
4. A diagnostic or therapeutic substance, such as an anesthetic, antispasmodic, opioid, steroid, or other solution, is injected into the targeted space.
5. The patient is monitored for 15 to 20 minutes after the injection.
6. After the procedure, the provider removes the needle, cleans the site, and applies a sterile dressing.

4. Qualifying circumstances

CPT 62320 is used for patients who require the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space of the cervical or thoracic region. The procedure should be performed by a qualified healthcare provider and does not involve the use of neurolytic substances or imaging guidance.

5. When to use CPT code 62320

CPT code 62320 should be used when a provider administers an injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space of the cervical or thoracic region without the use of imaging guidance. It is important to ensure that the procedure meets all the criteria specified in the code description.

6. Documentation requirements

To support a claim for CPT 62320, the provider must document the following information:

• Patient’s diagnosis and the medical necessity for the injection
• Specific substance injected
• Date and time of the procedure
• Injection site and approach
• Monitoring time after the injection
• Any complications or adverse reactions
• Provider’s signature

7. Billing guidelines

When billing for CPT 62320, ensure that the procedure meets all the criteria specified in the code description. It is important to note that CPT 62320 should not be reported with other codes for neurolytic substances or imaging guidance. Additional tips for accurate billing may include considerations for the location of the injection and the use of modifiers if applicable.

8. Historical information

CPT 62320 was added to the Current Procedural Terminology system on January 1, 2017. There have been no updates to the code since its addition.

9. Examples

1. A provider administers an injection of an anesthetic solution into the interlaminar epidural space of the cervical region to diagnose the source of a patient’s neck pain.
2. A patient with thoracic radiculopathy receives a therapeutic injection of a steroid solution into the subarachnoid space of the thoracic region to alleviate inflammation and pain.
3. A provider administers an injection of an antispasmodic substance into the interlaminar epidural space of the cervical region to treat a patient with cervical dystonia.
4. A diagnostic injection of an opioid solution is performed by a provider in the interlaminar epidural space of the thoracic region to assess a patient’s response to pain management.
5. A patient with cervical spondylosis receives a therapeutic injection of a steroid solution into the subarachnoid space of the cervical region to reduce inflammation and alleviate symptoms.
6. An anesthetic solution is injected into the interlaminar epidural space of the thoracic region to provide pain relief during a surgical procedure.
7. A provider administers an injection of a steroid solution into the subarachnoid space of the cervical region to treat a patient with cervical radiculopathy.
8. A patient with thoracic facet joint syndrome receives a therapeutic injection of an antispasmodic substance into the interlaminar epidural space of the thoracic region to alleviate muscle spasms and pain.
9. A diagnostic injection of an opioid solution is performed by a provider in the subarachnoid space of the cervical region to assess a patient’s response to pain management.
10. A provider administers an injection of a steroid solution into the interlaminar epidural space of the thoracic region to treat a patient with thoracic radiculopathy.