Pain Medicine (Multidisciplinary) in the ASC and Outpatient Setting
Interventional pain medicine is one of the most procedure-dense specialties billed outside the hospital, mostly image-guided injections, nerve blocks, and ablation. The codes cluster in the CPT range 62320 to 64999, covering spinal injections like 62321 (interlaminar epidural injection, cervical or thoracic) and transforaminal epidural injections like 64483 (lumbar or sacral, single level). Many carry add-on codes for each additional level, a frequent source of under- or over-reporting.
Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. Some codes are ASC-eligible and can be performed in a certified ambulatory surgery center, while others are typically done in a hospital outpatient department or office instead. DataLily AI's procedure library tracks the CPT-specific prior-authorization and documentation requirements that tend to drive denials in this specialty.
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Pain Medicine (multidisciplinary) codes(1–60 of 318)
- 64483Transforaminal epidural injection, lumbar or sacral, single level
- 64635Destroy lumbar/sac facet joint
- 64490Injection paravert f joint c/t 1 lev
- 62321Injection interlaminar cervical/thoracic
- 62320Injection interlaminar cervical/thoracic
- 62322Injection interlaminar lumbar/sac
- 62323Injection interlaminar lumbar/sac
- 62324Injection interlaminar cervical/thoracic
- 62325Injection interlaminar cervical/thoracic
- 62326Injection interlaminar lumbar/sac
- 62327Injection interlaminar lumbar/sac
- 62328Diagnostic lumbar spi puncture with fluor/CT
- 62329Therapeutic spi puncture CSF fluor/CT
- 62330Percutaneous decompression by removal of the ligamentum flavum, single lumbar level
- 62331Decompression percutaneous removal lig flv additional
- 62350Implant spinal canal catheter
- 62351Implant spinal canal catheter
- 62355Remove spinal canal catheter
- 62360Insert spine infusion device
- 62361Implant spine infusion pump
- 62362Implant spine infusion pump
- 62365Remove spine infusion device
- 62367Analyze spine infus pump
- 62368Analyze sp inf pump with reprog
- 62369Anal sp inf pmp with reprg & fill
- 62370Anl sp inf pmp with mdreprg & fil
- 62380Endoscopic decompression 1 ntrspc lumbar
- 63001Remove spine lamina 1/2 crvl
- 63003Remove spine lamina 1/2 thoracic
- 63005Remove spine lamina 1/2 lumbar
- 63011Remove spine lamina 1/2 scrl
- 63012Remove lamina/facets lumbar
- 63015Remove spine lamina >2 cervical
- 63016Remove spine lamina >2 thoracic
- 63017Remove spine lamina >2 lumbar
- 63020Laminotomy decompression nerve rt 1 cervical
- 63030Lumbar laminotomy with decompression of nerve root(s), single level
- 63035Laminotomy decompression nerve rt each additional
- 63040Laminotomy single cervical
- 63042Laminotomy single lumbar
- 63043Laminotomy additional cervical
- 63044Laminotomy additional lumbar
- 63045Lam facetec & foramot cervical
- 63046Lam facetec & foramot thoracic
- 63047Lam facetec & foramot lumbar
- 63048Lam facetec &foramot each additional
- 63050Cervical laminoplsty 2/> seg
- 63051C-laminoplasty with graft/plate
- 63055Decompress spinal cord thoracic
- 63056Decompress spinal cord lumbar
- 63057Decompress spine cord add-on
- 63064Decompress spinal cord thoracic
- 63066Decompress spine cord add-on
- 63075Neck spine disk surgery
- 63076Neck spine disk surgery
- 63077Spine disk surgery thorax
- 63078Spine disk surgery thorax
- 63081Remove vertebral body decompression crvl
- 63082Remove vertebral body add-on
- 63085Remove vertebral body decompression thoracic
Are interventional pain procedures performed in an ASC?
Yes. Many image-guided pain procedures are performed in an ambulatory surgery center under place of service 24, and others are done in an office-based lab under place of service 11. Whether a specific code suits the ASC setting depends on its ASC-eligibility status, worth confirming before scheduling. Some codes are ASC-eligible and can be performed in a certified ASC, while others are not typically performed in an ASC and are usually done in the office instead.
What CPT codes does pain medicine use?
Interventional pain coding concentrates in the CPT range 62320 to 64999. This includes epidural injections such as 62321 (interlaminar cervical or thoracic), transforaminal epidural injections such as 64483 (lumbar or sacral, single level), paravertebral facet joint injections such as 64490 (cervical or thoracic, single level), and facet joint radiofrequency denervation such as 64635 (lumbar or sacral). Many of these procedures carry add-on codes reported per additional level.
Why does coding by level and region matter for pain procedures?
Epidural, facet injection, and facet denervation codes are defined by spinal region (cervical, thoracic, lumbar, or sacral) and by the number of levels treated. The base code generally covers the first level, with separate add-on codes for each additional level. Reporting the wrong region or missing the level structure is a frequent cause of denials and rework, so documentation should clearly state the region, the levels, and laterality.