How To Use CPT Code 62323

CPT 62323 describes the injection of a diagnostic or therapeutic substance into the space around the spinal nerves in the lumbar or sacral region, under imaging guidance. 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 62323?

CPT 62323 can be used to describe the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space in the lumbar or sacral region, under imaging guidance. This code is used when the provider inserts a needle or catheter to facilitate the injection of substances such as pain medication or steroids for diagnostic or therapeutic purposes.

2. Official Description

The official description of CPT code 62323 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, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT).’ Notes: (Do not report 62323 in conjunction with 77003, 77012, 76942).

3. Procedure

1. The provider prepares the patient and administers local anesthesia to the area.
2. Under imaging guidance, the provider advances a needle into the interlaminar epidural or subarachnoid space in the lumbar or sacral region.
3. A small amount of contrast material may be injected to confirm the needle’s location and avoid injury to nearby nerve roots and the spinal cord.
4. The provider then injects the diagnostic or therapeutic substance, such as an epidural steroid solution, for either diagnostic or therapeutic purposes.
5. The patient is monitored for 15 to 20 minutes after the injection.
6. After the procedure, the provider removes the needle, flushes the site with sterile saline, and applies a dressing.

4. Qualifying circumstances

Patients eligible to receive CPT 62323 services are those who require the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space in the lumbar or sacral region. The procedure must be performed under imaging guidance, such as fluoroscopy or CT. Neurolytic substances should not be included in the injection.

5. When to use CPT code 62323

CPT code 62323 should be used when the provider performs the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space in the lumbar or sacral region, under imaging guidance. This code should not be reported in conjunction with codes 77003, 77012, or 76942.

6. Documentation requirements

To support a claim for CPT 62323, the provider must document the following information:

• Indication for the injection and the specific substance used
• Imaging guidance modality (fluoroscopy or CT)
• Date and time of the procedure
• Details of the injection technique and any contrast material used
• Monitoring time after the injection
• Any complications or adverse reactions
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 62323, ensure that the injection is performed under imaging guidance and does not include neurolytic substances. Do not report CPT 62323 in conjunction with codes 77003, 77012, or 76942. It is important to consider the specific documentation requirements and guidelines provided by the payer to ensure accurate billing and reimbursement.

8. Historical information

CPT 62323 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 performs an injection of an epidural steroid solution into the interlaminar epidural space in the lumbar region, under fluoroscopy guidance, for diagnostic purposes.
2. A patient receives an injection of a pain medication into the subarachnoid space in the sacral region, under CT guidance, for therapeutic purposes.
3. A provider administers an injection of an anesthetic substance into the interlaminar epidural space in the lumbar region, under fluoroscopy guidance, for diagnostic purposes.
4. A patient undergoes an injection of an antispasmodic substance into the subarachnoid space in the sacral region, under CT guidance, for therapeutic purposes.
5. A provider performs an injection of an opioid substance into the interlaminar epidural space in the lumbar region, under fluoroscopy guidance, for diagnostic purposes.
6. A patient receives an injection of a steroid solution into the subarachnoid space in the sacral region, under CT guidance, for therapeutic purposes.
7. A provider administers an injection of a diagnostic substance into the interlaminar epidural space in the lumbar region, under fluoroscopy guidance, for diagnostic purposes.
8. A patient undergoes an injection of a therapeutic substance into the subarachnoid space in the sacral region, under CT guidance, for therapeutic purposes.
9. A provider performs an injection of an opioid substance into the interlaminar epidural space in the lumbar region, under fluoroscopy guidance, for diagnostic purposes.
10. A patient receives an injection of an antispasmodic substance into the subarachnoid space in the sacral region, under CT guidance, for therapeutic purposes.