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Thread: Epidural Steriod Injections

  1. #1

    Default Epidural Steriod Injections

    AAPC: Back to School
    I do cardiology billing but did ortho many years ago. I had a friend ask me today how to bill for Epidural Steriod Injections. Can someone give me guidance?


    Vicki Chapman, CPC
    Ft Worth
    Last edited by vickichapman; 01-22-2008 at 09:17 AM.

  2. #2
    Join Date
    Apr 2007
    Palm Beach


    Need a bit more info. but here is a start -
    62310 - Cervical / Thoracic epidural steriod injections
    62311 - Lumbar / Sacral ESI
    64470/64472 - Cervical / thoracic facet injections - Modifier RT or LT
    64475/64476 - Lumbar / sacral facet injections - Modifier RT or LT
    64479/64480 - Cervical / thoracic transforaminal injections - Modifier RT or LT
    64483/64484 - Lumbar / sacral transforaminal injections - Modifier RT or LT

    77003 would be used for the fluoroscopy with the 26 modifier or TC if needed.

    There are a lot more codes, but this is a start.

  3. #3
    Join Date
    Apr 2007

    Default Epidural

    how about a C7-T1 interlaminar epidural steriod inj,rt paracentral? Do you know a code for this?



  4. #4
    Join Date
    Apr 2007
    Palm Beach


    I am not familar with physicians stating "interlamina", but it sounds like it would be coded as 62310 (epidural injection) or 64479 (transforaminal). You would also bill the fluoro with 77003 w/modifier TC or 26 as appropriate.

  5. #5
    Join Date
    Apr 2007
    Charm City - Baltimore


    I do coding for Pain Management docs and I agree with 62310 for the C7-T1 injection along with 77003 with Mod. 26 (for the doc).

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