CPT code 62320: Epidural injection, cervical or thoracic, no imaging2026 Medicare rate & RVUs in Hawaii, Guam, HI
Reports a cervical or thoracic interlaminar injection of a diagnostic or therapeutic substance when the procedure is performed without imaging guidance.
In Hawaii, Guam, HI, Medicare pays $174.12 for 62320 in the office and $87.91 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62320 nationwide
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 11 sections
What 62320 covers
This code covers an interlaminar injection into the cervical or thoracic epidural or subarachnoid space using a diagnostic or therapeutic substance, such as local anesthetic or steroid. It is commonly performed by pain medicine physicians, anesthesiologists, or other clinicians treating cervical radicular pain or thoracic spinal pain in an outpatient setting. The service includes needle or catheter placement for the injection, but it is not the code for ongoing infusion through an indwelling catheter. Imaging guidance is not included.
Report the code when documentation identifies the cervical or thoracic region, interlaminar approach, injected substance and clinical purpose, and confirms that imaging guidance was not used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others by 50%. Medicare does not pay an assistant-at-surgery claim for this code; co-surgeons and team surgery are not permitted.
This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.
How Hawaii, Guam, HI compares for 62320
Across 109 of 109 payment localities, the office rate for 62320 runs from $146.46 in Arkansas to $210.13 in San Benito County, CA. Hawaii, Guam, HI pays $174.12. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Hawaii, Guam, HI · this page$174.12
- Los Angeles, CA · California$181.63+$7.51
- Washington, DC area · District of Columbia$185.05+$10.93
- Miami, FL · Florida$178.40+$4.28
- Chicago, IL · Illinois$173.65−$0.47
- Manhattan, NY · New York$187.39+$13.27
- Alaska · Alaska$196.27+$22.15
Other areas in Hawaii first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $148.39 | $82.04 |
| ArkansasArkansas | $146.46 | $81.33 |
| ArizonaArizona | $159.62 | $86.15 |
| Bakersfield, CACalifornia | $171.43 | $88.34 |
| Chico, CACalifornia | $170.80 | $87.71 |
| El Centro, CACalifornia | $170.84 | $87.74 |
| Fresno, CACalifornia | $170.80 | $87.71 |
| Hanford, CACalifornia | $170.80 | $87.71 |
| Madera, CACalifornia | $170.80 | $87.71 |
| Merced, CACalifornia | $170.80 | $87.71 |
| Modesto, CACalifornia | $170.80 | $87.71 |
| Napa, CACalifornia | $195.04 | $95.11 |
| Oxnard, CACalifornia | $180.48 | $90.86 |
| Redding, CACalifornia | $170.80 | $87.71 |
| Rest of CaliforniaCalifornia | $170.80 | $87.71 |
| Riverside, CACalifornia | $173.09 | $89.99 |
| Sacramento, CACalifornia | $178.48 | $90.30 |
| Salinas, CACalifornia | $177.79 | $89.92 |
| San Diego, CACalifornia | $181.40 | $90.72 |
| Marin County, CACalifornia | $205.58 | $98.67 |
| San Francisco, CACalifornia | $205.34 | $98.43 |
| San Benito County, CACalifornia | $210.13 | $100.80 |
| Santa Clara County, CACalifornia | $209.16 | $99.82 |
| San Luis Obispo, CACalifornia | $175.01 | $88.65 |
| Santa Cruz, CACalifornia | $182.69 | $90.56 |
| Santa Maria, CACalifornia | $178.30 | $89.90 |
| Santa Rosa, CACalifornia | $184.49 | $91.38 |
| Stockton, CACalifornia | $170.80 | $87.71 |
| Vallejo, CACalifornia | $194.69 | $94.76 |
| Visalia, CACalifornia | $170.80 | $87.71 |
| Yuba City, CACalifornia | $170.80 | $87.71 |
| ColoradoColorado | $169.10 | $88.42 |
| ConnecticutConnecticut | $173.85 | $92.19 |
| DelawareDelaware | $162.08 | $87.17 |
| Fort Lauderdale, FLFlorida | $170.60 | $93.80 |
| Rest of FloridaFlorida | $162.89 | $90.40 |
| Atlanta, GAGeorgia | $166.82 | $89.78 |
| Rest of GeorgiaGeorgia | $154.44 | $86.81 |
| IowaIowa | $151.12 | $81.74 |
| IdahoIdaho | $152.14 | $82.38 |
| East St. Louis, ILIllinois | $162.95 | $93.19 |
| Rest of IllinoisIllinois | $159.10 | $89.88 |
| Suburban Chicago, ILIllinois | $172.13 | $94.27 |
| IndianaIndiana | $152.91 | $82.63 |
| KansasKansas | $150.79 | $82.25 |
| KentuckyKentucky | $152.21 | $84.80 |
| New Orleans, LALouisiana | $158.84 | $87.50 |
| Rest of LouisianaLouisiana | $152.12 | $85.01 |
| Metropolitan Boston, MAMassachusetts | $184.29 | $93.76 |
| Rest of MassachusettsMassachusetts | $168.37 | $88.53 |
| Baltimore area, MDMaryland | $173.41 | $92.06 |
| Rest of MarylandMaryland | $164.85 | $88.12 |
| Rest of MaineMaine | $153.18 | $83.43 |
| Southern Maine, MEMaine | $160.20 | $85.06 |
| Detroit, MIMichigan | $165.05 | $91.88 |
| Rest of MichiganMichigan | $156.06 | $86.83 |
| MinnesotaMinnesota | $161.56 | $83.55 |
| Metropolitan Kansas City, MOMissouri | $157.53 | $86.34 |
| Metropolitan St. Louis, MOMissouri | $158.98 | $86.80 |
| Rest of MissouriMissouri | $149.98 | $84.62 |
| MississippiMississippi | $148.23 | $82.95 |
| MontanaMontana | $163.65 | $87.83 |
| North CarolinaNorth Carolina | $154.58 | $83.84 |
| North DakotaNorth Dakota | $159.50 | $83.68 |
| NebraskaNebraska | $151.77 | $81.78 |
| New HampshireNew Hampshire | $166.80 | $87.87 |
| Northern New JerseyNew Jersey | $183.50 | $95.55 |
| Rest of New JerseyNew Jersey | $175.70 | $92.90 |
| New MexicoNew Mexico | $156.95 | $87.42 |
| NevadaNevada | $162.59 | $86.70 |
| NYC suburbs and Long Island, NYNew York | $191.93 | $101.78 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $177.08 | $94.06 |
| Queens, NYNew York | $188.34 | $98.72 |
| Rest of New YorkNew York | $156.69 | $84.66 |
| OhioOhio | $155.21 | $85.98 |
| OklahomaOklahoma | $151.63 | $83.92 |
| Portland, OROregon | $173.67 | $89.44 |
| Rest of OregonOregon | $161.19 | $85.67 |
| Metropolitan Philadelphia, PAPennsylvania | $170.09 | $91.16 |
| Rest of PennsylvaniaPennsylvania | $155.25 | $85.65 |
| Puerto RicoPuerto Rico | $164.64 | $87.98 |
| Rhode IslandRhode Island | $167.25 | $88.93 |
| South CarolinaSouth Carolina | $155.17 | $85.12 |
| South DakotaSouth Dakota | $159.01 | $83.19 |
| TennesseeTennessee | $151.51 | $82.59 |
| Austin, TXTexas | $168.66 | $88.44 |
| Beaumont, TXTexas | $154.36 | $85.36 |
| Brazoria, TXTexas | $161.71 | $86.57 |
| Dallas, TXTexas | $162.81 | $87.29 |
| Fort Worth, TXTexas | $161.92 | $87.16 |
| Galveston, TXTexas | $162.24 | $86.95 |
| Houston, TXTexas | $166.09 | $90.80 |
| Rest of TexasTexas | $157.99 | $86.04 |
| UtahUtah | $157.08 | $85.81 |
| VirginiaVirginia | $159.94 | $85.41 |
| Virgin Islands, VIUnited States Virgin Islands | $164.64 | $87.98 |
| VermontVermont | $159.22 | $84.16 |
| Rest of WashingtonWashington | $167.94 | $88.10 |
| King County, WAWashington | $187.54 | $94.50 |
| WisconsinWisconsin | $154.70 | $82.06 |
| West VirginiaWest Virginia | $153.87 | $87.98 |
| WyomingWyoming | $161.84 | $86.02 |
62320 rates by state
Office rate range in each state. Select a state to see its payment localities.
Explore a state
Local rates. Clear comparisons.
Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.
$146.46
$196.27
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $196.27 | 1 |
| AL | $148.39 | 1 |
| AR | $146.46 | 1 |
| AZ | $159.62 | 1 |
| CA | $170.80–$210.13 | 29 |
| CO | $169.10 | 1 |
| CT | $173.85 | 1 |
| DC | $185.05 | 1 |
| DE | $162.08 | 1 |
| FL | $162.89–$178.40 | 3 |
| GA | $154.44–$166.82 | 2 |
| GU | $174.12 | 1 |
| HI | $174.12 | 1 |
| IA | $151.12 | 1 |
| ID | $152.14 | 1 |
| IL | $159.10–$173.65 | 4 |
| IN | $152.91 | 1 |
| KS | $150.79 | 1 |
| KY | $152.21 | 1 |
| LA | $152.12–$158.84 | 2 |
| MA | $168.37–$184.29 | 2 |
| MD | $164.85–$185.05 | 3 |
| ME | $153.18–$160.20 | 2 |
| MI | $156.06–$165.05 | 2 |
| MN | $161.56 | 1 |
| MO | $149.98–$158.98 | 3 |
| MS | $148.23 | 1 |
| MT | $163.65 | 1 |
| NC | $154.58 | 1 |
| ND | $159.50 | 1 |
| NE | $151.77 | 1 |
| NH | $166.80 | 1 |
| NJ | $175.70–$183.50 | 2 |
| NM | $156.95 | 1 |
| NV | $162.59 | 1 |
| NY | $156.69–$191.93 | 5 |
| OH | $155.21 | 1 |
| OK | $151.63 | 1 |
| OR | $161.19–$173.67 | 2 |
| PA | $155.25–$170.09 | 2 |
| PR | $164.64 | 1 |
| RI | $167.25 | 1 |
| SC | $155.17 | 1 |
| SD | $159.01 | 1 |
| TN | $151.51 | 1 |
| TX | $154.36–$168.66 | 8 |
| UT | $157.08 | 1 |
| VA | $159.94–$185.05 | 2 |
| VI | $164.64 | 1 |
| VT | $159.22 | 1 |
| WA | $167.94–$187.54 | 2 |
| WI | $154.70 | 1 |
| WV | $153.87 | 1 |
| WY | $161.84 | 1 |
How the 62320 rate is calculated
Each of 62320’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62320
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense2.93
2.93 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
4.9000
Conversion factor
$33.4009
Medicare rate
$163.66
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Hawaii, Guam, HI inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,964
- Code
- 62320
- Physician work
- 1.76
- Practice expense
- 2.93
- Malpractice
- 0.21
GPCI2026.csv
46
- Locality
- Hawaii, Guam, HI
- Physician work
- 1.000
- Practice expense
- 1.137
- Malpractice
- 0.579
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 2.93 | × 1.137 | 3.3314 |
| Malpractice | 0.21 | × 0.579 | 0.1216 |
| Total RVUs | 5.2130 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Hawaii, Guam, HI$174.12
Office: (1.76 × 1 + 2.93 × 1.137 + 0.21 × 0.579) × $33.4009 = $174.12
Facility: (1.76 × 1 + 0.66 × 1.137 + 0.21 × 0.579) × $33.4009 = $87.91
Payment rules and modifiers for 62320
The CMS indicators that decide how 62320 is paid alongside other services.
CMS payment indicators · 62320
Epidural injection, cervical or thoracic, no imaging
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62320 without 51 · national office
$163.66
Epidural injection, cervical or thoracic, no imaging
62320-51 · Second procedure: 50%
$81.83
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
How 62320 has changed in Hawaii, Guam, HI
62320 · Office / nonfacility
$174.12
Effective 2026-10-01
The base rate is $10.64 higher than on 2025-10-01, moving from $163.48 to $174.12 (6.5%).
It is unchanged from the immediately preceding available release, effective 2026-07-01.
One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.
What changed, release by release
January 1, 2026
RVU26A
$163.48changed to$174.12
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.80 changed to 1.76
- Practice expense RVU 2.71 changed to 2.93
- Malpractice RVU 0.25 changed to 0.21
- Practice expense GPCI 1.149 changed to 1.137
- Malpractice GPCI 0.561 changed to 0.579
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$174.36changed to$163.48
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.87 changed to 2.71
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$171.51changed to$174.36
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$178.86changed to$171.51
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.89 changed to 2.87
- Malpractice RVU 0.26 changed to 0.25
- Work GPCI 1.003 changed to 1.000
- Practice expense GPCI 1.146 changed to 1.149
- Malpractice GPCI 0.618 changed to 0.561
January 1, 2023
RVU23A
$182.04changed to$178.86
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.87 changed to 2.89
- Malpractice RVU 0.24 changed to 0.26
- Work GPCI 1.010 changed to 1.003
- Practice expense GPCI 1.143 changed to 1.146
- Malpractice GPCI 0.675 changed to 0.618
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$183.88changed to$182.04
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.89 changed to 2.87
- Malpractice RVU 0.22 changed to 0.24
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$180.60changed to$183.88
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.69 changed to 2.89
- Malpractice RVU 0.18 changed to 0.22
- Work GPCI 1.006 changed to 1.010
- Practice expense GPCI 1.144 changed to 1.143
- Malpractice GPCI 0.644 changed to 0.675
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$180.81changed to$180.60
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.72 changed to 2.69
- Malpractice RVU 0.16 changed to 0.18
- Work GPCI 1.001 changed to 1.006
- Practice expense GPCI 1.146 changed to 1.144
- Malpractice GPCI 0.614 changed to 0.644
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$182.87changed to$180.81
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.78 changed to 2.72
- Malpractice RVU 0.15 changed to 0.16
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$182.66changed to$182.87
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.73 changed to 2.78
- Malpractice RVU 0.22 changed to 0.15
- Work GPCI 1.002 changed to 1.001
- Practice expense GPCI 1.154 changed to 1.146
- Malpractice GPCI 0.616 changed to 0.614
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$182.66
Held through RVU17B, RVU17C, RVU17D.
January 1, 2013
RVU13AR
Earliest loaded release: No rate
Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.
| Effective from | Office | Facility | CMS release |
|---|---|---|---|
| 2026-10-01 | $174.12 | $87.91 | RVU26D |
| 2026-07-01 | $174.12 | $87.91 | RVU26C |
| 2026-04-01 | $174.12 | $87.91 | RVU26B |
| 2026-01-01 | $174.12 | $87.91 | RVU26A |
| 2025-10-01 | $163.48 | $96.58 | RVU25D |
| 2025-07-01 | $163.48 | $96.58 | RVU25C |
| 2025-04-01 | $163.48 | $96.58 | RVU25B |
| 2025-01-01 | $163.48 | $96.58 | RVU25A |
| 2024-10-01 | $174.36 | $100.16 | RVU24D |
| 2024-07-01 | $174.36 | $100.16 | RVU24C |
| 2024-04-01 | $174.36 | $100.16 | RVU24B |
| 2024-03-09 | $174.36 | $100.16 | RVU24AR |
| 2024-01-01 | $171.51 | $98.52 | RVU24A |
| 2023-10-01 | $178.86 | $102.35 | RVU23D |
| 2023-07-01 | $178.86 | $102.35 | RVU23C |
| 2023-04-01 | $178.86 | $102.35 | RVU23B |
| 2023-01-01 | $178.86 | $102.35 | RVU23A |
| 2022-10-01 | $182.04 | $103.72 | RVU22D |
| 2022-07-01 | $182.04 | $103.72 | RVU22C |
| 2022-04-01 | $182.04 | $103.72 | RVU22B |
| 2022-01-01 | $182.04 | $103.72 | RVU22A |
| 2021-10-01 | $183.88 | $103.32 | RVU21D |
| 2021-07-01 | $183.88 | $103.32 | RVU21C |
| 2021-04-01 | $183.88 | $103.32 | RVU21B |
| 2021-01-01 | $183.88 | $103.32 | RVU21A |
| 2020-10-01 | $180.60 | $105.87 | RVU20D |
| 2020-07-01 | $180.60 | $105.87 | RVU20C |
| 2020-04-01 | $180.60 | $105.87 | RVU20B |
| 2020-01-01 | $180.60 | $105.87 | RVU20A |
| 2019-10-01 | $180.81 | $105.23 | RVU19D |
| 2019-07-01 | $180.81 | $105.23 | RVU19C |
| 2019-04-01 | $180.81 | $105.23 | RVU19B |
| 2019-01-01 | $180.81 | $105.23 | RVU19A |
| 2018-10-01 | $182.87 | $106.13 | RVU18D |
| 2018-07-01 | $182.87 | $106.13 | RVU18C |
| 2018-04-01 | $182.87 | $106.13 | RVU18B |
| 2018-01-01 | $182.87 | $106.13 | RVU18AR1 |
| 2017-10-01 | $182.66 | $107.69 | RVU17D |
| 2017-07-01 | $182.66 | $107.69 | RVU17C |
| 2017-04-01 | $182.66 | $107.69 | RVU17B |
| 2017-01-01 | $182.66 | $107.69 | RVU17A |
| 2016-10-01 | Not in this release | Not in this release | RVU16D |
| 2016-07-01 | Not in this release | Not in this release | RVU16C |
| 2016-04-01 | Not in this release | Not in this release | RVU16B |
| 2016-01-01 | Not in this release | Not in this release | RVU16A |
| 2015-10-01 | Not in this release | Not in this release | RVU15D |
| 2015-07-01 | Not in this release | Not in this release | RVU15C |
| 2015-04-01 | Not in this release | Not in this release | RVU15B |
| 2015-01-01 | Not in this release | Not in this release | RVU15A |
| 2014-10-01 | Not in this release | Not in this release | RVU14D |
| 2014-07-01 | Not in this release | Not in this release | RVU14C |
| 2014-04-01 | Not in this release | Not in this release | RVU14B |
| 2014-01-01 | Not in this release | Not in this release | RVU14A |
| 2013-10-01 | Not in this release | Not in this release | RVU13D |
| 2013-07-01 | Not in this release | Not in this release | RVU13C |
| 2013-04-01 | Not in this release | Not in this release | RVU13B |
| 2013-01-01 | Not in this release | Not in this release | RVU13AR |
Where the Hawaii, Guam, HI rate applies
Hawaii, Guam, HI is a Medicare payment area, not a city. Our Census mapping connects it to 163 cities and communities in Hawaii. Some span more than one payment area; confirm with the service ZIP.
- Ahuimanu
- Aiea
- Ainaloa
- Anahola
- Black Sands
- Captain Cook
- Discovery Harbour
- East Honolulu
62320 billing questions
When should 62321 be reported instead?
No. The service is reported without imaging guidance; use the corresponding image-guided code when imaging is used.
How does 62320 differ from a catheter infusion code?
62320 reports an injection, including placement needed to deliver it. A cervical or thoracic service using an indwelling catheter for continuous infusion or intermittent bolus is represented by 62324 without imaging or 62325 with imaging.
What documentation supports reporting 62320?
Document the cervical or thoracic site, interlaminar approach, substance injected, clinical purpose, and whether imaging guidance was used.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant-at-surgery claim for 62320, and co-surgeon or team-surgery billing is not permitted.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
Fee sheets · Coming soon
Put 62320 and the rest of your codes on one sheet
Your codes at your locality, with payer contracts beside Medicare.
Join the waitlist