Ask Dr. Z

Could you please resolve a coding issue btw coders. Is the below procedure CPT 62321 or 64479. And the reason for the code selection. Thank you! History of previous cervical spine injury. Exam consistent with an element of right C6 & C7 nerve root irritation. MRI documented pathology with foraminal compromise. A sterile prep of the cervical/thoracic spine. A local wheal was raised over the T2-3 interspace. Utilizing the LOR technique, a 15 gauge, epidural needle was advanced into the epidural space toward the ipsilateral side of the patient's pain. Negative aspiration for heme and CSF observed. A soft navigable epidural catheter was threaded under fluoroscopic guidance to each appropriate level/nerve root exit site. (right C6 & C&) and a total of 3mg of dexamethasone and lidocaine was gently and slowly injected toward the foraminal opening of each respective nerve root exit after a small of contrast confirmed proper placement in the epidural space along the ipsilateral side of the patients pain as well as at the level of suspected pathology.