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The procedure described by CPT® Code 62325 involves the injection of diagnostic or therapeutic substances into the epidural or subarachnoid space of the spinal region, utilizing imaging guidance such as fluoroscopy or computed tomography (CT). This procedure is performed after the skin over the targeted spinal area is thoroughly cleansed with an antiseptic solution, and a local anesthetic is administered to minimize discomfort. A spinal needle is then carefully inserted into the epidural or subarachnoid space, typically using a paramedian or midline interlaminar approach, which is often guided by fluoroscopic imaging to ensure accurate placement. The epidural space is defined as the outermost area of the spinal canal, which contains cerebrospinal fluid and is situated between the dura mater, the protective membrane surrounding the nerve roots, and the vertebral wall. In contrast, the subarachnoid space is located closer to the spinal cord, nestled between the arachnoid membrane and the pia mater, the innermost layer enveloping the spinal cord. Prior to the injection of the therapeutic substance, contrast dye may be utilized to confirm the correct positioning of the needle or to conduct an epidurography. Once the needle is properly positioned, a catheter is threaded through it and advanced into the designated space to ensure secure placement. Subsequently, a variety of substances, including anesthetics, antispasmodics, opioids, steroids, or other solutions (excluding neurolytic substances), are either continuously infused or administered as intermittent boluses into the epidural or subarachnoid space. After the infusion, the patient is closely monitored for any potential adverse effects, ensuring safety and efficacy of the procedure.
© Copyright 2025 Coding Ahead. All rights reserved.
The procedure associated with CPT® Code 62325 is indicated for various clinical scenarios where diagnostic or therapeutic intervention is required in the spinal region. The following conditions may warrant the use of this procedure:
The procedure begins with the preparation of the patient and the targeted spinal area. The skin over the spinal region to be catheterized is cleansed with an antiseptic solution to minimize the risk of infection. Following this, a local anesthetic is injected to ensure the patient experiences minimal discomfort during the procedure. A spinal needle is then carefully inserted into the back, targeting the epidural or subarachnoid space. This insertion is typically performed through a paramedian or midline interlaminar approach, which is guided by imaging techniques such as fluoroscopy or CT to enhance accuracy. The epidural space, which is the outermost area of the spinal canal filled with cerebrospinal fluid, lies between the dura mater and the vertebral wall. In contrast, the subarachnoid space is located closer to the spinal cord, situated between the arachnoid and pia mater. To confirm the correct placement of the needle, contrast dye may be injected, which can also facilitate an epidurography if necessary. Once the needle is confirmed to be in the correct position, a catheter is threaded through the needle and advanced into the target space to ensure secure placement. After the catheter is positioned, a diagnostic or therapeutic substance, such as an anesthetic, antispasmodic, opioid, steroid, or other solution (excluding neurolytic substances), is then administered either as a continuous infusion or as intermittent boluses into the epidural or subarachnoid space. Following the administration of the substance, the patient is monitored for any adverse effects to ensure their safety and the effectiveness of the procedure.
After the completion of the procedure, patients are typically monitored for any immediate adverse effects related to the injection. This monitoring is crucial to identify any potential complications, such as infection, bleeding, or neurological deficits. Patients may be advised to rest and avoid strenuous activities for a specified period following the procedure. Additionally, they may receive instructions regarding pain management and signs of complications to watch for, such as increased pain, numbness, or weakness in the lower extremities. Follow-up appointments may be scheduled to assess the effectiveness of the treatment and to determine if further interventions are necessary.
| Short Descr | NJX INTERLAMINAR CRV/THRC | Medium Descr | NJX DX/THER SBST INTRLMNR CRV/THRC W/IMG GDN | Long Descr | 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) | Status Code | Active Code | Global Days | 000 - Endoscopic or Minor Procedure | PC/TC Indicator (26, TC) | 0 - Physician Service Code | Multiple Procedures (51) | 2 - Standard payment adjustment rules for multiple procedures apply. | Bilateral Surgery (50) | 9 - Concept does not apply. | Physician Supervisions | 09 - Concept does not apply. | Assistant Surgeon (80, 82) | 1 - Statutory 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 | Procedure or Service, Multiple Reduction Applies | ASC Payment Indicator | Non office-based surgical procedure added in CY 2008 or later; payment based on OPPS relative payment weight. | Type of Service (TOS) | 2 - Surgery | Berenson-Eggers TOS (BETOS) | P6B - Minor procedures - musculoskeletal | MUE | 1 |
This is a primary code that can be used with these additional add-on codes.
| 0777T | Add-on Code MPFS Status: Carrier Priced APC N Real-time pressure-sensing epidural guidance system (List separately in addition to code for primary procedure) |
| GC | This service has been performed in part by a resident under the direction of a teaching physician | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | 22 | Increased procedural services: when the work required to provide a service is substantially greater than typically required, it may be identified by adding modifier 22 to the usual procedure code. documentation must support the substantial additional work and the reason for the additional work (ie, increased intensity, time, technical difficulty of procedure, severity of patient's condition, physical and mental effort required). note: this modifier should not be appended to an e/m service. | 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. | CC | Procedure code change (use 'cc' when the procedure code submitted was changed either for administrative reasons or because an incorrect code was filed) | GA | Waiver of liability statement issued as required by payer policy, individual case | GW | Service not related to the hospice patient's terminal condition | KX | Requirements specified in the medical policy have been met | LT | Left side (used to identify procedures performed on the left side of the body) | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | X4 | Episodic/focused services: for reporting services by clinicians who provide focused care on particular types of treatment limited to a defined period and circumstance; the patient has a problem, acute or chronic, that will be treated with surgery, radiation, or some other type of generally time-limited intervention; reporting clinician service examples include but are not limited to, the orthopedic surgeon performing a knee replacement and seeing the patient through the postoperative period | X5 | Diagnostic services requested by another clinician: for reporting services by a clinician who furnishes care to the patient only as requested by another clinician or subsequent and related services requested by another clinician; this modifier is reported for patient relationships that may not be adequately captured by the above alternative categories; reporting clinician service examples include but are not limited to, the radiologist's interpretation of an imaging study requested by another clinician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | XS | Separate structure, a service that is distinct because it was performed on a separate organ/structure |
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| 2017-01-01 | Added | Added |
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