Results 1 to 4 of 4

Caudal ESI with ultrsound guidance

  1. Default Caudal ESI with ultrsound guidance
    Medical Coding Books
    What is the correct way to code for a caudal ESI under ultrasound guidance? 62322 , 76942 or 62323?
    The current NCCI edits show 76942 to be a column two code for 62322 and a modifier is allowed.
    Does the "with imaging guidance" in 62323 include ultrasound?

    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
    62323 - with Imaging guidance (ie, fluoroscopy or CT)
    (Do not report 62323 in conjunction with 77003, 77012, 76942) (I interpret this parenthetical note to apply only to 62323 and to mean you would not report ultrasound if you are reporting fluoroscopy, or CT guidance)

    76942 - Ultrasound guidance for needle placement (eg, biopsy, aspiration, injection, localization device), imaging supervision and interpretation

  2. #2
    In parentheses below 62323, it states that you may not report 62323 with 77003, 77012, 76942.

    That said, the answer is to just report 62323.
    Lisa Alonso, MS Ed, COC, CPC, CRC
    Remote Anesthesia Coder

  3. Default
    So with imaging guidance describes any methodology used?

  4. #4
    Below is from AMA CPT Assistant September 2017. I think there can be some question how an ultrasound guided injection for a lumbar epdiural is reported, but I think the major roadblock is that the carriers restrict the use of covering a lumbar epidural with ultrasound. I am not aware of a Medicare contractor, UHC, Aetna, BCBS, Cigna, or Humana that cover it.

    AMA CPT Assistant Sept 2017
    "Spinal injections performed with imaging guidance (fluoroscopy or computed tomography) are now reported with
    the new bundled codes, 62321, 62323, 62325, and 62327.

    Because these codes are now bundled, no additional codes for imaging guidance should be reported. For spinal injections without imaging guidance, new codes, 62320, 62322,
    62324, and 62326 may be reported. (See Figure 1.)"

Similar Threads

  1. Replies: 0
    Last Post: 01-04-2018, 09:02 AM
  2. Caudal ESI Injection with Fluro
    By WENDYBHOLLOWAY in forum Anesthesia
    Replies: 1
    Last Post: 09-30-2015, 11:23 PM
  3. Replies: 1
    Last Post: 07-30-2013, 10:49 PM
  4. Caudal with Morphine code??
    By mickeycoriell in forum Anesthesia
    Replies: 3
    Last Post: 11-14-2012, 09:10 PM
  5. Replies: 1
    Last Post: 05-18-2009, 09:54 AM

Tags for this Thread

Posting Permissions

  • You may not post new threads
  • You may not post replies
  • You may not post attachments
  • You may not edit your posts
Enjoying Our Forums?

AAPC forums are a benefit of membership. Joining AAPC grants you unlimited access, allowing you to post questions and participate with our community of over 150,000 professionals.

Join Now Continue Reading Without Full Access

Already a Member?


Close Message

In addition to full participation on AAPC forums, as a member you will be able to:

  • Access to the largest healthcare job database in the world.
  • Join over 150,000 members of the healthcare network in the world.
  • Be a part of an industry leading organization that drives the business side of healthcare.
  • Save anywhere from 10%-50% with exclusive member discounts on courses, books, study materials, and conferences.
  • Access to discounts at hundreds of restaurants, travel destinations, retail stores, and service providers. AAPC members also have opportunities to save on heath, life, and liability insurance.
  • Become a member of a local chapter and attend regular meetings.