Question: In the ASC, a pain specialist performed an interlaminar epidural injection at T10/T11, under fluoroscopic guidance, for pain associated with herniated disk. How should I report this?
Arizona Subscriber
Answer: You should report single injection epidurals based on the injection location, using 62310 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; cervical or thoracic: APC 0207).
If you are reporting epidural injections by continuous infusion, instead, use 62318 (Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; cervical or thoracic: APC 0207).
If your physician administers a transforaminal epidural instead, report the appropriate code from the 64479-64484 (Injection, anesthetic agent and/or steroid, transforaminal epidural ...: APC 0207 or 0206) range.
Finally, remember that you may report fluoroscopic guidance (77003, Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous diagnostic or therapeutic injection procedures [epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint], including neurolytic agent destruction) separately, but you will not receive payment for this service in the ASC setting.
