Question: What exactly is the difference between 62264 and 62282?
Idaho Subscriber
Answer: You should report 62264 (Percutaneous lysis of epidural adhesions using solution injection [e.g., hypertonic saline, enzyme] or mechanical means [e.g., catheter] including radiologic localization [includes contrast when administered], multiple adhesiolysis sessions; 1 day) if the patient has multiple adhesiolysis sessions occurring on the same day, according to the Coders Desk Reference.
You should use 62282 (Injection/infusion of neurolytic substance [e.g., alcohol, phenol, iced saline solutions], with or without other therapeutic substance; epidural, lumbar, sacral [caudal]), on the other hand, when the physician destroys nerve tissue in the lumbar or sacral region with a neurolytic injection.
When the physician performs percutaneous lysis of epidural adhesions (62264), the patient is either sitting or in the lateral decubitus position for insertion of a needle into a vertebral interspace. The doctor sterilizes the entry site, administers local anesthesia, and inserts the needle. The physician may opt to inject contrast media with fluoroscopy to confirm proper needle placement and to identify the epidural adhesions. The doctor then injects the adhesiolytic solution or performs mechanical adhesion destruction (with a catheter, for example) to lyse the adhesions.
When the physician completes the procedure, he removes the needle and/or catheter and dresses the wound. If the sessions occur over two or more days, you’ll report 62263 (…2 or more days) and 62264 for those on one day.
