Anesthesia for Pain Management Injections

According to the American Society of Anesthesiologists and the International Spine Intervention Society, minor pain management procedures require only local anesthesia under most routine circumstances, including:

  • Epidural steroid injections
  • Epidural blood patch
  • Trigger point injections
  • Sacroiliac joint injections
  • Bursal injections
  • Occipital nerve block
  • Facet injections

Anesthesia and moderate sedation services (CPT codes 00300, 00400, 00600, 01935-01936, 01991-01992, 99152-99153, 99156-99157) billed with pain management services (CPT codes 20552, 20553, 27096, 62273, 62320-62323, 64405, 64479, 64480, 64483, 64484, 64490-64495, 0228T, 0229T, 0230T, 0231T, G0260) for a patient age 18 or older will be denied without the presence of a surgical procedure CPT code 10021-69990 (excluding a pain management procedure).