cpt 62321, cpt code 62321, 62321 cpt code

CPT Code 62321 | Imaging-Guided Injection Into The Cervical Or Thoracic Region

CPT code 62321 is a medical procedure in which a needle is inserted into the skin near the cervical or thoracic region of the spine and guided to the interlaminar epidural or subarachnoid space using imaging techniques, after which a substance is injected for diagnostic or therapeutic purposes.

What Is CPT Code 62321?

CPT 62321 is a medical procedure in which a needle is inserted into the skin near the cervical or thoracic region of the spine and guided to the interlaminar epidural or subarachnoid space using imaging techniques like fluoroscopy or CT scan.

The provider may inject a contrast dye to confirm the location of the needle and ensure that it does not injure the nearby nerve roots or spinal cord.

They will inject a substance, such as an epidural steroid solution, for diagnostic or therapeutic purposes and monitor the patient for a short time after the injection.

The needle is then removed, the site is flushed with sterile saline, and gauze is applied to the area of needle insertion.

Description

The CPT book describes CPT 62321 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, cervical or thoracic; with imaging guidance (i.e., fluoroscopy or CT).”

Procedure

When the patient is appropriately prepped and the area anesthetized, the provider advances a needle into the skin, toward the interlaminar epidural or subarachnoid space in the cervical or thoracic region, under fluoroscopy or CT guidance.

She may inject a small amount of contrast material (dye) to confirm the location of the needle, taking care to avoid any injury to the nearby nerve roots and spinal cord. 

The provider then injects a substance, such as an epidural steroid solution, for either diagnostic or therapeutic purposes and monitors the patient for 15 to 20 minutes after the injection.

After the procedure, the provider extracts the needle, flushes the site with sterile saline, and applies gauze over the site of needle insertion.

How To Use CPT 62321

If the provider performs this procedure without imaging guidance, report CPT 62320 instead of CPT 62321.

If the provider performs the injection in the lower back or tailbone area, report CPT 62323.

Do not report CPT 62321 in conjunction with CPT 77003, CPT 77012, or CPT 76942.

Resources

CPT Professional 2022

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