CPT code 62264 represents epidural neurolysis (commonly called a Racz catheter procedure), a targeted interventional pain treatment in which a catheter or chemical agent is placed in the epidural space under imaging guidance to disrupt adhesions. The code captures procedures performed across multiple sessions on the same day and is used in managing refractory epidural adhesions that contribute to chronic radicular pain. Nationally, this procedure is important because it bridges conservative care and more invasive spinal surgery, often influencing utilization and cost patterns for chronic spine pain.

Key payers covered in this analysis include Aetna, Blue Cross Blue Shield, Cigna Health, UnitedHealthcare, and Medicare. Readers will find a clinical and billing overview of the procedure, common places of service, and the elements that affect coding and payment. The publication summarizes typical billing contexts, highlights common modifiers used with this service (where provided), and outlines where clinicians and billing staff should confirm documentation and imaging support. The content also presents benchmarks and policy-relevant considerations affecting coverage and reimbursement, and provides clinical context to help payers and providers align coding with the intended service. Data not available in the input are noted where applicable.