What is the CPT code for ESI?
The regular epidural steroid injection (ESI) procedures (CPT Codes 62310-62319) are also referred to as translaminar injections (don’t confuse these procedures with transforaminal ESI procedures, which we’ll cover next). These injections are done midline.
What is procedure code 64483?
CPT codes 64483 and 64484 describe injections into the spine. You may report them together or separately. The following is an example of appropriate use of these codes: Diagnosis: Bilateral lower extremity pain due to spondylolisthesis. Procedure: Transforaminal epidural injections.
What is the CPT code 64490?
The CPT codes 64490 and 64493 are intended to be used to report all of the nerves that innervate the first level paravertebral facet joint and not each nerve.
What is an interlaminar epidural steroid injection?
Interlaminar epidural injection refers to a procedure that involves the delivery of injectate to the epidural space by directing a needle between the laminae of two adjacent vertebrae.
What is the difference between interlaminar and transforaminal?
Although the interlaminar approach (see Approaches for Epidural Injections) may allow the injectate to flow to the site of pathology by migrating around the thecal sac and into the ventral epidural space, the transforaminal route is presumably more reliable for delivering the steroid to the affected area in cases of …
Does CPT code 64450 need a modifier?
Answer: CPT code 64450 (Injection, anesthetic agent; other peripheral nerve or branch) has 0 global days so you would report 64450 without a modifier since the global day is 0.
Why do I need to get an epidural steroid injection?
Control pain by reducing inflammation in and around the nerve roots
Should you get a steroid epidural injection?
If you have intense, difficult-to-treat pain in your legs or arms from inflamed spinal nerves, then an epidural steroid injection might give you quick relief . Often, nerve passages from the spine to your arms or legs become narrowed, causing this pain. This narrowing can cause inflammation of the spinal nerves.
What are epidural injections and do they work?
Epidural steroid injections may help ease the pain and allow you to start physical therapy. See: How Epidural Steroid Injections Work. Epidural steroid injections are most often used to treat low back and leg pain associated with sciatica, which is pain caused by a pinched nerve in the low back that radiates down the leg.
What to expect with steroid injection?
The injections use steroids to decrease the amount of inflammation in your joint, which will often decrease the amount of pain you experience. Common areas to receive the shot are the: When you experience a cortisone flare, the shot can cause intense pain at the injection site, especially at first.