© Copyright 2026 American Medical Association. All rights reserved.
A transforaminal epidural injection is a medical procedure designed to alleviate pain associated with conditions such as foraminal stenosis and large or lateral disc herniations. This procedure involves the precise delivery of an anesthetic agent and/or steroid into the epidural space of the lumbar or sacral region of the spine. The patient is typically positioned in a prone (face down) position on a treatment table to facilitate access to the targeted area. Utilizing fluoroscopic guidance, which provides real-time imaging, a needle is carefully advanced through the skin and into the nerve root foramen of the affected vertebra. This technique ensures that the needle is accurately placed within the epidural space. Once the needle is in position, a contrast agent is injected to confirm the correct placement before administering the anesthetic and/or steroid. It is important to note that CPT® Code 0231T is specifically used for each additional level of injection performed after the primary procedure, which is coded separately with CPT® Code 0230T for the first injection at a lumbar or sacral vertebral level.
© Copyright 2026 Coding Ahead. All rights reserved.
Get instant expert-level answers from CasePilot, our coding assistant.
Create a free account to unlock this content
Create a free account to unlock this content
Create a free account to unlock this content
Create a free account to unlock this content
Create a free account to unlock this content
Get instant expert-level medical coding assistance.