Anesthesia Coding Alert

Question: My physician performed an epidural lysis and administered three injections over the course of three days. It looks like CPT^® code 62263 is the correct code for the percutaneous epidural adhesion. I am just not sure if I can code for the epidural injection via indwelling catheter the following two days. What’s your advice?

Idaho Subscriber

Answer: Code 62263 (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; 2 or more days) is correct, but you only need to report it once; according to coding guidelines, both 62263 and 62264 (… 1 day) should be reported only one time for an entire series of injections, infusions, or mechanical lysis procedures performed rather than per adhesiolysis treatment.