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 Medicare pays a code in an ASC depends on the CMS addenda. Addendum AA codes are on the ASC Covered Procedures List, meaning Medicare pays them in an ASC, while Addendum EE codes are excluded. DataLily's procedure library tracks the CPT-specific prior-authorization and documentation requirements that tend to drive denials in this specialty.
Pain Medicine (multidisciplinary) codes(1–60 of 318)
- 64483Njx aa&/strd tfrm epi l/s 1
- 64635Destroy lumb/sac facet jnt
- 64490Inj paravert f jnt c/t 1 lev
- 62321Njx interlaminar crv/thrc
- 62320Njx interlaminar crv/thrc
- 62322Njx interlaminar lmbr/sac
- 62323Njx interlaminar lmbr/sac
- 62324Njx interlaminar crv/thrc
- 62325Njx interlaminar crv/thrc
- 62326Njx interlaminar lmbr/sac
- 62327Njx interlaminar lmbr/sac
- 62328Dx lmbr spi pnxr w/fluor/ct
- 62329Ther spi pnxr csf fluor/ct
- 62330Dcmprn prq rmv lig flv 1lmbr
- 62331Dcmprn prq rmv lig flv addl
- 62350Implant spinal canal cath
- 62351Implant spinal canal cath
- 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 w/reprog
- 62369Anal sp inf pmp w/reprg&fill
- 62370Anl sp inf pmp w/mdreprg&fil
- 62380Ndsc dcmprn 1 ntrspc lumbar
- 63001Remove spine lamina 1/2 crvl
- 63003Remove spine lamina 1/2 thrc
- 63005Remove spine lamina 1/2 lmbr
- 63011Remove spine lamina 1/2 scrl
- 63012Remove lamina/facets lumbar
- 63015Remove spine lamina >2 crvcl
- 63016Remove spine lamina >2 thrc
- 63017Remove spine lamina >2 lmbr
- 63020Lamot dcmprn nrv rt 1 cerv
- 63030Lamot dcmprn nrv rt 1 lmbr
- 63035Lamot dcmprn nrv rt ea addl
- 63040Laminotomy single cervical
- 63042Laminotomy single lumbar
- 63043Laminotomy addl cervical
- 63044Laminotomy addl lumbar
- 63045Lam facetec & foramot crv
- 63046Lam facetec & foramot thrc
- 63047Lam facetec & foramot lumbar
- 63048Lam facetec &foramot ea addl
- 63050Cervical laminoplsty 2/> seg
- 63051C-laminoplasty w/graft/plate
- 63055Decompress spinal cord thrc
- 63056Decompress spinal cord lmbr
- 63057Decompress spine cord add-on
- 63064Decompress spinal cord thrc
- 63066Decompress spine cord add-on
- 63075Neck spine disk surgery
- 63076Neck spine disk surgery
- 63077Spine disk surgery thorax
- 63078Spine disk surgery thorax
- 63081Remove vert body dcmprn crvl
- 63082Remove vertebral body add-on
- 63085Remove vert body dcmprn thrc
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 Medicare pays a specific code in an ASC depends on its CMS addendum status. Codes on Addendum AA are on the ASC Covered Procedures List and are paid in an ASC, while Addendum EE codes are excluded from ASC payment and are typically performed 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.