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62323Pain Management

Lumbar epidural steroid injection (with imaging guidance)

Prior authorization
Commonly required

What this is, in plain language

An injection of steroid medication near the nerves in the lower back, done under fluoroscopy or CT guidance, to reduce inflammation.

Why a clinician orders it

Radiating leg pain from a pinched nerve or disc problem that has not improved with conservative care.

Medical necessity — what insurers usually look at

Most insurers require documentation of conservative treatment and imaging consistent with the pain pattern. Plans often limit how many injections may be done per year (commonly 3–4).

Documentation to ask about

  • MRI or CT findings consistent with symptoms
  • Conservative treatment tried
  • Prior injection history and response

Questions for your provider

  • ?Is prior authorization in progress?
  • ?How many injections does my plan allow per year?
  • ?Is the procedure being done at a facility that is in my network?

Why this code is in our seed set

Most-billed lumbar epidural injection code; included in the CMS Top 200 Ranked by Services.

Validated against

  • CMS Top 200 Level I CPT Codes Ranked by Services
  • ASA / ASRA guidance on epidural steroid injections
  • AMA CPT code 62323 descriptor

Terms you'll see

Medical NecessityRead more →

The insurer is reviewing whether the service is clinically appropriate for your situation.

Prior AuthorizationRead more →

Some services may need plan approval before they are performed.

Conservative TreatmentRead more →

Lower-risk care that insurers may want documented before a bigger procedure.

Important: AuraCode is an educational tool. It does not provide medical, legal, or insurance advice, claims decisions, or approval guarantees. Final coverage depends on your specific plan, eligibility, diagnosis, submitted documentation, and your insurer's review.