All ASC CPT codes
PM&R Pain Medicine · Pain 62320–64999; 20550–20611

PM&R and Pain Medicine CPT Codes in the ASC and Outpatient Setting

Physical medicine and rehabilitation (PM&R) pain physicians treat chronic spine and joint pain with image-guided injections rather than open surgery, in office-based labs and selected ambulatory surgery centers. The specialty's CPT families are the pain procedure codes in the 62320 to 64999 range and the musculoskeletal injection codes in 20550 to 20611. For example, 64483 describes a transforaminal epidural injection at a lumbar or sacral level, and 20610 describes aspiration or injection of a major joint or bursa.

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 maintains a procedure library that tracks CPT-specific prior authorization and documentation requirements across these families.

Pilot Analysis

Get the complete PM&R – Pain Medicine analysis

Tell us where to send it. Our team will prepare an analysis of PM&R – Pain Medicine covering what payers reimburse across markets and where your rates may sit, and email it to you within 5-10 business days. Need it faster? Book a demo.

No spam, your analysis and the occasional benchmark worth reading. Unsubscribe anytime.

PM&R – Pain Medicine codes(1–60 of 329)

Are pain medicine procedures performed in an ASC?

Some are. Many pain injections are routinely done in an office-based lab under place of service 11, while selected procedures are furnished in an ambulatory surgery center. 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.

What CPT codes does pain medicine use?

The core families are the pain procedure codes in the 62320 to 64999 range and the musculoskeletal injection codes in 20550 to 20611. Examples include 64483 for a transforaminal epidural injection at a lumbar or sacral level, 64493 for a single-level lumbar or sacral facet joint injection, and 20610 for aspiration or injection of a major joint or bursa. Our dataset maps 329 ASC-relevant codes to this specialty.

Why do pain injection codes have so many billing rules?

Many of these codes specify imaging guidance, laterality, and the number of spinal levels treated, and add-on codes apply for additional levels. Documentation must support the exact level, side, and guidance used, and several codes carry prior authorization requirements. A procedure library that tracks CPT-specific prior authorization and documentation rules helps coders apply the right code and supporting notes for each case.

Browse all ASC CPT codes and categories