Results 1 to 3 of 3

Epidural Injections

  1. #1
    Sioux Falls, SD
    Default Epidural Injections
    Medical Coding Books
    What is the difference between codes 62310 and 64479? I thought I had the right code
    (62310) until the AAPC News article came out "Ensure Proper Payment for Epidural Injections". Now I am totally confused again.
    Donna Struve CPC
    NW Iowa Bone Joint Sports Surgeons

  2. #2
    They are two different approaches. With 64479 the blunt tip needle is directed towards the intervertebral foramen for the transforminal approach or towards where the spinal nerve root exits for the selective nerve root block. Whereas, the 62310 they refer to this as interlaminar approach thus between the lamina.

    From Encoder for 64479

    The physician injects anesthetic and/or steroid into the epidural space using a transforaminal approach. This approach is used primarily in the treatment of herniated discs and requires separately reportable fluoroscopic direction. The injection may be performed on a single or multiple cervical or thoracic level. Report 64479 for a single level; report 64480 for each additional level.

    From Encoder for 62310

    The patient is placed in a sitting or lateral decubitus position for the physician to insert a needle into the vertebral interspace of the thoracic or cervical region. The site to be entered is sterilized, local anesthesia is administered and the needle is inserted. Contrast media with fluoroscopy may be injected to confirm proper needle placement. The physician injects a solution to provide a therapeutic or diagnostic outcome. The solution is injected into the epidural or subarachnoid space. With the procedure complete the needle is removed and the wound is dressed.

  3. #3
    Sioux Falls, SD
    Thanks so much for the explanation, that helps a bunch.
    Donna Struve CPC
    NW Iowa Bone Joint Sports Surgeons

Similar Threads

  1. Epidural Injections
    By catrina.thomas in forum Billing/Reimbursement
    Replies: 0
    Last Post: 06-18-2012, 12:55 PM
  2. Epidural Injections and Fluoro
    By Tracey Thompson in forum Medicare Regulations
    Replies: 3
    Last Post: 03-12-2012, 02:36 PM
  3. Epidural injections in office
    By KKAMMERER in forum Orthopaedics
    Replies: 1
    Last Post: 06-09-2010, 01:53 PM

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.