| Official Description | Common Description | Procedure Codes | Possible Additional Codes | Notes | Work RVU | Total RVU |
|---|---|---|---|---|---|---|
| Procedure - Trigger Point Injection one or two muscles (WC) | 20550 | 20550 | 20550 - 0.75 | 20550 - 1.13 | ||
| Procedure - Trigger Point Injection one or two muscles | 20552 | 20552 | 20552 - 0.66 | 20552 - 1.09 | ||
| Spinal puncture, therapeutic, for drainage of cerebrospinal fluid (by needle or catheter) | Spinal tap, lumbar drain placement, intrathecal injection of medications | 62272 | Spinal Tap, Lumbar Drain Placement | 62272 - 1.35 | 62272 - 2.43 | |
| Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar, epidural or subarachnoid, cervical or thoracic; with imaging guidance (ie, fluoroscopy or CT) | 62321 | Cervical or thoracic epidural steroid injection | 62321 - 1.95 | 62321 - 3.17 | ||
| Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) | 62323 | Lumbar or sacral epidural steroid injection | 62323 - 1.80 | 62323 - 2.89 | ||
| Spinal Cord Stimulator Trial, Percutaneous | 63650 +95972 | 63650 - lead placement; +95972 - programming of stimulator | 63650 - 7.15 +95972 - 0.80 | 63650 - 11.82 +95972 - 1.19 | ||
| Occipital Nerve Stimulator - Trial, Spinal Cord Stimulator Trial, Percutaneous, Occipital Nerve Stimulator - Placement, Spinal Cord Stimulator Trial with Laminectomy | Occipital Nerve Stimulator - Trial | 63650 95972 | 63650 - lead placement; 95972 - programming of stimulator | 63650 - 7.15 95972 - 0.80 | 63650 - 11.82 95972 - 1.19 | |
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural | 63655 | 63655 - lead placement with laminectomy | 63655 - 10.92 | 63655 - 24.09 | ||
| Spinal Cord Stimulator Trial with Laminectomy | 63655 +95972 | 63655 - lead placement with laminectomy; +95972 - programming of stimulator | 63655 - 10.92 +95972 - 0.80 | 63655 - 24.09 +95972 - 1.19 | ||
| Revision including replacement, when performed, of spinal neurostimulator electrode percutaneous array(s), including fluoroscopy, when performed | 63663 | 63663 - 7.75 | 63663 - 12.93 | |||
| Revision including replacement, when performed, of spinal neurostimulator electrode plate/paddle(s) placed via laminotomy or laminectomy, including fluoroscopy, when performed | 63664 | 63664 - 11.52 | 63664 - 25.12 | |||
| Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling | Spinal cord stimulator generator or battery implant or replacement | 63685 | +95972 | 63685 - generator placement; 10 days global period +95972 - programming of stimulator | 63685 - 5.19 +95972 - 0.80 | 63685 - 10.54 +95972 - 1.19 |
| Introduction/Injection of Anesthetic Agent (Nerve Block), Diagnostic or Therapeutic Procedures on the Somatic Nerves | Occipital Nerve Block | 64405 | 64405 - 0.94 | 64405 - 1.81 | ||
| Transforaminal Epidural Steroid Injection of Lumbar Spine | 64483 72275 77003 | 64483 72275 77003 | 64483 - 1.90 72275 - 0.76 77003 - 0.60 | 64483 - 3.21 72275 - 3.26 77003 - 2.66 | ||
| Peripheral Nerve Stimulation - Trial | 64575 95972 | 64575 95972 | 64575 - 4.42 95972 - 0.80 | 64575 - 9.22 95972 - 1.19 | ||
| Peripheral Nerve Stimulator Placement, Permanent | 64575 95972 | 64575 95972 | 64575 - 4.42 95972 - 0.80 | 64575 - 9.22 95972 - 1.19 | ||
| HakoMed (Work comp/ Ppo) | 97014 97112 97016 | 97014 97112 97016 | 97014 - 0.18 97112 - 0.45 97016 - 0.18 | 97014 - 0.45 97112 - 0.96 97016 - 0.55 | ||
| HakoMed (medicare) | 97016 97032 97112 | 97016 97032 97112 | 97016 - 0.18 97032 - 0.25 97112 - 0.45 | 97016 - 0.55 97032 - 0.54 97112 - 0.96 | ||
| Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir | 62360 | 10 days global period | 62360 - 4.33 | 62360 - 8.92 | ||
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump | 62361 | 10 days global period | 62361 - 5.00 | 62361 - 12.26 | ||
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming | Intrathecal pump or pain pump placement or replacement | 62362 | +62350 | 62362- Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming; +62350 - Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy 10 days global period | 62362 - 5.60 +62350 - 6.05 | 62362 - 11.11 +62350 - 11.52 |
| Insertion or replacement of cranial neurostimulator pulse generator or receiver, direct or inductive coupling; with connection to a single electrode array | Replacement of vagal nerve stimulator (VNS) generator; deep brain stimulator (DBS) | 61885 | +95947 | +95947 - programming of vagal nerve stimulator (VNS) | 61885 - 6.05 | 61885 - 12.10 |
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; without laminectomy (10 day global) | 62350 | 62350 - 6.05 | 62350 - 12.10 | |||
| Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an external pump or implantable reservoir/infusion pump; with laminectomy (90 day global) | 62351 | 62351 - 11.66 | 62351 - 23.32 | |||
| Removal of previously implanted intrathecal or epidural catheter | 62355 | 62355 - 3.55 | 62355 - 7.10 | |||
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion | Removal of pain pump | 62365 | 10 days global period | 62365 - 3.93 | 62365 - 7.86 | |
| Refilling and maintenance of implantable pump for reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; | Pain pump refill withOUT reprogramming | 95990 | This code is for pumps that are non-programmable such as Permetra, a non-programmable Medtronic pump | 95990 - 0 | 95990 - 0 | |
| Refilling and maintenance of implantable pump for reservoir for drug delivery, spinal (intrathecal, epidural) or brain (intraventricular), includes electronic analysis of pump, when performed; requiring skill of a physician or other qualified health care professional | Pain pump refill withOUT reprogramming | 95991 | This code is for pumps that are non-programmable such as Permetra, a non-programmable Medtronic pump | 95991 - 0.77 | 95991 - 1.54 | |
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); without reprogramming or refill | 62367 | 62367 - 0.48 | 62367 - 0.96 | |||
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming | Reprogramming without refill | 62368 | 62368 - 0.67 | 62368 - 1.34 | ||
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill | 62369 | 62369 - 0.67 | 62369 - 1.34 | |||
| Electronic analysis of programmable, implanted pump for intrathecal or epidural drug infusion (includes evaluation of reservoir status, alarm status, drug prescription status); with reprogramming and refill (requiring skill of a physician or other qualified health care professional) | Pain pump reprogramming with refill by a nurse practitioner, physician assistant, or a physician but not a nurse. | 62370 | 62370 - 0.90 | 62370 - 1.80 | ||
| Injection, morphine sulfate, preservative-free for epidural or intrathecal use, 10 mg | Intrathecal morphine 10 mg; | J2274 | 10mg = 1 unit to bill | J2274 - 0 | J2274 - 0 | |
| Code for unclassifed drugs | J3490 | J3490 - 0 | J3490 - 0 | |||
| Unlisted code | 28999 | 28999 - 0.00 | 28999 - 0.00 | |||
| Puncture of reservoir for injection procedure | 61070 | 61070 - 0.89 | 61070 - 1.78 | |||
| Shuntogram for investigation of previously placed indwelling nonvascular shunt (eg, indwelling infusion pump) | 75809-26 | 75809-26 - 0.47 | 75809-26 - 0.94 | |||
| Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance | 62322 | 62322 - 1.55 | 62322 - 3.10 | |||
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); without imaging guidance | 62326 | 62326 - 1.78 | 62326 - 3.56 | |||
| Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, interlaminar epidural or subarachnoid, lumbar or sacral (caudal); with imaging guidance (ie, fluoroscopy or CT) | 62327 | 62327 - 1.90 | 62327 - 3.80 | |||
| Incision for implantation of cranial nerve (e.g., vagus nerve) neurostimulator electrode array and pulse generator. (Do not report 64568 in conjunction with 61885, 61886, 64570.) | Vagal nerve stimulator (VNS) placement | 64568 | 64568 - 9.00 | 64568 - 18.00 | ||
| Unlisted procedure, nervous system | Revision of pain pump without replacement | 64999 | 64999 - 0.00 | 64999 - 0.00 | ||
| Injection, baclofen, 50 mcg, for intrathecal trial | JO476 | 10 mcg = 1 unit; 50 mcg = 5 units | JO476 - 0 | JO476 - 0 | ||
| Injection, baclofen, 10 mg | JO475 | 10 mg = 1 unit to bill | JO475 - 0 | JO475 - 0 | ||
| Removal of cranial nerve (e.g. vagus nerve) neurostimulator electrode array and pulse generator, when performed | Removal of vagal nerve stimulator (VNS) | 64570 | 90 days global period | 64570 - 9.10 | 64570 - 18.2 | |
| Implantable neurostimulator, pulse generator, any type | L8679 | L8679 - 0 | L8679 - 0 | |||
| Revision or Replacement of Cranial Nerve (eg, Vagus Nerve) Neurostimulator Electrode Array, including connection to existing pulse generator | 64569 | 64569 - 11.00 | 64569 - 22.00 | |||
| Revision or removal of intracranial neurostimulator electrodes | 61880 | Diagnosis is usually a T code for a displaced electrode (e.g T85.120A) | 61880 - 6.95 | 61880 - 13.90 | ||
| Revision or removal of cranial neurostimulator pulse generator or receiver | 61888 | Do not use code for battery changes. Use 61885/61886 instead. Diagnosis is typically displaced generator or non-functioning (malfunctioning) DBS (e.g T85.123A) | 61888 - 5.23 | 61888 - 10.46 |
