Moda Musculoskeletal CPT Code List Category CPT® Code CPT® Code Description Interventional Pain Injection procedure for sacroiliac joint, anesthetic/steroid, with image guidance (Fluoroscopy or CT) including arthrography when 27096 Mgmt performed Interventional Pain Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; 62280 Mgmt subarachnoid Interventional Pain Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; 62281 Mgmt epidural, cervical or thoracic Interventional Pain Injection/infusion of neurolytic substance (eg, alcohol, phenol, iced saline solutions), with or without other therapeutic substance; 62282 Mgmt epidural, lumbar, sacral (caudal) Injection(s), of Diagnostic or Therapeutic Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Interventional Pain 62320 Including Neurolytic Substances, Including Needle or Catheter Placement, Interlaminar Epidural or Subarachnoid, Cervical or Mgmt Thoracic; Without Imaging Guidance Injection(s), of Diagnostic or Therapeutic Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Interventional Pain 62321 Including Neurolytic Substances, Including Needle or Catheter Placement, Interlaminar Epidural or Subarachnoid, Cervical or Mgmt Thoracic; With Imaging Guidance (Ie, Fluoroscopy or CT) Injection(s), of Diagnostic or Therapeutic Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Interventional Pain 62322 Including Neurolytic Substances, Including Needle or Catheter Placement, Interlaminar Epidural or Subarachnoid, Lumbar or Mgmt Sacral (Caudal); Without Imaging Guidance Injection(s), of Diagnostic or Therapeutic Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Interventional Pain 62323 Including Neurolytic Substances, Including Needle or Catheter Placement, Interlaminar Epidural or Subarachnoid, Lumbar or Mgmt Sacral (Caudal); With Imaging Guidance (Ie, Fluoroscopy or CT) Injection(s), Including Indwelling Catheter Placement, Continuous Infusion or Intermittent Bolus, of Diagnostic or Therapeutic Interventional Pain 62324 Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic Substances, Interlaminar Mgmt Epidural or Subarachnoid, Cervical or Thoracic; Without Imaging Guidance Injection(s), Including Indwelling Catheter Placement, Continuous Infusion or Intermittent Bolus, of Diagnostic or Therapeutic Interventional Pain 62325 Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic Substances, Interlaminar Mgmt Epidural or Subarachnoid, Cervical or Thoracic; With Imaging Guidance (Ie, Fluoroscopy or CT) Injection(s), Including Indwelling Catheter Placement, Continuous Infusion or Intermittent Bolus, of Diagnostic or Therapeutic Interventional Pain 62326 Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic Substances, Interlaminar Mgmt Epidural or Subarachnoid, Lumbar or Sacral (Caudal); Without Imaging Guidance V1.2019 Effective: 1/1/2019 Category CPT® Code CPT® Code Description Injection(s), Including Indwelling Catheter Placement, Continuous Infusion or Intermittent Bolus, of Diagnostic or Therapeutic Interventional Pain 62327 Substance(s) (Eg, Anesthetic, Antispasmodic, Opioid, Steroid, Other Solution), Not Including Neurolytic Substances, Interlaminar Mgmt Epidural or Subarachnoid, Lumbar or Sacral (Caudal); With Imaging Guidance (Ie, Fluoroscopy or CT) Interventional Pain Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an 62350 Mgmt external pump or implantable reservoir/infusion pump; without laminectomy Interventional Pain Implantation, revision or repositioning of tunneled intrathecal or epidural catheter, for long-term medication administration via an 62351 Mgmt external pump or implantable reservoir/infusion pump; with laminectomy Interventional Pain 62360 Implantation or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir Mgmt Interventional Pain 62361 Implantation or replacement of device for intrathecal or epidural drug infusion; nonprogrammable pump Mgmt Interventional Pain Implantation or replacement of device for intrathecal or epidural drug infusion; programmable pump, including preparation of 62362 Mgmt pump, with or without programming Interventional Pain Endoscopic Decompression of Spinal Cord, Nerve Root(s), Including Laminotomy, Partial Facetectomy, Foraminotomy, 62380 Mgmt Discectomy and/or Excision of Herniated Intervertebral Disc, 1 Interspace, Lumbar Interventional Pain 63650 Percutaneous implantation of neurostimulator electrode array, epidural Mgmt Interventional Pain 63655 Laminectomy for implantation of neurostimulator electrodes, plate/paddle, epidural Mgmt Interventional Pain 63685 Insertion or replacement of spinal neurostimulator pulse generator or receiver, direct or inductive coupling Mgmt Interventional Pain Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (Fluoroscopy or CT); cervical or 64479 Mgmt thoracic, single level Interventional Pain Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (Fluoroscopy or CT); cervical or 64480 Mgmt thoracic, each additional level (List separately in addition to code for primary procedure) Interventional Pain Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (Fluoroscopy or CT); lumbar or sacral, 64483 Mgmt single level Interventional Pain Injection(s), anesthetic agent and/or steroid, transforaminal epidural, with imaging guidance (Fluoroscopy or CT); lumbar or sacral, 64484 Mgmt each additional level (List separately in addition to code for primary procedure) Interventional Pain Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image 64490 Mgmt guidance (Fluoroscopy or CT), cervical or thoracic; single level Interventional Pain Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image 64491 Mgmt guidance (Fluoroscopy or CT), cervical or thoracic; second level (List separately in addition to code for primary procedure) Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image Interventional Pain 64492 guidance (Fluoroscopy or CT), cervical or thoracic; third and any additional level(s) (List separately in addition to code for primary Mgmt procedure) Interventional Pain Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image 64493 Mgmt guidance (Fluoroscopy or CT), lumbar or sacral; single level V1.2019 Effective: 1/1/2019 Category CPT® Code CPT® Code Description Interventional Pain Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image 64494 Mgmt guidance (Fluoroscopy or CT), lumbar or sacral; second level (List separately in addition to code for primary procedure) Injection(s), diagnostic or therapeutic agent, paravertebral facet (zygapophyseal) joint (or nerves innervating that joint) with image Interventional Pain 64495 guidance (Fluoroscopy or CT), lumbar or sacral; third and any additional level(s) (List separately in addition to code for primary Mgmt procedure) Interventional Pain 64510 Injection, anesthetic agent; stellate ganglion (cervical sympathetic) Mgmt Interventional Pain 64520 Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) Mgmt Interventional Pain Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (Fluoroscopy or CT); cervical or thoracic, 64633 Mgmt single facet joint Interventional Pain Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (Fluoroscopy or CT); lumbar or sacral, 64634 Mgmt each additional facet joint (List separately in addition to code for primary procedure) Interventional Pain Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (Fluoroscopy or CT); lumbar or sacral, 64635 Mgmt single facet joint Interventional Pain Destruction by neurolytic agent, paravertebral facet joint nerve(s), with imaging guidance (Fluoroscopy or CT); lumbar or sacral, 64636 Mgmt each additional facet joint (List separately in addition to code for primary procedure) Joint Surgery 23120 Shoulder Decompression Joint Surgery 23130 Shoulder Decompression Joint Surgery 23410 Shoulder Arthroscopy or Repair Joint Surgery 23412 Shoulder Arthroscopy or Repair Joint Surgery 23415 Shoulder Arthroscopy or Repair Joint Surgery 23420 Shoulder Arthroscopy or Repair Joint Surgery 23430 Biceps Tenodesis/Tenotomy Joint Surgery 23440 Biceps Tenodesis/Tenotomy Joint Surgery 23450 Shoulder Instability Correction Joint Surgery 23455 Shoulder Instability Correction Joint Surgery 23460 Shoulder Instability Correction Joint Surgery 23462 Shoulder Instability Correction Joint Surgery 23465 Shoulder Instability Correction Joint Surgery 23466 Shoulder Instability Correction Joint Surgery 23470 Shoulder Replacement - Partial