Below is AMA description of procedure for CPT 62264
Description of Procedure
"After the appropriate preparation and consent, the patient is taken to the operating room or a sterile procedure room, where preparation is carried out with povidone-iodine prep. Draping is carried out to cover the patient, extending into the midthoracic or cervical region, even if the procedure is performed in the lumbosacral region. Appropriate monitoring is carried out, with monitoring of blood pressure and pulse and pulse oximetry. Sedation is slowly administered. The fluoroscope is adjusted over the lumbosacral region for anteroposterior and lateral views. A physician scrubbed and in sterile gown and gloves infiltrates the area for needle insertion with local anesthetic. After this, an RK needle is introduced into the epidural space under fluoroscopic utilization. After the needle placement is confirmed to be in the epidural space, a lumbar epidurogram is carried out using approximately 2 to 5 mL of contrast. Finding the filling defects by examining the contrast flow into the nerve roots is the purpose of the epidurogram. Intravascular or subarachnoid placement of the needle or contrast is avoided; if such malpositioning occurs, the needle is repositioned. After appropriate determination of epidurography, a Racz catheter, which is a spring-guided, reinforced catheter, is slowly passed through the RK needle to the area of the filling defect or the site of pathology determined by MRI scan, computed tomography scan, or patient symptoms. After the positioning of the catheter into the appropriate area, adhesiolysis is carried out by mechanical means. After completion of the adhesiolysis, a repeat epidurogram is carried out by additional injection of contrast. If appropriate adhesiolysis is completed, nerve root filling as well as epidural filling will be noted. At this time, variable doses of local anesthetic and steroid are injected. Five to 10 mL of 2% lidocaine hydrochloride or 5 to 10 mL of 0.25% bupivacaine is used for the local anesthetic. Additionally, hyaluronidase may be injected at this time. Deposteroid consisting of either 6 to 12 mg of Celestone or 40 to 80 mg of Depomedrol or another steroid is injected in the operating room or recovery room. After completion of the injection, the catheter is taped using bio-occlusive dressing; and the patient is turned to the supine position and transferred to the recovery room."
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