October 9, 2025
Chronic pain is one of the most common reasons patients visit healthcare providers. From spinal injections to nerve ablations, pain management services require precise coding to avoid denials and ensure proper reimbursement.Β
Because pain management CPT codes cover a wide range of evaluation, injections, and interventional procedures, accurate billing is essential for compliance and revenue cycle efficiency.
Pain management CPT codes are medical billing codes that describe evaluations, injections, nerve blocks, ablations, and chronic care services to manage pain.Β
These codes range from office visits (99202β99215) to advanced procedures like RFA (64635) and medial branch blocks (64490).
Used for office visits, follow-ups, and chronic pain management planning.
Applied for nerve blocks, epidural steroid injections, and peripheral nerve injections.
Common for long-term pain relief in patients with spinal pain.
Category | CPT Codes | Examples |
Evaluation | 99202β99215 | Office visits |
Chronic Pain Mgmt | 99424β99425, G2002βG3003 | Ongoing care planning |
Injections | 64400β64450, 62320β62327 | Nerve blocks, epidurals |
RFA (Ablation) | 64633β64636, 64635 | Facet joint ablation |
Medications | 90688, 90690, 91120 | Opioid/non-opioid injections |
Advanced Procedures | 63650, 64479 | Stimulator implants, dry needling |
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The pain management CPT codes are broad and evolving. Accurate coding ensures compliance with payer rules, supports fair reimbursement, and avoids denials. Since chronic pain patients often require multiple interventions, careful documentation of medical necessity and correct CPT selection are critical.
Cures Medical Billing helps pain specialists and interventional practices streamline billing, apply the right modifiers, and prevent costly errors.
Contact us today to improve your pain management billing and maximize reimbursements in 2025.
The common CPT code for radiofrequency ablation (RFA) is 64635 for lumbar/sacral facet joint denervation.
Use 99424β99425 for chronic pain management visits. Medicare also uses G2002βG3003 for chronic pain care.
Yes. Depending on payer rules, modifiers (e.g., 25, 59, 51) may apply when procedures are performed together or alongside an E/M visit.
The most common pain management CPT codes include office visits (99202β99215), chronic pain management (99424β99425), epidural steroid injections (62320β62327), medial branch blocks (64490β64492), and radiofrequency ablation (64633β64636). These codes help providers document and bill accurately for both diagnostic and therapeutic pain procedures.
CPT 64635 is used for radiofrequency ablation (RFA) of lumbar or sacral facet joints, targeting one level. This procedure is typically performed to relieve chronic back pain caused by facet joint arthritis. If additional levels are treated, add-on code 64636 is reported.
CPT 64490 is for a medial branch block in the cervical or thoracic spine, usually performed for facet joint pain diagnosis and relief. In contrast, CPT 64450 covers a peripheral nerve block (other than the sciatic or femoral nerve) for localized pain outside the spinal region.
Yes. CPT 62320 is for an epidural steroid injection in the cervical or thoracic spine without imaging guidance, while CPT 62321 includes fluoroscopic or CT guidance. Both are used in pain management, but documentation of imaging is critical for correct coding.
Accurate documentation supports medical necessity, specifies the procedure site, laterality, and technique, and ensures correct modifier use. Without detailed notes, claims for pain management services like nerve blocks, RFA, or epidurals are more likely to face denials or underpayments.
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