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CPT 0628T: Lumbar Disc Cellular or Tissue Injection, Additional Level
CPT code 0628T captures fluoroscopically guided injections of cellular or tissue–based products into lumbar intervertebral discs for each additional level treated beyond the first level. As emerging biologic and cell-based spinal therapies expand, accurate coding for multi-level procedures is important for clinical documentation, payer adjudication, and national utilization monitoring. This code is relevant to hospital outpatient departments and ambulatory surgery centers where image-guided spinal interventions are performed.
Key payers addressed in national coverage discussions include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise explanation of the clinical service and coding scope, payer coverage context, and common billing considerations. The publication summarizes benchmarks and utilization patterns where available, highlights recent policy updates affecting biologic spinal injections, and situates 0628T within the broader interventional spine service line. The content is intended to inform coding professionals, billing administrators, and policy analysts about how this per-additional-level code is used and billed in contemporary practice. Data not available in the input for payor-specific rates, taxonomies, and ICD-10 pairings.
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Billing Code Overview
CPT code 0628T describes an image-guided injection of a cellular or tissue–based product into a lumbar intervertebral disc performed under fluoroscopic guidance. This code specifically reports each additional lumbar disc level injected after the first level; the injection may be performed on one side or both sides of the disc.
Service type: Injectable biologic/interventional spinal procedure
Typical site of service: Hospital outpatient department or ambulatory surgery center