Pain Management cpt / HCPCS codes

Table 1: Pain Management Procedures

CPT/HCPCS           Code Description
20526 Injection, therapeutic (eg, local anesthetic, corticosteroid), carpal tunnel
20550 Injection(s); single tendon sheath, or ligament, aponeurosis (eg, plantar “fascia”)
20551 Injection(s); single tendon origin/insertion
20552 Injection(s); single or multiple trigger point(s), one or two muscle(s)
20553 Injection(s); single or multiple trigger point(s), three or more muscle(s)
20600 Arthrocentesis, aspiration and/or injection; small joint or bursa (eg, fingers, toes)
20605 Arthrocentesis, aspiration and/or injection; intermediate joint or bursa (eg,
temporomandibular, acromioclavicular, wrist, elbow or ankle, olecranon bursa)
20610 Arthrocentesis, aspiration and/or injection; major joint or bursa (eg, shoulder, hip, knee joint, subacromial bursa)
27093 Injection procedure for hip arthrography; without anesthesia
27096 Injection procedure for sacroiliac joint, arthrography and/or anesthetic/steroid
62263 Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline,
enzyme) or mechanical means (eg, catheter) including radiologic localization (includes
contrast when administered), multiple adhesiolysis sessions; 2 or more days
62264  Percutaneous lysis of epidural adhesions using solution injection (eg, hypertonic saline,
enzyme) or mechanical means (eg, catheter) including radiologic localization (includes
contrast when administered), multiple adhesiolysis sessions; 1 day
62268 Percutaneous aspiration, spinal cord cyst or syrinx
62269 Biopsy of spinal cord, percutaneous needle
62270 Spinal puncture, lumbar, diagnostic
62272 Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter)
62273 Injection, epidural, of blood or clot patch
62280 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid
62281 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, cervical or thoracic
62282 Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; epidural, lumbar, sacral (caudal)
62284 Injection procedure for myelography and/or computed tomography, spinal (other than C1-C2
and posterior fossa)
62287  Aspiration or decompression procedure, percutaneous, of nucleus pulposus of intervertebral disc, any method, single or multiple levels, lumbar (eg, manual or automated percutaneous discectomy, percutaneous laser discectomy)
62290 Injection procedure for discography, each level; lumbar
62291 Injection procedure for discography, each level; cervical or thoracic
62292 Injection procedure for chemonucleolysis, including discography, intervertebral disc, single
or multiple levels, lumbar
62310  Injection, single (not via indwelling catheter), not including neurolytic substances, with or
without contrast (for either localization or epidurography), of diagnostic or therapeutic
substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or
subarachnoid; cervical or thoracic
62311 Injection, single (not via indwelling catheter), not including neurolytic substances, with or
without contrast (for either localization or epidurography), of diagnostic or therapeutic
substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or
subarachnoid; lumbar, sacral (caudal)
62318  Injection, including catheter placement, continuous infusion or intermittent bolus, not
including neurolytic substances, with or without contrast (for either localization or
epidurography), of diagnostic or therapeutic substance(s) (including anesthetic,
antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; cervical or thoracic
62319  Injection, including catheter placement, continuous infusion or intermittent bolus, not including neurolytic substances, with or without contrast (for either localization or epidurography), of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), epidural or subarachnoid; lumbar, sacral (caudal)
62350 Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for longterm medication administration via an external pump or implantable reservoir/infusion pump;
without laminectomy
62355 Removal of previously implanted intrathecal or epidural catheter
62360 Implantation or replacement of device for intrathecal or epidural drug infusion;  ubcutaneous
reservoir
62361 Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump
62362 Implantation or replacement of device for intrathecal or epidural drug infusion;
programmable pump, including preparation of pump, with or without programming
62365 Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural
infusion
62367 Electronic analysis of programmable, implanted pump for intrathecal or epidural drug
infusion (includes evaluation of reservoir status, alarm status, drug prescription status);
without reprogramming
62368 Electronic analysis of programmable, implanted pump for intrathecal or epidural drug
infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with
reprogramming
63650  Percutaneous implantation of neurostimulator electrode array, epidural
63660 Revision or removal of spinal neurostimulator electrode percutaneous array(s) or
plate/paddle(s)
63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or
inductive coupling
63688 Revision or removal of implanted spinal neurostimulator pulse generator or receiver
64400 Injection, anesthetic agent; trigeminal nerve, any division or branch
64402 Injection, anesthetic agent; facial nerve
64405 Injection, anesthetic agent; greater occipital nerve
64408 Injection, anesthetic agent; vagus nerve
64410 Injection, anesthetic agent; phrenic nerve
64412 Injection, anesthetic agent; spinal accessory nerve
64413 Injection, anesthetic agent; cervical plexus
64415 Injection, anesthetic agent; brachial plexus, single
64416 Injection, anesthetic agent; brachial plexus, continuous infusion by catheter (including
catheter placement) including daily management for anesthetic agent administration
64417 Injection, anesthetic agent; axillary nerve
64418 Injection, anesthetic agent; suprascapular nerve
64420 Injection, anesthetic agent; intercostal nerve, single
64421 Injection, anesthetic agent; intercostal nerves, multiple, regional block
64425 Injection, anesthetic agent; ilioinguinal, iliohypogastric nerves
64430 Injection, anesthetic agent; pudendal nerve
64435 Injection, anesthetic agent; paracervical (uterine) nerve
64445 Injection, anesthetic agent; sciatic nerve, single
64446 Injection, anesthetic agent; sciatic nerve, continuous infusion by catheter, (including catheter placement) including daily management for anesthetic agent administration
64447 Injection, anesthetic agent; femoral nerve, single
64448 Injection, anesthetic agent; femoral nerve, continuous infusion by catheter (including catheter placement) including daily management for anesthetic agent administration
64449 Injection, anesthetic agent; lumbar plexus, posterior approach, continuous infusion by
catheter (including catheter placement) including daily management for anesthetic agent
administration
64450 Injection, anesthetic agent; other peripheral nerve or branch
64470 Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve;
cervical or thoracic, single level
64472 Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve;
cervical or thoracic, each additional level (List separately in addition to code for primary
procedure)
64475 Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, single level
64476 Injection, anesthetic agent and/or steroid, paravertebral facet joint or facet joint nerve; lumbar or sacral, each additional level (List separately in addition to code for primary procedure)
64479 Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or thoracic, single level
64480 Injection, anesthetic agent and/or steroid, transforaminal epidural; cervical or thoracic, each
additional level (List separately in addition to code for primary procedure)
64483 Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, single
level
64484 Injection, anesthetic agent and/or steroid, transforaminal epidural; lumbar or sacral, each
additional level (List separately in addition to code for primary procedure)
64505 Injection, anesthetic agent; sphenopalatine ganglion
64508 Injection, anesthetic agent; carotid sinus (separate procedure)
64510 Injection, anesthetic agent; stellate ganglion (cervical sympathetic)
64517 Injection, anesthetic agent; superior hypogastric plexus
64520 Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic)
64530 Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring
64600 Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or
inferior alveolar branch
64605 Destruction by neurolytic agent, trigeminal nerve; second and third division branches at
foramen ovale
64610 Destruction by neurolytic agent, trigeminal nerve; second and third division branches at
foramen ovale under radiologic monitoring
64612 Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for blepharospasm,
hemifacial spasm)
64613 Chemodenervation of muscle(s); neck muscle(s) (eg, for spasmodic torticollis, spasmodic
dysphonia)
64614 Chemodenervation of muscle(s); extremity(s) and/or trunk muscle(s) (eg, for dystonia,
cerebral palsy, multiple sclerosis)
64620 Destruction by neurolytic agent, intercostal nerve
64622 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, single level
64623 Destruction by neurolytic agent, paravertebral facet joint nerve; lumbar or sacral, each
additional level (List separately in addition to code for primary procedure)
64626 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or thoracic, single
level
64627 Destruction by neurolytic agent, paravertebral facet joint nerve; cervical or thoracic, each
additional level (List separately in addition to code for primary procedure)
64630 Destruction by neurolytic agent; pudendal nerve
64640 Destruction by neurolytic agent; other peripheral nerve or branch
64680 Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus
64681 Destruction by neurolytic agent, with or without radiologic monitoring; superior hypogastric
plexus
77002 Fluoroscopic guidance for needle placement (eg, biopsy, aspiration, injection, localization
device)
77003 Fluoroscopic guidance and localization of needle or catheter tip for spine or paraspinous
diagnostic or therapeutic injection procedures (epidural, transforaminal epidural, subarachnoid, paravertebral facet joint, paravertebral facet joint nerve or sacroiliac joint), including neurolytic agent destruction
G0259 Injection procedure for sacroiliac joint; arthrography
G0260 Injection procedure for sacroiliac joint; provision of anesthetic, steroid and/or other
therapeutic agent, with or without arthrography