2017 Pain Management Coding

  • December 15, 2017


  • Effective Jan 1, 2017, there are a number of changes for pain management billing. The AMA has added and deleted a number of billing codes. Following are the pain management coding changes for 2017:

    New Epidural Codes – Cervical or Thoracic

    The following are new injection codes for diagnostic or therapeutic substances, not including neurolytic substances with needle/ catheter placement; epidural.

    CPT 62320 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.

    CPT 62321 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; with imaging guidance (CT or fluoroscopy).

    New Epidural Codes – Lumbosacral

    The following are new injection codes for diagnostic or therapeutic substances, not including neurolytic substances with needle/ catheter placement; epidural.

    CPT 62322 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); without imaging guidance.

    62323 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 (CT or fluoroscopy).

    New Spine Injection Codes – Cervical or Thoracic

    The following are new codes for injection including catheter placement continuous infusion/ intermittent bolus, of diagnostic or therapeutic substances, not including neurolytic substances; epidural.

    CPT 62324 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; without imaging guidance.

    CPT 62325 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 (fluoroscopy or CT).

    New Spine Injection Codes – Lumbosacral

    The following are new codes for injection including catheter placement continuous infusion/ intermittent bolus, of diagnostic or therapeutic substances, not including neurolytic substances; epidural.

    CPT 62326 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, lumbar or sacral (caudal); without imaging guidance.

    CPT 62327 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, lumbar or sacral (caudal); with imaging guidance (fluoroscopy or CT).


    Source: AMA

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