Injection, therapeutic (eg, local anesthetic; corticosteroid), carpal tunnel 20526 $78.69 $59.29 $79.18 $59.47 $79.06 $59.74 0.5% tendon sheath, ligament injection 20550 $59.65 $42.76 $60.19 $42.99 $54.02 $40.78-10.3% -5.1% Tendon origin/insertion 20551 $61.45 $43.84 $61.98 $44.07 $61.18 $43.29-1.3% -1.8% Single or multiple trigger point(s), one or two muscle group(s) 20552 $56.42 $39.17 $56.25 $39.05 $56.17 $38.99 Single or multiple trigger point(s), three or more muscle groups 20553 $65.04 $44.20 $64.85 $44.43 $64.40 $44.00-0.7% -1.0% Small joint injection 20600 $48.51 $36.65 $48.73 $36.54 $48.65 $36.49 Intermediate joint injection 20605 $51.03 $38.45 $51.23 $38.34 $50.44 $37.92-1.5% -1.1% Major joint injection 20610 $61.09 $47.43 $61.62 $47.65 $61.18 $47.58-0.7% Vertbroplasty (Thoracic) 22510 $1,780.86 $455.28 $1,803.93 $469.35 $1,684.65 $450.05-6.6% -4.1% Vertbroplasty (Lumbar) 22511 $1,765.05 $426.89 $1,786.02 $440.68 $1,669.27 $422.50-6.5% -4.1% Vertbroplasty - Additional 22512 $989.61 $207.34 $1,001.03 $218.19 $960.20 $215.72-4.1% -1.1% Percut kyphoplasty, thor 22513 $7,453.69 $519.60 $7,504.15 $560.71 $7,198.31 $539.49-4.1% -3.8% Percut kyphoplasty, thor 22514 $7,423.50 $485.82 $7,495.91 $522.73 $7,160.03 $501.21-4.5% -4.1% Percut kyphoplasty, Additional 22515 $4,507.14 $216.68 $4,541.90 $236.82 $4,369.21 $233.61-3.8% -1.4% IDET, single level 22526 $2,421.92 $347.12 $2,432.71 $362.58 $2,327.53 $347.38-4.3% -4.2% IDET, 1 or more levels 22527 $2,015.87 $157.39 $2,018.54 $164.81 $1,964.05 $164.21-2.7% -0.4% Percut kyphoplasty, lumbar 22534 $373.35 $367.95 $376.71 2.4% Injection procedure for HIP arthrography without anesthesia 27093 $191.53 $72.23 $191.32 $72.73 $188.18 $71.91-1.6% -1.1%
Injection procedure for HIP arthrography with anesthesia 27095 $246.14 $85.16 $247.21 $85.63 $245.42 $85.86-0.7% 0.3% (G0260) Injection procedure for Sacroiliac joint, arthrography 27096 $163.50 $86.96 $165.52 $87.42 $160.99 $85.86-2.7% -1.8% Percutaneous epidural adhesiolysis - 2 or 3 days 62263 $646.80 $344.24 $669.98 $351.47 $613.54 $333.07-8.4% -5.2% Percutaneous epidural adhesiolysis 1 day 62264 $428.33 $245.07 $437.10 $248.65 $425.37 $244.70-2.7% -1.6% Percutaneous aspiration, spinal cord cyst or syrinx 62268 $271.30 $269.07 $266.17-1.1% Biopsy of spinal cord, percutaneous needle 62269 $278.48 $280.17 $274.75-1.9% Spinal puncture, diagnostic 62270 $162.42 $80.49 $162.30 $80.61 $159.91 $80.49-1.5% Spinal puncture, therapeutic 62272 $205.90 $86.24 $207.44 $87.06 $203.20 $86.58-2.0% -0.6% Epidural, blood patch 62273 $177.15 $117.50 $179.14 $118.59 $174.58 $116.98-2.5% -1.4% Subarachnoid neurolytic injection 62280 $306.15 $162.78 $315.29 $168.03 $306.59 $165.28-2.8% -1.6% Neurolytic epidural, C/T 62281 $238.60 $157.75 $248.65 $163.38 $245.77 $161.70-1.2% -1.0% Neurolytic epidural, L/S 62282 $300.76 $150.56 $300.60 $150.84 $299.80 $150.26-0.3% -0.4% Injection procedure myelography 62284 $186.49 $89.12 $185.95 $88.85 $188.18 $90.15 1.2% 1.5% Disc decompression 62287 $589.67 $589.01 $588.86 0.0% Diskogrsphy each level: lumbar 62290 $341.37 $177.51 $343.23 $179.14 $333.07 $175.30-3.0% -2.1% Diskogrsphy each level: C/T 62291 $344.60 $177.15 $339.65 $176.99 $334.50 $174.22-1.5% -1.6% Chemonucleolysis 62292 $601.17 $601.55 $595.30-1.0% Cervical epidural 62310 $245.43 $112.11 $247.93 $113.22
CPT Description Lumbar epidural 62311 $226.02 $92.35 $228.94 $93.15 Epidural or subarachnoid, catheterization, C/T 62318 $234.29 $102.05 $243.99 $104.62 Catheterization, epidural, L/S 62319 $171.04 $98.82 $175.92 $100.68 Cervical or Thoracic interlaminar epidural; without fluoro 623X5 $155.98 $104.82 Cervical or Thoracic interlaminar epidural; with fluoro 623X6 $238.26 $113.41 Lumbar or sacral (caudal) interlaminar epidural injection(s); 623X7 without fluoro $145.25 $90.87 Lumbar or sacral (caudal) interlaminar epidural injection(s); 623X8 with fluoro $233.61 $103.75 Cervical or thoracic continuous interlaminar epidural 623X9 Injection(s),; without fluoro $137.02 $95.52 Cervical or thoracic continuous interlaminar epidural 62X10 Injection(s),; with fluoro $211.43 $110.19 Njx interlaminar L/S without imaging guidance 62X11 $143.82 $94.09 Lumbar or sacral (caudal) continuous interlaminar epidural 62X12 Injection(s),; Without fluoro $214.65 $99.81 Lumbar or sacral (caudal) continuous interlaminar epidural 630X1 Injection(s),; With fluoro $688.31 Tunneled intrathecal or epidural catheter for long-term medication administration via an external pump or implantable reservoir; w/o laminectomy 62350 $413.95 $419.19 $411.41-1.9% Removal or previously implanted intrathecal or epidural catheter 62355 $278.84 $275.52 $275.11 Implant or replacement of device for intrathecal or epidural drug infusion; subcutaneous reservoir 62360 $314.78 $327.11 $318.76-2.6% Implantation or replacement of device for epidural drug infusion; non-programmable pump 62361 $446.29 $377.63 $439.32 16.3% Implant spine infusion pump 62362 $399.22 $405.21 $396.75-2.1% Remove spine infusion device 62365 $307.95 $310.27 $306.95-1.1%
Electronic analysis of programmable pump 62367 $42.04 $26.23 $42.64 $26.51 $41.14 $25.76-3.5% -2.8% Electronic analysis of programmable pump with reprogramming 62368 $57.85 $36.29 $58.40 $36.54 $57.24 $36.49-2.0% Implant neuroelectrodes (NA=National price is Not Available) 63650 $1,354.69 $425.45 $1,370.42 $429.93 $1,325.83 $422.50-3.3% -1.7% Implant neuroelectrodes (NA=National price is Not Available) 63655 $857.37 $859.87 $858.96 Remove spine eltrd perq aray 63661 $591.11 $330.95 $596.18 $333.20 $589.57 $331.64-1.1% -0.5% Remove spine eltrd plate 63662 $868.51 $872.05 $867.19-0.6% Remove spine eltrd perq aray 63663 $804.55 $465.70 $818.31 $471.85 $797.07 $464.00-2.6% -1.7% Remove spine eltrd plate 63664 $888.28 $896.41 $894.74-0.2% Implant neuroreceiver 63685 $378.74 $381.21 $376.71-1.2% Revise/remove neuroreceiver 63688 $382.69 $383.36 $382.44-0.2% Injection, anesthetic agent; Trigeminal nerve, any division or branch 64400 $129.36 $72.59 $130.77 $73.45 $128.79 $72.98-1.5% -0.6% Facial nerve 64402 $131.88 $79.77 $133.64 $81.33 $135.95 $83.00 1.7% 2.1% Greater occipital nerve 64405 $102.77 $65.04 $103.54 $65.21 $102.32 $65.11-1.2% Vagus nerve 64408 $118.58 $88.04 $107.48 $78.46 $121.28 $89.44 12.8% 14.0% Phrenic nerve 64410 $122.53 $70.07 $128.98 $73.09 $137.73 $77.99 6.8% 6.7% 64412 Spinal accessory nerve $144.81 $74.02 Cervical plexus 64413 $131.16 $84.08 $130.41 $83.84 $129.51 $83.71-0.7% Brachial plexus 64415 $119.66 $66.48 $124.68 $68.07 $118.06 $66.54-5.3% -2.2%
Axillary nerve 64417 $131.52 $72.59 $136.50 $74.52 $129.15 $71.91-5.4% -3.5% Suprascapular nerve 64418 $149.12 $78.69 $149.04 $79.18 $146.32 $77.99-1.8% -1.5% Intercostal, single 64420 $114.27 $69.71 $115.72 $70.58 $111.98 $69.40-3.2% -1.7% Intercostal, multiple, regional block 64421 $152.36 $93.79 $155.13 $95.30 $151.33 $93.73-2.5% -1.6% Ilioinguinal, Iliohypogastric 64425 $134.03 $95.58 $136.50 $97.09 $133.80 $96.24-2.0% -0.9% Pudendal nerve 64430 Pudendal nerve $141.88 $84.91 $138.09 $83.00-2.7% -2.2% Sciatic nerve 64445 $137.63 $74.02 $140.80 $75.24 $137.38 $74.41-2.4% -1.1% Other peripheral nerve or branch 64450 $81.93 $47.07 $81.69 $47.29 $80.85 $46.51-1.0% -1.7% Cervical transforaminal epidural injections 64479 $240.40 $136.55 $242.20 $137.22 $237.55 $135.95-1.9% -0.9% Cervical transforaminal epidural injections add-on 64480 $114.63 $65.04 $116.08 $65.57 $114.12 $65.11-1.7% -0.7% L/S transforaminal epidural injections 64483 $223.15 $116.07 $225.36 $116.80 $220.37 $115.91-2.2% -0.8% L/S transforaminal epidural injections add-on 64484 $89.47 $53.90 $90.29 $54.10 $88.01 $52.95-2.5% -2.1% C/T facet joint injections, 1st Level (Old 64470) 64490 $193.68 $109.96 $195.62 $110.71 $191.40 $109.47-2.2% -1.1% C/T facet joint injections, 2nd Level (Old 64472) 64491 $95.94 $62.52 $96.38 $62.70 $94.45 $61.89-2.0% -1.3% C/T facet joint injections, 3rd Level 64492 $96.30 $62.88 $97.09 $63.42 $95.16 $62.61-2.0% -1.3% Paravertebral facet joint or facet joint nerve; L/S, 1st Level 64493 $175.71 $94.15 $177.71 $94.94 $173.15 $93.02-2.6% -2.0% Paravertebral facet joint or facet joint nerve; L/S, 2nd Level 64494 $88.40 $53.54 $89.21 $54.10 $87.65 $53.66-1.8% -0.8% Paravertebral facet joint or facet joint nerve; L/S, 3rd Level 64495 $88.76 $54.26 $89.57 $54.82 $88.01 $54.38-1.7% -0.8%
Injection, anesthetic agent; sphenopalatine ganglion 64505 $106.00 $88.76 $107.13 $89.93 $107.68 $90.51 0.5% 0.6% Injection, anesthetic agent; Carotid sinus (separate procedure) 64508 $63.60 $74.74 $63.77 $75.60 $61.53 $73.70-3.5% -2.5% Injection, anesthetic agent; Stellate ganglion (cervical sympathetic) 64510 $130.08 $75.82 $131.49 $76.67 $128.07 $75.13-2.6% -2.0% Injection, anesthetic agent; lumbar or thoracic (paravertebral sympathetic) 64520 $190.09 $83.37 $192.04 $84.20 $187.10 $83.00-2.6% -1.4% Injection, anesthetic agent; celiac plexus, with or without radiologic monitoring 64530 $194.40 $94.86 $196.70 $96.02 $190.68 $93.73-3.1% -2.4% Destruction by neurolytic agent, trigeminal nerve; supraorbital, infraorbital, mental, or inferior alveolar branch 64600 $395.27 $224.23 $403.78 $228.58 $399.25 $227.17-1.1% -0.6% Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale 64605 $605.84 $363.65 $773.17 $429.93 $619.98 $357.75-19.8% -16.8% Destruction by neurolytic agent, trigeminal nerve; second and third division branches at foramen ovale under radiologic monitoring 64610 $749.93 $500.91 $769.94 $512.34 $758.79 $507.65-1.4% -0.9% Chemodenervation of muscle(s); muscle(s) innervated by facial nerve (eg, for blepharospasm, hemifacial spasm) 64612 $133.31 $119.66 $135.07 $121.10 $133.08 $119.49-1.5% -1.3% Destruction by neurolytic agent, intercostal nerve 64620 $209.85 $177.51 $211.03 $178.42 $207.50 $176.01-1.7% -1.4% Destruction by neurolytic agent; pudendal nerve 64630 $238.24 $198.35 $238.97 $199.56 $235.04 $196.76-1.6% -1.4% Destroy cerv/thor facet jnt 64633 $429.41 $233.21 $434.95 $235.39 $422.86 $231.11-2.8% -1.8% Destroy c/th facet jnt addl 64634 $192.96 $70.43 $195.62 $71.30 $189.97 $70.12-2.9% -1.7% Destroy lumb/sac facet jnt 64635 $425.45 $230.69 $429.93 $232.16 $418.57 $228.25-2.6% -1.7% Destroy l/s facet jnt addl 64636 $176.07 $62.16 $177.71 $62.34 $172.79 $61.89-2.8% -0.7% Destruction by neurolytic agent; other peripheral nerve or branch 64640 $135.47 $95.58 $136.15 $96.02 $133.80 $95.16-1.7% -0.9% Destruction by neurolytic agent, with or without radiologic monitoring; celiac plexus 64680 $319.81 $173.20 $317.79 $171.97 $308.74 $168.50-2.8% -2.0% Contrast x-ray, lower spine 72265 $92.35 $92.79 $91.58-1.3%
Contrast x-ray of spine 72270 $128.28 $128.26 $127.00-1.0% Epidurography 72275 $116.07 $116.80 $116.63 Diskography C/T Radiological supervision and interpretation 72285 $115.35 $115.72 $113.41-2.0% Diskography lumbar radiological supervision and interpretation 72295 $99.18 $99.96 $98.02-1.9% Radiological examination, hip, arthrography, radiological supervision and interpretation 73525 $102.05 $102.47 $101.60-0.8% Fluoroscopic examination 76000 $47.43 $47.65 $47.58 Ultrasonic guidance for needle placement 76942 $61.45 $61.98 $61.53-0.7% Fluoroscopic guidance for spine injection 77003 $85.88 $87.06 $83.71-3.8% 99201 $43.84 $26.95 $44.43 $27.23 $43.65 $26.83-1.8% -1.5% 99202 $75.10 $50.67 $75.60 $50.88 $75.13 $50.80-0.6% 99203 $108.88 $77.26 $109.28 $77.75 $109.11 $77.99 0.3% 99204 $166.01 $131.16 $166.24 $131.49 $165.28 $130.94-0.6% -0.4% 99205 $208.05 $170.32 $208.52 $170.90 $208.21 $171.01 0.1% 99211 $20.12 $9.34 $20.06 $9.32 $20.03 $9.30 99212 $43.84 $25.87 $44.07 $25.80 $43.65 $25.76-1.0% 99213 $73.66 $51.74 $73.45 $51.59 $73.34 $51.52 99214 $108.16 $79.05 $108.20 $79.18 $108.40 $79.42 0.2% 0.3% 99215 $145.89 $112.11 $145.82 $111.78 $145.96 $112.69 0.1% 0.8%