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The procedure described by CPT® Code 62326 involves the injection of diagnostic or therapeutic substances into the lumbar or sacral (caudal) regions of the spine. This procedure includes the placement of an indwelling catheter, which allows for either continuous infusion or intermittent bolus administration of various substances, such as anesthetics, antispasmodics, opioids, steroids, or other solutions. It is important to note that neurolytic substances are explicitly excluded from this procedure. The injection is performed without the use of imaging guidance, which differentiates it from similar procedures that may require such guidance. The technique typically begins with the cleansing of the skin over the targeted spinal area, followed by the administration of a local anesthetic to minimize discomfort during the procedure. A spinal needle is then carefully inserted into the epidural or subarachnoid space, which are critical areas within the spinal canal. The epidural space is the outermost layer filled with cerebrospinal fluid, while the subarachnoid space is located closer to the spinal cord. The proper placement of the needle may be confirmed through the injection of contrast dye, ensuring that the catheter is accurately positioned before the therapeutic substances are administered. After the injection, the patient is monitored for any potential adverse effects, ensuring safety and efficacy of the procedure.
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The procedure described by CPT® Code 62326 is indicated for various conditions that may benefit from the administration of diagnostic or therapeutic substances into the lumbar or sacral (caudal) regions of the spine. The following are explicitly provided indications for this procedure:
The procedure for CPT® Code 62326 involves several critical steps to ensure proper administration of the therapeutic substances. The following procedural steps are outlined:
After the completion of the procedure, patients are typically monitored for a period to observe for any immediate adverse reactions to the injected substances. It is important to assess the patient's response to the treatment, including any changes in pain levels or side effects. Patients may be advised to rest and avoid strenuous activities for a specified duration following the procedure. Additionally, instructions regarding potential side effects, such as temporary numbness or weakness in the lower extremities, should be provided. Follow-up appointments may be scheduled to evaluate the effectiveness of the treatment and to determine if further interventions are necessary.
| Short Descr | NJX INTERLAMINAR LMBR/SAC | Medium Descr | NJX DX/THER SBST INTRLMNR LMBR/SAC W/O 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, lumbar or sacral (caudal); without imaging guidance | 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) |
| 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. | XU | Unusual non-overlapping service, the use of a service that is distinct because it does not overlap usual components of the main service | GC | This service has been performed in part by a resident under the direction of a teaching physician | XE | Separate encounter, a service that is distinct because it occurred during a separate encounter | AS | Physician assistant, nurse practitioner, or clinical nurse specialist services for assistant at surgery | XP | Separate practitioner, a service that is distinct because it was performed by a different practitioner | 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 | 51 | Multiple procedures: when multiple procedures, other than e/m services, physical medicine and rehabilitation services or provision of supplies (eg, vaccines), are performed at the same session by the same individual, the primary procedure or service may be reported as listed. the additional procedure(s) or service(s) may be identified by appending modifier 51 to the additional procedure or service code(s). note: this modifier should not be appended to designated "add-on" codes (see appendix d). | 76 | Repeat procedure or service by same physician or other qualified health care professional: it may be necessary to indicate that a procedure or service was repeated by the same physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 76 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 77 | Repeat procedure by another physician or other qualified health care professional: it may be necessary to indicate that a basic procedure or service was repeated by another physician or other qualified health care professional subsequent to the original procedure or service. this circumstance may be reported by adding modifier 77 to the repeated procedure or service. note: this modifier should not be appended to an e/m service. | 82 | Assistant surgeon (when qualified resident surgeon not available): the unavailability of a qualified resident surgeon is a prerequisite for use of modifier 82 appended to the usual procedure code number(s). | CR | Catastrophe/disaster related | 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) | PT | Colorectal cancer screening test; converted to diagnostic test or other procedure | Q1 | Routine clinical service provided in a clinical research study that is in an approved clinical research study | RT | Right side (used to identify procedures performed on the right side of the body) | SG | Ambulatory surgical center (asc) facility service | X2 | Continuous/focused services: for reporting services by clinicians whose expertise is needed for the ongoing management of a chronic disease or a condition that needs to be managed and followed with no planned endpoint to the relationship; reporting clinician service examples include but are not limited to: a rheumatologist taking care of the patient's rheumatoid arthritis longitudinally but not providing general primary care services | 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 | 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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