Quick reference guide for CPT codes for Pain Procedure Codes.
| 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) | 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 | 62321 - 1.95 | 62323 - 3.17 | ||
| Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of pump, with or without programming | Intrathecal Pump Placement | 62362 | 62362; 62350; 76000 | 10 days global; includes programming | 62362 - 5.60; 62350 - 6.05; 76000 - 0.17 | 62362 - 11.11; 62350 - 11.52; 76000 - 1.34 |
| Removal of subcutaneous reservoir or pump, previously implanted for intrathecal or epidural infusion | Intrathecal Pump Removal | 62365 | 10 days global | 62365 - 3.93 | 62365 - 8.60 | |
| Percutaneous Spinal Cord Stimulator Permanent Lead and Generator Implant - COMPLETE TREATMENT PLAN | 63560; 63685 | +95972 | 63650 - percutaneous lead placement; 63685 - generator placement; +95972 - programming of stimulator | 63560 - no RVU; 63685 - 5.19; +95972 - 0.80 | 63560 - no RVU; 63685 - 10.54; +95972 - 1.19 | |
| Spinal Cord Stimulator Trial, Percutaneous | 63650; 63650; +95972 | 63650 - lead placement; +95972 - programming of stimulator | 63650 - 7.15; 63560 - no RVU; +95972 - 0.80 | 63650 - 11.82; 63560 - no RVU; +95972 - 1.19 | ||
| Occipital Nerve Stimulator - Trial | 63650; 95972 | 63650; 95972 | 63650 - 7.15; 95972 - 0.80 | 63650 - 11.82; 95972 - 1.19 | ||
| Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural | 63655 | 63650 - percutaneous lead placement; 63685 - generator placement; +95972 - programming of stimulator | 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 | ||
| Spinal Cord Stimulator Permanent Lead and Generator Implant with Laminectomy - COMPLETE TREATMENT PLAN | 63655; 63685 | +95972 | 63655 - lead placement with laminectomy; 63685 - generator placement; +95972 - programming of stimulator | 63655 - 10.92; 63685 - 5.19; +95972 - 0.80 | 63655 - 24.09; 63685 - 10.54; +95972 - 1.19 | |
| Occipital Nerve Stimulator - Placement | 63655;a 63685; 95972 | 63655; 63685; 95972 | 63655 - 10.92; 63685 - 5.19; 95972 - 0.80 | 63655 - 24.09; 63685 - 10.54; 95972 - 1.19 | ||
| Spinal Cord Stimulator Removal | 63661; 63688 | 63661 - removal of stimulator leads; 63688 - removal of generator; 63660 is a deleted code and should not be used for removal of stimulator leads | 63661 - 5.08; 63688 - 5.30 | 63661 - 9.27; 63688 - 10.71 | ||
| 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 - programming of stimulator | 63685 - generator placement; +95972 - programming of stimulator | 63685 - 5.19; +95972 - 0.80 | 63685 - 10.54; +95972 - 1.19 |
| Occipital Nerve Block | 64405 | 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 - 1.65 | ||
| Refilling and maintenance of implantable pump or 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 | Pump Refill, Hospital | 95991 | 95991; 62368; 76000 | 95991 - 0.77; 62368 - 0.67; 76000 - 0.17 | 95991 - 1.13; 62368 - 1.01; 76000 - 1.34 | |
| Refilling and maintenance of implantable pump or 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 | Pump Refill, Office | 95991 | +62368 | 95991; 62368; A4220; J2275 | 95991 - 0.77; 62368 - 0.67; A4220 - 0; J2275 - 0 | 95991 - 1.13; 62368 - 1.01; A4220 - 0; J2275 - 0 |
| 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 | 62360 - 4.33 | 62360 - 8.92 | ||
| Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump | 62361 | 10 days global | 62361 - 5.00 | 62361 - 12.26 | ||
| Revision of spinal cord stimulator paddle leads | 63554 | 63554 | 63554 |