Find policies, billing codes, payers, states, and providers
CPT 62263: Epidural Neurolysis (Adhesiolysis) with Catheter
CPT code 62263 represents epidural neurolysis (adhesiolysis) performed by placing a catheter or introducing a chemical agent to disrupt epidural adhesions, typically using imaging guidance across multiple sessions and days. This interventional pain management procedure addresses chronic radicular pain and failed back surgery syndrome where epidural scarring limits conservative treatments. Nationally, accurate use of this code matters for appropriate billing, clinical documentation, and alignment with payer policies for multi‑session interventional care.
Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a concise overview of how the procedure is defined in coding terms, typical settings of care, and the clinical context in which the code is used. The publication also presents benchmark considerations, payer coverage patterns, and recent policy updates affecting authorization and documentation expectations. Clinical context covers indications, procedural workflow, and imaging requirements that commonly influence coding and reimbursement.
This summary is written for a national audience to support clinicians, coding professionals, and policy analysts seeking clear, actionable information about CPT code 62263 and its role in interventional spine care.
Customize your policy alerts
Sign up for cpt 62263 policy alerts
Get alerted when payer policies referencing 62263 are released or updated.
Monitor payer policy activity
Billing Code Overview
CPT code 62263 describes placement of a catheter or introduction of a chemical substance into an epidural adhesion to remove the adhesion (commonly called a Racz catheter procedure or epidural neurolysis). The procedure uses imaging to identify the site of adhesions and is performed over more than one session and more than one day.
-
Service type: Interventional pain management procedure (epidural neurolysis/adhesiolysis)
-
Typical site of service: Hospital outpatient department or ambulatory surgery center, where imaging guidance and multi‑session care can be provided.