62263 Percutaneous lysis of epidural adhesions using solution injection (e.g., hypertonic saline, enzyme) or mechanical means (e.g., catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 2 or more days
62264 Percutaneous lysis of epidural adhesions using solution injection (e.g., hypertonic saline, enzyme) or mechanical means (e.g., catheter) including radiologic localization (includes contrast when administered), multiple adhesiolysis sessions; 1 day
BCBS of Kansas has updated its policy, limiting payment for lysis of epidural adhesions, considering them investigational.
POLICY
Catheter-based techniques for lysis of epidural adhesions, with or without endoscopic guidance, are considered experimental / investigational. Techniques used either alone or in combination include mechanical disruption with a catheter and/or injection of hypertonic solutions with corticosteroids, analgesics, or hyaluronidase.
DIAGNOSIS
Experimental / Investigational for all diagnoses related to this medical policy.
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Editor: Philip Blann (pblann@anesthesiabilling.com).
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