July 22, 2021

Question:
I am trying to find a CPT code for an Epidural Adhesiolysis. Can you tell what codes I should use?

Answer:
It depends on the method. You should use CPT codes 62263 or 62264 for a percutaneous lysis of epidural adhesions which is performed using a percutaneously deployed catheter. If the procedure is performed endoscopically use the unlisted code 64999. The difference between CPT 62263 and 62264 is 62264 is multiple sessions over a 1-day period and 62263 involves multiple sessions of 2 or more days. Also keep in mind that epidurography and/or fluoroscopic guidance is included and not reported separately.

*This response is based on the best information available as of 07/22/21