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A pressure-sensing epidural guidance system utilizes advanced technology, specifically artificial intelligence, to enhance the accuracy of needle placement during interlaminar epidural or subarachnoid injections. This system is designed to assist healthcare professionals in performing therapeutic or diagnostic procedures involving the spine. The guidance system operates in real-time, analyzing epidural pressure to provide critical feedback on the anatomical placement of the needle. Prior to the procedure, the injection site is thoroughly cleansed, and a local anesthetic is administered to minimize discomfort for the patient. The system consists of an epidural catheter connected to a console pressure sensor, with the other end attached to the needle. As the physician introduces the needle into the epidural or subarachnoid space, they may utilize imaging techniques such as fluoroscopy or computed tomography (CT) for additional guidance. The pressure sensor, which is affixed to the needle, continuously monitors and interprets the epidural pressure, relaying this information to a touchscreen LED console. This allows the physician to input specific parameters and confirm the correct placement of the needle, thereby improving the overall efficacy and safety of the procedure.
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The real-time pressure-sensing epidural guidance system is indicated for use in various clinical scenarios where precise needle placement is essential for effective therapeutic or diagnostic interventions in the spine. The following conditions may warrant the use of this technology:
The procedure utilizing the real-time pressure-sensing epidural guidance system involves several critical steps to ensure accurate needle placement:
After the procedure, the physician will monitor the patient for any immediate adverse reactions or complications. Patients may be advised to rest and avoid strenuous activities for a specified period. Follow-up appointments may be scheduled to assess the effectiveness of the injection and to determine if additional treatments are necessary. Documentation of the procedure, including the use of the pressure-sensing guidance system, is essential for accurate coding and billing purposes.
| Short Descr | R-T PRS SENSING EDRL GDN SYS | Medium Descr | R-T PRESSURE SENSING EPIDURAL GUIDANCE SYSTEM | Long Descr | Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure) | Status Code | Carriers Price the Code | Global Days | ZZZ - Code Related to Another Service | PC/TC Indicator (26, TC) | 1 - Diagnostic Tests for Radiology Services | Multiple Procedures (51) | 0 - No payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 0 - 150% payment adjustment for bilateral procedures does NOT apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 0 - Payment restriction for assistants at surgery applies to this procedure... | Co-Surgeons (62) | 0 - Co-surgeons not permitted for this procedure. | Team Surgery (66) | 0 - Team surgeons not permitted for this procedure. | Diagnostic Imaging Family | 99 - Concept Does Not Apply | APC Status Indicator | Items and Services Packaged into APC Rates | Berenson-Eggers TOS (BETOS) | none | MUE | 1 |
This is an add-on code that must be used in conjunction with one of these primary codes.
| 62320 | MPFS Status: Active Code APC T ASC G2 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 | 62321 | MPFS Status: Active Code APC T ASC G2 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) | 62322 | MPFS Status: Active Code APC T ASC G2 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 | 62323 | MPFS Status: Active Code APC T ASC G2 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) | 62324 | MPFS Status: Active Code APC T ASC G2 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 | 62325 | MPFS Status: Active Code APC T ASC G2 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; with imaging guidance (ie, fluoroscopy or CT) | 62326 | MPFS Status: Active Code APC T ASC G2 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 | 62327 | MPFS Status: Active Code APC T ASC G2 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) |
| 59 | Distinct procedural service: under certain circumstances, it may be necessary to indicate that a procedure or service was distinct or independent from other non-e/m services performed on the same day. modifier 59 is used to identify procedures/services, other than e/m services, that are not normally reported together, but are appropriate under the circumstances. documentation must support a different session, different procedure or surgery, different site or organ system, separate incision/excision, separate lesion, or separate injury (or area of injury in extensive injuries) not ordinarily encountered or performed on the same day by the same individual. however, when another already established modifier is appropriate it should be used rather than modifier 59. only if no more descriptive modifier is available, and the use of modifier 59 best explains the circumstances, should modifier 59 be used. note: modifier 59 should not be appended to an e/m service. to report a separate and distinct e/m service with a non-e/m service performed on the same date, see modifier 25. | KX | Requirements specified in the medical policy have been met |
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| 2023-01-01 | Added | Code added. |
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