How To Use CPT Code 62325

CPT 62325 describes the injection of a diagnostic or therapeutic substance into the space around the spinal nerves of the cervical or thoracic region, using continuous infusion or intermittent boluses, with 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 62325?

CPT 62325 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 procedure is performed using continuous infusion or intermittent boluses, with the guidance of imaging techniques such as fluoroscopy or CT scans.

2. Official Description

The official description of CPT code 62325 is: ‘Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT)’

3. Procedure

1. The provider prepares the patient and administers local anesthesia to the injection site.
2. Using imaging guidance, such as fluoroscopy or CT scans, the provider advances a needle into the interlaminar epidural or subarachnoid space of the cervical or thoracic region.
3. Once the needle is properly positioned, the provider inserts a catheter (tube) over the needle.
4. The provider then injects a diagnostic or therapeutic substance, such as an anesthetic, antispasmodic, opioid, steroid, or other solution, either through continuous infusion or intermittent boluses.
5. The catheter may be anchored in place for subsequent infusions or bolus injections.
6. The provider monitors the patient for 15 to 20 minutes after the procedure and flushes the site with sterile saline.

4. Qualifying circumstances

CPT 62325 is performed on patients who require the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space of the cervical or thoracic region. This procedure is typically used for patients with conditions that cause pain or muscle spasms in these areas. It is important to note that neurolytic substances are not included in this code.

5. When to use CPT code 62325

CPT code 62325 should be used when a provider performs the injection of a diagnostic or therapeutic substance into the interlaminar epidural or subarachnoid space of the cervical or thoracic region, using continuous infusion or intermittent boluses, with the guidance of imaging techniques such as fluoroscopy or CT scans.

6. Documentation requirements

To support a claim for CPT 62325, the provider must document the following information:

• Patient’s diagnosis and the medical necessity for the injection
• Specific substance injected and its purpose (diagnostic or therapeutic)
• Date of the procedure
• Imaging guidance used (fluoroscopy or CT)
• Details of the procedure, including the location of the injection and the technique used (continuous infusion or intermittent boluses)
• Monitoring time and any post-procedure care provided
• Signature of the provider performing the procedure

7. Billing guidelines

When billing for CPT 62325, ensure that the procedure is performed with imaging guidance (fluoroscopy or CT). Do not report CPT 62325 in conjunction with codes 77003, 77012, or 76942. It is important to note that if the injection is performed in the lower back or tailbone area, a different code should be used (62327). Additionally, if the procedure is performed without imaging guidance, a different code should be used (62324).

8. Historical information

CPT 62325 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 patient with chronic neck pain receives an injection of a therapeutic substance into the interlaminar epidural space of the cervical region, using continuous infusion and fluoroscopy guidance.
2. A patient with muscle spasms in the upper back undergoes an injection of a diagnostic substance into the subarachnoid space of the thoracic region, using intermittent boluses and CT guidance.
3. A patient with a herniated disc in the neck receives an injection of a therapeutic substance into the interlaminar epidural space of the cervical region, using continuous infusion and fluoroscopy guidance.
4. A patient with radiculopathy in the upper back undergoes an injection of a diagnostic substance into the subarachnoid space of the thoracic region, using intermittent boluses and CT guidance.
5. A patient with chronic neck pain receives an injection of a therapeutic substance into the interlaminar epidural space of the cervical region, using continuous infusion and fluoroscopy guidance.
6. A patient with muscle spasms in the upper back undergoes an injection of a diagnostic substance into the subarachnoid space of the thoracic region, using intermittent boluses and CT guidance.