Comprehensive Interventional Pain Management Code List
Security Health Plan
Comprehensive Interventional Pain Management Code List
CPT? Code
22526
CPT? Code Description
Percutaneous Intradiscal Electrothermal Annuloplasty, Unilateral Or Bilateral Including Fluoroscopic Guidance; Single Level
Utilization
Claims
Management Management
Yes
Yes
22527
Percutaneous Intradiscal Electrothermal Annuloplasty, Unilateral Or Bilateral Including Fluoroscopic Guidance; Once Or More Additional Levels (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
27096
Injection Procedure For Sacroiliac Joint, Anesthetic/Steroid, With Image Guidance (Fluoroscopy Or Ct) Including Arthrography When Performed
Yes
Yes
Percutaneous Lysis Of Epidural Adhesions Using Solution Injection (E.G., Hypertonic Saline, Enzyme) Or Mechanical
62263 Means (E.G., Catheter) Including Radiologic Localization (Includes Contrast When Administered), Multiple Adhesiolysis
Yes
Yes
Sessions; 2 Or More Days
Percutaneous Lysis Of Epidural Adhesions Using Solution Injection (E.G., Hypertonic Saline, Enzyme) Or Mechanical
62264 Means (E.G., Catheter) Including Radiologic Localization (Includes Contrast When Administered), Multiple Adhesiolysis
Yes
Yes
Sessions; 1 Day
62280
Injection/Infusion Of Neurolytic Substance (Eg, Alcohol, Phenol, Iced Saline Solutions), With Or Without Other Therapeutic Substance; Subarachnoid
Yes
Yes
62281
Injection/Infusion Of Neurolytic Substance (Eg, Alcohol, Phenol, Iced Saline Solutions), With Or Without Other Therapeutic Substance; Epidural, Cervical Or Thoracic
Yes
Yes
62282
Injection/Infusion Of Neurolytic Substance (Eg, Alcohol, Phenol, Iced Saline Solutions), With Or Without Other Therapeutic Substance; Epidural, Lumbar, Sacral (Caudal)
Yes
Yes
Decompression Procedure, Percutaneous, Of Nucleus Pulposus Of Intervertebral Disc, Any Method Utilizing Needle
62287 Based Technique To Remove Disc Material Under Fluoroscopic Imaging Or Other Form Of Indirect Visualization, With
Yes
Yes
Discography And/Or Epidural Injection(S) At The Treated Level(S), When Performed, Single Or Multiple Levels, Lumbar
62292
Injection Procedure For Chemonucleolysis, Including Discography, Intervertebral Disc, Single, Or Multiple Levels, Lumbar
Yes
Yes
Effective: 1/1/2020
CPT? Code 62320
62321
62322
62323
CPT? Code Description
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
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 (Ie, Fluoroscopy Or Ct)
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
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 (Ie, Fluoroscopy Or Ct)
Utilization
Claims
Management Management
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Yes
Injection(S), Including Indwelling Catheter Placement, Continuous Infusion Or Intermittent Bolus, Of Diagnostic Or
62324 Therapeutic Substance(S) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic
Yes
Yes
Substances, Interlaminar Epidural Or Subarachnoid, Cervical Or Thoracic; Without Imaging Guidance
Injection(S), Including Indwelling Catheter Placement, Continuous Infusion Or Intermittent Bolus, Of Diagnostic Or
62325
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
Yes
Yes
Ct)
Injection(S), Including Indwelling Catheter Placement, Continuous Infusion Or Intermittent Bolus, Of Diagnostic Or
62326 Therapeutic Substance(S) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic
Yes
Yes
Substances, Interlaminar Epidural Or Subarachnoid, Lumbar Or Sacral (Caudal); Without Imaging Guidance
Injection(S), Including Indwelling Catheter Placement, Continuous Infusion Or Intermittent Bolus, Of Diagnostic Or
62327
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 (Ie,
Yes
Yes
Fluoroscopy Or Ct)
62350
Implantation, Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter, For Long-Term Medication Administration Via An External Pump Or Implantable Reservoir/Infusion Pump; Without Laminectomy
Yes
Yes
62351
Implantation, Revision Or Repositioning Of Tunneled Intrathecal Or Epidural Catheter, For Long-Term Medication Administration Via An External Pump Or Implantable Reservoir/Infusion Pump; With Laminectomy
Yes
Yes
62360 Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Subcutaneous Reservoir
Yes
Yes
Effective: 1/1/2020
CPT? Code
62361
CPT? Code Description
Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Subcutaneous Reservoir; Nonprogrammable Pump
62362
Implantation Or Replacement Of Device For Intrathecal Or Epidural Drug Infusion; Programmable Pump, Including Preparation Of Pump, With Or Without Programming
63650 Percutaneous Implantation Of Neurostimulator Electrode Array, Epidural
Utilization
Claims
Management Management
Yes
Yes
Yes
Yes
Yes
Yes
63655 Laminectomy For Implantation Of Neurostimulator Electrodes, Plate/Paddle, Epidural
Yes
Yes
63685 Insertion Or Replacement Of Spinal Neurostimulator Pulse Generator Or Receiver, Direct Or Inductive Coupling
Yes
Yes
64451
Injection(s), anesthetic agent(s) and/or steroid; nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)
Yes
Yes
64479
Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Single Level
Yes
Yes
64480
Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Each Additional Level (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
64483
Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Single Level
Yes
Yes
64484
Injection, Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Imaging Guidance (Fluoroscopy Or Ct); Lumbar Or Sacral, Each Additional Level (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
64490 Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That Jo
Yes
Yes
Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That
64491 Joint) With Image Guidance (Fluoroscopy Or Ct), Cervical Or Thoracic; Second Level (List Separately In Addition To
Yes
Yes
Code For Primary Procedure)
Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That
64492 Joint) With Image Guidance (Fluoroscopy Or Ct), Cervical Or Thoracic; Third And Any Additional Level(S) (List
Yes
Yes
Separately In Addition To Code For Primary Procedure)
Effective: 1/1/2020
CPT? Code 64493
64494
64495
CPT? Code Description
Utilization Management
Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That Joint) With Image Guidance (Fluoroscopy Or Ct), Lumbar Or Sacral; Single Level
Yes
Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That
Joint) With Image Guidance (Fluoroscopy Or Ct), Lumbar Or Sacral; Second Level (List Separately In Addition To Code
Yes
For Primary Procedure)
Injection(S), Diagnostic Or Therapeutic Agent, Paravertebral Facet (Zygapophyseal) Joint (Or Nerves Innervating That
Joint) With Image Guidance (Fluoroscopy Or Ct), Lumbar Or Sacral; Third And Any Additional Level(S) (List Separately
Yes
In Addition To Code For Primary Procedure)
Claims Management
Yes
Yes
Yes
64510 Injection, Anesthetic Agent; Stellate Ganglion (Cervical Sympathetic)
Yes
Yes
64520 Injection, Anesthetic Agent; Lumbar Or Thoracic (Paravertebral Sympathetic)
Yes
Yes
64625
Radiofrequency ablation, nerves innervating the sacroiliac joint, with image guidance (ie, fluoroscopy or computed tomography)
Yes
Yes
64633
Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Single Facet Joint
Yes
Yes
64634
Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluoroscopy Or Ct); Cervical Or Thoracic, Each Additional Facet Joint (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
64635
Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluroscopy Or Ct); Lumbar Or Sacral, Single Facet Joint
Yes
Yes
64636
Destruction By Neurolytic Agent, Paravertebral Facet Joint Nerve(S), With Imaging Guidance (Fluroscopy Or Ct); Lumbar Or Sacral, Each Additional Facet Joint (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
0213T
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; single level
Yes
Yes
0214T
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, cervical or thoracic; second level (List separately in addition to code for primary procedure)
Yes
Yes
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint)
0215T with ultrasound guidance, cervical or thoracic; third and any additional level(s) (List separately in addition to code for
Yes
Yes
primary procedure)
Effective: 1/1/2020
CPT? Code
0216T
CPT? Code Description
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; single level
Utilization
Claims
Management Management
Yes
Yes
0217T
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with ultrasound guidance, lumbar or sacral; second level (List separately in addition to code for primary procedure)
Yes
Yes
Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint)
0218T with ultrasound guidance, lumbar or sacral; third and any additional level(s) (List separately in addition to code for
Yes
Yes
primary procedure)
0228T
Injection(S), Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Ultrasound Guidance, Cervical/Thoracic; Single Level
Yes
Yes
0229T
Injection(S), Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Ultrasound Guidance, Cervical Or Thoracic; Each Additional Level (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
0230T
Injection(S), Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Ultrasound Guidance, Lumbar Or Sacral; Single Level
Yes
Yes
0231T
Injection(S), Anesthetic Agent And/Or Steroid, Transforaminal Epidural, With Ultrasound Guidance, Lumbar Or Sacral; Each Additional Level (List Separately In Addition To Code For Primary Procedure)
Yes
Yes
G0260
Injection Procedure For Sacroiliac Joint; Provision Of Anesthetic, Steroid And/Or Other Therapeutic Agent, With Or Without Arthrography
Yes
Yes
M0076 Prolotherapy
Yes
Yes
CPT copyright 2020 American Medical Association. All rights reserved. CPT is a registered trademark of the American Medical Association.
Effective: 1/1/2020
................
................
In order to avoid copyright disputes, this page is only a partial summary.
To fulfill the demand for quickly locating and searching documents.
It is intelligent file search solution for home and business.
Related download
- common turningpoint code list e referral
- icd 10 cm diagnosis code pain management
- interventional pain management cpt code list
- cpt codes associated with pain management and other
- pain management invasive procedures
- category proccode procedure description pain
- chronic pain management policies in five settings
- cpt codes for pm r and pain management procedures
- comprehensive interventional pain management code list
- pain management best practices
Related searches
- rsd pain management protocol
- prescription pain management doctors near me
- best pain management doctors near me
- what do pain management doctors do
- pain management protocols
- opiate pain management doctors near me
- find pain management doctor in my area
- chronic pain management doctors near me
- pain management near me
- pain management procedures back
- new pain management guidelines 2019
- lumbar pain management procedures