CPT® Code 62280

Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; subarachnoid

The procedure described by CPT® Code 62280 involves the injection or infusion of a neurolytic substance, which may include agents such as alcohol, phenol, or iced saline solutions, into the subarachnoid space. This space is located between the arachnoid mater and the pia mater, two of the protective membranes surrounding the spinal cord. The primary purpose of this procedure is to destroy neural structures that are involved in the perception of pain, thereby providing long-lasting relief for patients suffering from chronic, intractable, non-terminal pain that has not responded to other pain management strategies. Additionally, this procedure can be utilized for managing cancer-related pain. The neurolytic block can be performed using either an injection or an infusion technique, depending on the specific clinical scenario. Proper positioning of the patient is essential, typically on an X-ray table with the back exposed, to facilitate accurate needle placement. The injection site is prepared through cleansing, and local anesthesia is administered to minimize discomfort. Fluoroscopic guidance is employed to ensure precise placement of the spinal needle or cannula into the appropriate space, followed by the injection or infusion of the neurolytic substance. It is important to note that CPT® Code 62280 specifically refers to the subarachnoid injection or infusion, while separate codes exist for epidural procedures at different spinal levels.