CPT® Code 62319

Deleted

Injection(s), including indwelling catheter placement, continuous infusion or intermittent bolus, of diagnostic or therapeutic substance(s) (including anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, includes contrast for localization when performed, epidural or subarachnoid; lumbar or sacral (caudal)

The procedure described by CPT® Code 62319 involves the injection of diagnostic or therapeutic substances into the epidural or subarachnoid space, specifically in the lumbar or sacral regions of the spine. This procedure includes the placement of an indwelling catheter, which allows for either continuous infusion or intermittent bolus administration of various substances. The substances that may be injected include anesthetics, antispasmodics, opioids, steroids, or other solutions, but do not include neurolytic substances. The process begins with the cleansing of the skin at the catheterization site using an antiseptic solution, followed by the administration of a local anesthetic to minimize discomfort. A spinal needle is then carefully inserted into the skin and advanced into the targeted space. To ensure accurate placement, contrast material may be injected, which aids in confirming the correct positioning of the needle or in performing an epidurography. Once the needle is properly positioned, a catheter is threaded through it and advanced into the epidural or subarachnoid space, typically by 3-4 centimeters to secure its placement. After the catheter is in place, the therapeutic or diagnostic substance is administered, and the patient is monitored for a period of 15-20 minutes to observe for any adverse reactions to the injection. This procedure is essential for managing pain and other conditions that may benefit from targeted delivery of medication in the spinal region.