What is the CPT code for caudal epidural steroid injection?

62311. lumbar or caudal epidural injections are for patients with pain in the legs and/or lower back/buttock(s) area. 62318.

How do you bill an epidural injection?

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).

What is a caudal procedure?

Caudal injections are a type of epidural injection administered to your low back. The shot contains a steroid that reduces pain and inflammation. Caudal injections are outpatient procedures, meaning you can go home the same day. Most patients have minimal downtime and experience back pain relief within a few days.

What is a Tfesi procedure?

A transforaminal lumbar epidural steroid injection (TFESI) is an injection of corticosteroids (anti-inflammatory medication) into the epidural space. When it is done from the side where the nerve exits the spine, it is called a transforaminal injection. It puts medication near the source of the inflammation.

Does CPT 62321 require a modifier?

It does show payment coverage for 62321. It does show that a modifier can be used with 62321 to report coding by an assistant at surgery… The same logic applies to the requestor’s billing of 20610-TC .”

What is the difference between epidural and caudal?

Although both injections aim to relieve pain using a steroid solution, each one is administered differently. An epidural is injected into the epidural space, the area that surrounds the dura san, the protective tube of the nerve roots. A caudal nerve block is injected into a specific nerve root in the tailbone region.

Can the ASA code 01992 be assigned to an epidural injection (62311)?

when an Anesthesiologist administers anesthesia for an epidural injection (62311) in the prone position, can the asa code 01992 still be assigned to this procedure? Note, as of Jan 1, 2011, no asa code was assigned in the cross-walk. Please be advised that this is not the same Provider performing the procedure.

What are the CPT codes 62310 62311 62318 and 62319?

Codes 62310, 62311, 62318, and 62319 have been removed, and in their place, eight new codes to reflect whether the injection was done with or without imaging guidance. The new codes are listed below:

What is the ASA relative value guide modifier used for?

As explained in the ASA Relative Value Guide ® (RVG™), this modifier is used to report instances of field avoidance and the increased work and complexity that follows when an anesthesiologist has limited access to the patient’s airway.

How did CMS re-value codes 62310-62311 and 62318-62319?

According to the ASA, CMS initially attempted to re-value codes 62310-62311 and 62318-62319 through drastic reductions of the wRVUs for 2014.