What is a Lesi shot?

A lumbar epidural steroid injection (LESI) is an injection of corticosteroids (similar to cortisone) into the space just outside the covering (the dura) of the spinal cord in your lower back. Because the injection is outside (epi) the dura, it is called an epidural injection.

What is procedure code 64483?

CPT codes 64479 and 64483 are used to report a single level injection performed with image guidance (fluoroscopy or CT).

How often can you get a Lesi?

Most patients get reduced pain lasting 2-4 months. Some patients can get relief lasting greater than a year. How often can the procedure be repeated? Depending on results and providers discretion the injections may be repeated up to 3-4 times per year to sustain pain relief.

What does CPT code 62323?

CPT® 62323 in section: Injection(s), of diagnostic or therapeutic substance(s) (eg, anesthetic, antispasmodic, opioid, steroid, other solution), not including neurolytic substances, including needle or catheter placement, interlaminar epidural more.

What is the CPT code for transforaminal epidural injection?

A transforaminal epidural steroid injection (TFESI) performed at the T12-L1 level should be reported with CPT code 64479.

Is Transforaminal the same as Translaminar?

When it is more desirable to target a specific nerve root, a transforaminal approach is typically used, and when the target is more diffuse, a translaminar method is chosen. Both are commonly used and can be utilized similarly in the lumbar or cervical spine.

What is the difference between Lesi codes 62311 and 64483?

Those are both codes for LESI. The difference is where the injection is given. If the injection is given directly into the epidural space or subarachnoid space, then 62311 is the code. If the nerve roots that extend from the spinal cord at each level are targeted, then 64483 is the code.

What is the CPT code for epidural steroid injection?

An anatomic spinal region for epidurals is defined as cervical/thoracic (CPT codes 62321, 64479 and 64480) or lumbar/sacral (CPT codes 62323, 64483 and 64484). When the epidural injections (62322-62327) are used for cerebrospinal fluid flow imaging, cisternography (78630), the diagnosis code restrictions in this article do not apply.

What is the diagnosis code for epidural injection 62321?

When epidural injections (62321, 62323, 64479, 64480, 64483 or 64484) are used for postoperative pain management, the diagnosis code restrictions in this article do not apply. When epidural injection (62323) is used for an implantable infusion pump trial, the diagnosis code restrictions in this article do not apply.

Are HCPCS codes subject to correct Coding Initiative (CCI) edits?

The HCPCS/CPT code (s) may be subject to Correct Coding Initiative (CCI) edits in addition to guidance in this LCD. Please refer to the CCI for correct coding guidelines and specific applicable code combinations prior to billing Medicare. Whichever guidance is more restrictive should be adhered to.