CPT code 62320: Epidural injection, cervical or thoracic, no imaging2026 Medicare rate & RVUs in Pennsylvania
Reports a cervical or thoracic interlaminar injection of a diagnostic or therapeutic substance when the procedure is performed without imaging guidance.
Medicare pays $155.25–$170.09 for 62320 in the office in Pennsylvania, from Rest of Pennsylvania to Metropolitan Philadelphia, PA. Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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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.
Where 62320 pays more and less in Pennsylvania
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Philadelphia, PA | $170.09 | $91.16 |
| Rest of Pennsylvania | $155.25 | $85.65 |
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.
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%).
62320 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 62321Epidural injectionCervical or thoracic, image-guided
- Both describe cervical or thoracic interlaminar injection, but 62321 includes imaging guidance; 62320 is for a procedure performed without it.
- 62322Epidural injectionLumbar or sacral, no imaging
- 62322 describes the no-imaging interlaminar injection in the lumbar or sacral region. Select 62320 for the cervical or thoracic region.
- 62324Epidural catheter injectionCervical or thoracic, no imaging
- 62324 is for cervical or thoracic administration through an indwelling catheter by continuous infusion or intermittent bolus. 62320 describes an injection rather than that catheter-based delivery.
- 62323Lumbar epidural injectionInterlaminar or caudal, with imaging guidance
- 62323 is the image-guided lumbar or sacral interlaminar injection. 62320 is cervical or thoracic and performed without imaging guidance.
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
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