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CPT®
62319

CPT® Code 62319
Deleted

Code deleted. See 62326.

Official Description

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)

© Copyright 2026 American Medical Association. All rights reserved.

Common Language Description

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.

© Copyright 2026 Coding Ahead. All rights reserved.

1. Indications

The procedure associated with CPT® Code 62319 is indicated for various conditions that require targeted delivery of medication to the lumbar or sacral regions of the spine. The following are explicitly provided indications for this procedure:

  • Chronic Pain Management - This procedure is often performed to alleviate chronic pain conditions that may not respond to oral medications.
  • Neuropathic Pain - It is indicated for patients experiencing neuropathic pain, where traditional pain management strategies may be ineffective.
  • Spinal Disorders - Conditions such as herniated discs or spinal stenosis may warrant this procedure to provide localized relief.
  • Post-Surgical Pain - Patients recovering from spinal surgery may benefit from this procedure to manage postoperative pain effectively.

2. Procedure

The procedure for CPT® Code 62319 involves several critical steps to ensure safe and effective administration of the therapeutic or diagnostic substances. The following procedural steps are outlined:

  • Step 1: Preparation of the Site - The skin over the site where the catheter will be placed is thoroughly cleansed with an antiseptic solution to minimize the risk of infection. This step is crucial for maintaining a sterile environment during the procedure.
  • Step 2: Local Anesthetic Administration - A local anesthetic is injected into the area to reduce discomfort for the patient during the procedure. This helps to ensure that the patient remains comfortable throughout the process.
  • Step 3: Insertion of the Spinal Needle - A spinal needle is carefully inserted through the skin and advanced into the epidural or subarachnoid space. Precision is essential in this step to avoid complications and ensure proper placement.
  • Step 4: Contrast Injection (if performed) - If necessary, contrast material may be injected to confirm the correct placement of the needle or to conduct an epidurography. This step aids in visualizing the anatomy and ensuring accurate delivery of the therapeutic substance.
  • Step 5: Catheter Placement - A catheter is threaded through the spinal needle and advanced into the epidural or subarachnoid space, typically by 3-4 centimeters. This secure placement is vital for effective medication delivery.
  • Step 6: Administration of Substance - Once the catheter is in place, a diagnostic or therapeutic substance, such as an anesthetic, antispasmodic, opioid, or steroid, is administered either as a continuous infusion or an intermittent bolus into the epidural or subarachnoid space.
  • Step 7: Patient Monitoring - After the initial infusion or injection, the patient is monitored for 15-20 minutes to observe for any adverse effects from the injection. This monitoring is essential to ensure patient safety and to address any immediate concerns.

3. Post-Procedure

Following the procedure associated with CPT® Code 62319, patients are typically monitored for a short period to ensure there are no immediate adverse reactions to the injected substances. It is important to observe the patient for any signs of complications, such as increased pain, neurological deficits, or allergic reactions. Patients may be advised to rest and avoid strenuous activities for a specified period following the procedure. Additionally, instructions regarding pain management and follow-up appointments may be provided to ensure ongoing care and assessment of the treatment's effectiveness. Proper documentation of the procedure and patient response is also essential for future reference and continuity of care.
Short Descr INJECT SPINE W/CATH LMB/SCRL
Medium Descr NJX INFUS/BOLUS DX/SBST EDRL/SUBARACH LUM/SACRAL
Long Descr 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)
Status Code Active Code
Global Days 000 - Endoscopic or Minor Procedure
PC/TC Indicator (26, TC) 0 - Physician Service Code
Multiple Procedures (51) 2 - Standard payment adjustment rules for multiple procedures apply.
Bilateral Surgery (50) 0 - 150% payment adjustment for bilateral procedures does NOT apply.
Physician Supervisions 9 - Concept does not apply.
Assistant Surgeon (80, 82) 1 - Statutory payment restriction for assistants at surgery applies to this procedure...
Co-Surgeons (62) 0 - Co-surgeons not permitted for this procedure.
Team Surgery (66) 0 - Team surgeons not permitted for this procedure.
Diagnostic Imaging Family 99 - Concept Does Not Apply
APC Status Indicator Procedure or Service, Multiple Reduction Applies
Type of Service (TOS) 2 - Surgery
Berenson-Eggers TOS (BETOS) P6B - Minor procedures - musculoskeletal
MUE Not applicable/unspecified.
CCS Clinical Classification 5 - Insertion of catheter or spinal stimulator and injection into spinal canal
Date
Action
Notes
2016-12-31 Deleted Code deleted. See 62326.
2013-01-01 Changed Short Descriptor changed.
2012-01-01 Changed Description Changed
2000-01-01 Added First appearance in code book in 2000.
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