Orthopedic Coding Alert

Reader Question:

Report 62310-62311 for Single Epidurals

Question: Should we report 62318 or 62319 when the orthopedist percutaneously inserts a catheter to deliver anesthetic and steroid to the epidural interspace and he removes the catheter at the end of the session? Arizona Subscriber Answer: Because your physician inserts the catheter only to deliver medication for one-time use and removes the catheter after the drug delivery, you cannot report the continuous infusion codes 62318-62319 (these codes require indwelling catheter placement).

You should report 62310 (Injection, single [not via indwelling catheter], not including neurolytic substances, with or without contrast [for either localization or epidurography], of diagnostic or therapeutic substance[s] [including anesthetic, antispasmodic, opioid, steroid, other solution], epidural or subarachnoid; cervical or thoracic) or 62311 (... lumbar, sacral [caudal]), depending on whether the orthopedist addressed the cervical/thoracic (62310) or the lumbar/sacral (62311) interspaces.  
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