From 2017, we have new CPT codes for spinal injection procedures. There are many changes in procedure codes in 2017. But, today we will only look at the new CPT codes of spinal exams. We will check out CPT code 62320, 62321, 62322, 62323, 62324, 62325, 62326 and 62327 and learn when to use them in place of old deleted codes. The old deleted codes are the epidural steroid injection CPT codes 62310 and 62311. Also, along with them two more CPT codes are deleted 62318 and 62319. So, let us checkout one by one the new CPT codes for each one of them.

When to use New CPT code 62320, 62322, 62324 and 62326

Use of CPT code 62320 and 62321

The new CPT code 62320, will be used in place of CPT code 62310. The old CPT code 62310 will be deleted from 2017. Also, we have another new CPT code 62321 for procedures which are done with guidance like CT (Computed tomography) or Fluoroscopy. The guidance code 77003 or 77012 will remain included in the procedure codes, but we have a separate CPT code 62320 for without guidance exam. Let us first checkout the old deleted CPT code first.

Deleted

62310 – Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; cervical or thoracic

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New CPT code 62320 and 62321

CPT code 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 code 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 (ie, fluoroscopy or CT)

When to use CPT code 62322 and 62323

Here, also we have to follow the same procedure. The deleted CPT code 62311, will have two option in 2017. The new CPT code 62322 and 62323 will be coded depending on the epidural injection and with or without guidance like Fluoroscopy and CT. Below is the deleted CPT code from 2017

Deleted

62311- Injection(s), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)

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New CPT code 62322 and 62323 in 2017

CPT code 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).

CPT code 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 (ie, fluoroscopy or CT)

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When to use New CPT code 62324 and 62325

Here, also the old CPT code 62318 have been replaced with two new CPT codes 62324 and 62325. You have to again look for the use of guidance like fluoroscopy and CT, to choose the appropriate code.

Deleted in 2017

62318 – Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, includes contrast for localization when performed, epidural or subarachnoid; cervical or thoracic

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New CPT code 62324 and 62325 in 2017

CPT code 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 code 62325 – 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)

When to use New CPT code 62326 and 62327

Same guideline is followed for coding the old CPT code 62319. We have two new CPT codes 62326 and 62327 in 2017 to replace the old code 62319. Do check the presence of imaging guidance like fluoroscopy and CT, before coding the CPT code 62326 and 62327 for this exam.

Deleted

62319 – Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)

New CPT code 62326 and 62327 in 2017

CPT code 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 code 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 (ie, fluoroscopy or CT)

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When to use New CPT code 62380

There is one more new CPT code for decompression procedure of spines. Earlier, the old code 62287 was use for these exam but in 2017, we have a new CPT code 62380 to code such exam. Hence do use the new CPT code 62380 in place of the old CPT code 62287 from 2017.

Deleted

CPT code 62287 -(Decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method utilizing needle based technique to remove disc material under fluoroscopic imaging or other form of indirect visualization, with the use of an endoscope, with discography and/or epidural injection[s] at the treated level[s], when performed, single or multiple levels, lumbar)

New CPT code 62380

62380 – Endoscopic decompression of spinal cord, nerve root(s), including laminotomy, partial facetectomy, foraminotomy, discectomy and/or excision of herniated intervertebral disc, 1 interspace, lumbar