CPT code 62321: Epidural injection, cervical or thoracic, image-guided2026 Medicare rate & RVUs in Redding, CA

Reports an image-guided interlaminar cervical or thoracic epidural injection for diagnostic or therapeutic medication delivery without an indwelling infusion catheter.

CMS RVU26DEffective Oct 1, 2026One payment locality228.4K Medicare services in 2024

In Redding, CA, Medicare pays $294.73 for 62321 in the office and $96.32 when it’s performed in a hospital or facility.

$294.73Office (non-facility)
$96.32Hospital or facility
+6.6%vs the national office rate ($276.56)

Check a contract rate as a % of Medicare · 62321 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 62321 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Redding, CA
  2. What 62321 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 62321 covers

Anesthesiologists, interventional pain physicians, and other qualified clinicians use this service to deliver medication through an interlaminar approach in the cervical or thoracic spine. A common clinical situation is treatment of cervical radicular pain with an epidural steroid injection. Fluoroscopy or CT guides needle placement. The service covers an injection, rather than placement of an indwelling catheter for ongoing infusion.

Select the code based on the spinal region, interlaminar approach, use of imaging, and whether medication is delivered through a catheter. Documentation should identify the treated level, approach, imaging guidance, indication, and injected substance. Imaging guidance is included in this code. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Assistant-at-surgery payment is statutorily restricted; 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 Redding, CA compares for 62321

Across 109 of 109 payment localities, the office rate for 62321 runs from $244.44 in Arkansas to $372.28 in San Benito County, CA. Redding, CA pays $294.73. The RVUs are the same everywhere; the geographic indexes change the dollars.

62321 in Redding, CA vs other payment areas
  1. Redding, CA · this page$294.73
  2. Bakersfield, CA · California$295.29+$0.56
  3. Chico, CA · California$294.73
  4. El Centro, CA · California$294.76+$0.03
  5. Fresno, CA · California$294.73
  6. Hanford, CA · California$294.73
  7. Los Angeles, CA · California$315.04+$20.31

Other areas in California first, then benchmark localities. Bars start at $0.

Every other payment area

62321 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$294.73$96.32
Merced, CACalifornia$294.73$96.32
Modesto, CACalifornia$294.73$96.32
Napa, CACalifornia$343.45$104.85
Oxnard, CACalifornia$313.76$99.78
Rest of CaliforniaCalifornia$294.73$96.32
Riverside, CACalifornia$296.70$98.29
Sacramento, CACalifornia$309.81$99.27

62321 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.

$244.44

$333.51

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
62321 office rate range by state
State / territoryOffice rate rangeLocalities
AK$319.051
AL$248.061
AR$244.441
AZ$269.271
CA$294.73–$372.2829
CO$289.261
CT$295.041
DC$317.531
DE$273.781
FL$270.47–$294.243
GA$255.35–$281.272
GU$302.401
HI$302.401
IA$255.331
ID$256.821
IL$261.93–$287.244
IN$258.351
KS$253.701
KY$253.061
LA$252.49–$265.162
MA$287.33–$318.672
MD$279.19–$317.533
ME$257.72–$272.482
MI$259.32–$273.442
MN$278.331
MO$247.83–$266.633
MS$246.211
MT$276.551
NC$260.511
ND$272.991
NE$256.871
NH$284.301
NJ$298.73–$314.102
NM$260.581
NV$275.761
NY$264.42–$324.915
OH$258.591
OK$253.061
OR$273.95–$299.022
PA$259.25–$287.352
PR$278.751
RI$283.951
SC$259.921
SD$272.571
TN$254.931
TX$257.49–$288.018
UT$263.521
VA$271.27–$317.532
VI$278.751
VT$271.521
WA$286.92–$325.642
WI$263.701
WV$252.021
WY$275.001

See 62321 in every payment locality

How the 62321 rate is calculated

Each of 62321’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 · 62321

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.90

1.90 RVUs× 1.000 GPCI

Practice expense6.20

6.20 RVUs× 1.000 GPCI

Malpractice0.18

0.18 RVUs× 1.000 GPCI

Adjusted RVUs

8.2800

Conversion factor

$33.4009

Medicare rate

$276.56

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Redding, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,965

Code
62321
Physician work
1.90
Practice expense
6.20
Malpractice
0.18

GPCI2026.csv

19

Locality
Redding, CA
Physician work
1.017
Practice expense
1.096
Malpractice
0.536
Office calculation for 62321 in Redding, CA
ComponentRVULocality factorAdjusted
Physician work1.90× 1.0171.9323
Practice expense6.20× 1.0966.7952
Malpractice0.18× 0.5360.0965
Total RVUs8.8240
Conversion factor× 33.4009

Office rate, Redding, CA$294.73

Office: (1.9 × 1.017 + 6.2 × 1.096 + 0.18 × 0.536) × $33.4009 = $294.73

Facility: (1.9 × 1.017 + 0.78 × 1.096 + 0.18 × 0.536) × $33.4009 = $96.32

Open 62321 in the RVU calculator

Payment rules and modifiers for 62321

The CMS indicators that decide how 62321 is paid alongside other services.

CMS payment indicators · 62321

Epidural injection, cervical or thoracic, image-guided

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)9The concept doesn’t apply.
Assistant at surgery (80/81/82/AS)1Not paid (statutory restriction).
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62321 without 51 · national office

$276.56

Epidural injection, cervical or thoracic, image-guided

62321-51 · Second procedure: 50%

$138.28

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%).

When to use modifier 51

How 62321 has changed in Redding, CA

62321 · Office / nonfacility

$294.73

Effective 2026-10-01

The base rate is $28.46 higher than on 2025-10-01, moving from $266.27 to $294.73 (10.7%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

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
  1. January 1, 2026

    RVU26A

    $266.27changed to$294.73

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.95 changed to 1.90
    • Practice expense RVU 5.63 changed to 6.20
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $278.56changed to$266.27

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.75 changed to 5.63
    • Malpractice RVU 0.19 changed to 0.18

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $274.02changed to$278.56

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $279.98changed to$274.02

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.71 changed to 5.75
    • Work GPCI 1.021 changed to 1.014
    • Practice expense GPCI 1.079 changed to 1.093
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $286.09changed to$279.98

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.77 changed to 5.71
    • Malpractice RVU 0.20 changed to 0.19
    • Work GPCI 1.027 changed to 1.021
    • Practice expense GPCI 1.065 changed to 1.079
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $290.11changed to$286.09

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.82 changed to 5.77
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $278.18changed to$290.11

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.24 changed to 5.82
    • Malpractice RVU 0.18 changed to 0.19
    • Work GPCI 1.024 changed to 1.027
    • Practice expense GPCI 1.070 changed to 1.065
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $271.55changed to$278.18

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.08 changed to 5.24
    • Malpractice RVU 0.16 changed to 0.18
    • Work GPCI 1.020 changed to 1.024
    • Practice expense GPCI 1.074 changed to 1.070
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $265.84changed to$271.55

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.94 changed to 5.08

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $265.50changed to$265.84

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.87 changed to 4.94
    • Malpractice RVU 0.24 changed to 0.16
    • Work GPCI 1.024 changed to 1.020
    • Practice expense GPCI 1.079 changed to 1.074
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$265.50

    Held through RVU17B, RVU17C, RVU17D.

  12. 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.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$294.73$96.32RVU26D
2026-07-01$294.73$96.32RVU26C
2026-04-01$294.73$96.32RVU26B
2026-01-01$294.73$96.32RVU26A
2025-10-01$266.27$105.40RVU25D
2025-07-01$266.27$105.40RVU25C
2025-04-01$266.27$105.40RVU25B
2025-01-01$266.27$105.40RVU25A
2024-10-01$278.56$107.93RVU24D
2024-07-01$278.56$107.93RVU24C
2024-04-01$278.56$107.93RVU24B
2024-03-09$278.56$107.93RVU24AR
2024-01-01$274.02$106.17RVU24A
2023-10-01$279.98$108.13RVU23D
2023-07-01$279.98$108.13RVU23C
2023-04-01$279.98$108.13RVU23B
2023-01-01$279.98$108.13RVU23A
2022-10-01$286.09$109.92RVU22D
2022-07-01$286.09$109.92RVU22C
2022-04-01$286.09$109.92RVU22B
2022-01-01$286.09$109.92RVU22A
2021-10-01$290.11$111.00RVU21D
2021-07-01$290.11$111.00RVU21C
2021-04-01$290.11$111.00RVU21B
2021-01-01$290.11$111.00RVU21A
2020-10-01$278.18$112.90RVU20D
2020-07-01$278.18$112.90RVU20C
2020-04-01$278.18$112.90RVU20B
2020-01-01$278.18$112.90RVU20A
2019-10-01$271.55$112.08RVU19D
2019-07-01$271.55$112.08RVU19C
2019-04-01$271.55$112.08RVU19B
2019-01-01$271.55$112.08RVU19A
2018-10-01$265.84$112.34RVU18D
2018-07-01$265.84$112.34RVU18C
2018-04-01$265.84$112.34RVU18B
2018-01-01$265.84$112.34RVU18AR1
2017-10-01$265.50$114.87RVU17D
2017-07-01$265.50$114.87RVU17C
2017-04-01$265.50$114.87RVU17B
2017-01-01$265.50$114.87RVU17A
2016-10-01Not in this releaseNot in this releaseRVU16D
2016-07-01Not in this releaseNot in this releaseRVU16C
2016-04-01Not in this releaseNot in this releaseRVU16B
2016-01-01Not in this releaseNot in this releaseRVU16A
2015-10-01Not in this releaseNot in this releaseRVU15D
2015-07-01Not in this releaseNot in this releaseRVU15C
2015-04-01Not in this releaseNot in this releaseRVU15B
2015-01-01Not in this releaseNot in this releaseRVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 62321 for an earlier date of service

Where the Redding, CA rate applies

Redding, CA is a Medicare payment area, not a city. Our Census mapping connects it to 32 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • Redding
  • Anderson
  • Bella Vista
  • Big Bend
  • Burney
  • Cassel
  • Castella
  • Centerville

Browse all communities in California

62321 billing questions

When should 62321 be chosen over 62320?

Use 62321 for an interlaminar cervical or thoracic injection performed with imaging guidance. Code 62320 describes the corresponding service without imaging guidance.

How does 62321 differ from 62325?

62321 is for an injection without an indwelling catheter for ongoing infusion. 62325 is the image-guided cervical or thoracic catheter service for continuous infusion or intermittent bolus delivery.

Can imaging guidance be billed separately?

Imaging guidance is included in 62321. Do not separately report the guidance for this injection.

What documentation supports 62321?

Document the cervical or thoracic level, interlaminar approach, imaging guidance, clinical indication, and substance injected. The record should support that the service was an injection rather than indwelling catheter delivery.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in 62321's 0-day global period.

Can an assistant or co-surgeon be billed for 62321?

Assistant-at-surgery payment is statutorily restricted for this code. Co-surgeons and team surgery are 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
RVUs for 62321PPRRVU2026_Oct_nonQPP.csv, line 6,965 (RVU26D)
Geographic factors for Redding, CAGPCI2026.csv, line 19 (RVU26D)

Open CMS sourceHow we calculate rates

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