Injection CPT codes

Radiofrequency ablation of the nerves supplying the sacroiliac joint, with fluoroscopic or CT guidance included in the code.

Radiofrequency or other thermal destruction of the nerves supplying one cervical or thoracic facet joint, with imaging guidance included in the code.

Radiofrequency or other thermal destruction of the nerves supplying one lumbar or sacral facet joint, with imaging guidance included in the code.

Needle aspiration from inside a spinal disc or nearby paravertebral tissue to get a sample for diagnosis, most often for suspected infection.

Injection of contrast into a lumbar disc for discography, reported per level, to test whether that disc reproduces the patient's back pain.

Injection of contrast into a cervical or thoracic disc for discography, per level, to see whether that disc reproduces the patient's pain.

Destruction of an intercostal nerve with a neurolytic agent such as alcohol or phenol, used for persistent chest wall or rib pain.

Aspiration and injection procedure to treat a bone cyst — fluid is drawn out and a therapeutic agent is injected to promote healing.

Transforaminal epidural injection of anesthetic, steroid, or both at one cervical or thoracic level, with fluoroscopic or CT guidance included.

Placement of an indwelling cervical or thoracic epidural or subarachnoid catheter for continuous or intermittent drug delivery, with fluoroscopic or CT guidance included in the service.

Destruction of a peripheral nerve or branch using a neurolytic agent — chemical, thermal, electrical, or radiofrequency — for pain relief.

Cervical or thoracic interlaminar epidural or subarachnoid injection of a drug such as a steroid, done with fluoroscopic or CT imaging guidance.

Placement of an indwelling lumbar or sacral epidural or subarachnoid catheter for continuous infusion or repeated bolus drug delivery, guided by fluoroscopy or CT.

Transforaminal epidural injection of anesthetic, steroid, or both at one lumbar or sacral level, with fluoroscopic or CT guidance included.

Placement of an indwelling catheter in the cervical or thoracic epidural or subarachnoid space for continuous infusion or repeated bolus dosing, done without fluoroscopic or CT guidance.

Injection of anesthetic or steroid into a cervical or thoracic facet joint, or at the medial branch nerves supplying it, at a single level with imaging guidance.

Interlaminar epidural or subarachnoid injection of a drug such as a steroid in the cervical or thoracic spine, done without imaging guidance.

Single interlaminar epidural or subarachnoid injection at a lumbar or sacral level, performed under fluoroscopic or CT guidance, delivering a steroid, anesthetic, or other non-neurolytic drug.

Single interlaminar injection into the lumbar or sacral epidural or subarachnoid space, done without fluoroscopic or CT guidance, for diagnostic or therapeutic drugs such as a steroid or anesthetic.

Botulinum toxin chemodenervation of neck muscles for cervical dystonia, reported once per session regardless of how many neck muscles are injected, excluding the larynx.

Injection of anesthetic or steroid into a lumbar or sacral facet joint, or at the medial branch nerves supplying it, at one level with imaging guidance.

Injection of anesthetic, steroid, or both around the nerves that supply the sacroiliac joint, performed under fluoroscopic or CT guidance.

Injection into the hip joint with anesthesia to introduce contrast material for arthrographic imaging of the hip.

Injection into the sacroiliac joint with fluoroscopic or CT image guidance, including arthrography when performed.

Injection of contrast material into the wrist joint to enable radiographic imaging (arthrography) of the wrist structures.

Single-shot injection of anesthetic, steroid, or both around the femoral nerve, with imaging guidance included when it is used.

Injection of contrast material into the elbow joint cavity in preparation for arthrographic imaging.

Injection of contrast material into the hip joint to enable arthrographic X-ray imaging, performed without anesthesia.

Therapeutic injection into a sinus tract — instilling medication directly into the pathologic channel to treat ongoing infection or inflammation.

Add-on for each additional cervical or thoracic level injected during a transforaminal epidural injection session, with imaging guidance included.

Add-on for a second cervical or thoracic facet joint or medial branch level injected during the same session, with imaging guidance included.

Add-on for a third or later cervical or thoracic facet joint or medial branch level injected in one session, with imaging guidance included.

Add-on for each additional lumbar or sacral facet joint whose nerves are destroyed by radiofrequency or other thermal method in the same session.

Aspiration or injection of a major joint or bursa performed under real-time ultrasound guidance, with permanent image documentation.

Enzyme injection into a palmar fascial cord to dissolve Dupuytren's contracture tissue — day-one component of a two-stage CCH treatment protocol.

Aspiration and/or injection of an intermediate joint or bursa — such as the wrist, elbow, ankle, acromioclavicular, temporomandibular, or olecranon bursa — performed with real-time ultrasound guidance and permanent image recording and reporting.

Injection of contrast agent into the glenohumeral joint to enable shoulder arthrography imaging — covers needle placement, contrast administration, and fluoroscopic confirmation of intra-articular position.

Add-on code for each additional lumbar or sacral level of a transforaminal epidural steroid injection, with fluoroscopic or CT guidance included in the payment.

Add-on for a second lumbar or sacral facet joint or medial branch level injected during the same session, with imaging guidance included.

Add-on for a third or later lumbar or sacral facet joint or medial branch level injected in one session, with imaging guidance included.

Injection of contrast material into the ankle joint to enable arthrographic imaging; the injection procedure component only, reported separately from the radiologic supervision and interpretation.

Therapeutic injection into the carpal tunnel, typically delivering corticosteroid with or without local anesthetic to reduce median nerve compression symptoms.

Injection of a local anesthetic, steroid, or both around the greater occipital nerve, usually for occipital neuralgia or cervicogenic headache.

Arthrocentesis, aspiration and/or injection of a small joint or bursa (e.g., fingers, toes) performed with ultrasound guidance, including permanent image recording and reporting.

Injection procedure into the temporomandibular joint (TMJ) performed specifically to facilitate arthrographic imaging of the joint space.

Aspiration and/or injection of a major joint or bursa (shoulder, hip, knee, or subacromial bursa) performed without ultrasound guidance.

Injection of contrast material into the knee joint in preparation for contrast knee arthrography, contrast-enhanced CT arthrography, or contrast-enhanced MRI arthrography.

Injection of contrast material into a sinus tract for diagnostic sinography (X-ray visualization of the tract's extent and communication).

Injection into a single tendon sheath, ligament, or aponeurosis (such as the plantar fascia) — one anatomical site per unit.

Injection of a therapeutic substance into the origin or insertion point of a single tendon, used to treat tendinitis, enthesopathy, or localized inflammation at the bone-tendon junction.

Injection of anesthetic agent and/or steroid into the plantar common digital nerve(s), typically for Morton's neuroma treatment or diagnosis.

Injection(s) into trigger points spanning three or more muscles during a single session

Injection of anesthetic, steroid, or both around a peripheral nerve or branch that does not have its own specific nerve block code.

Aspiration and/or injection of a ganglion cyst, any anatomic location — one code covers both aspiration and injection when performed at the same encounter.

Aspiration and/or injection of an intermediate joint or bursa — such as the wrist, elbow, ankle, acromioclavicular joint, or olecranon bursa — performed without ultrasound guidance.

Injection(s) into one or two muscles for single or multiple trigger points at a single session.

Needle aspiration and/or injection of a small joint or bursa — such as a finger or toe joint — performed without ultrasound guidance.

Injection of medication directly into skin lesions, covering up to and including seven lesions at one session.

Dry needling of trigger points in 3 or more muscles using needle insertion without injection of any substance.

Administration of a drug by injection under the skin or into a muscle for treatment, prevention, or diagnosis, with the drug itself billed separately.