CPT code 62322: Epidural injection, lumbar or sacral, no imaging2026 Medicare rate & RVUs in Guam
Reports a lumbar or sacral interlaminar epidural or subarachnoid injection of a diagnostic or therapeutic substance when imaging guidance is not used.
Medicare pays $155.87 for 62322 in the office in Guam (Hawaii, Guam, HI). 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 62322 covers
A physician or other qualified clinician uses an interlaminar approach to deliver a diagnostic or therapeutic substance into the lumbar or sacral epidural or subarachnoid space. Common examples include a lumbar epidural steroid injection for radicular pain or a caudal injection for low back or leg symptoms. The service includes needle placement and may include placement of an indwelling catheter; it is not for injection of a neurolytic substance. Imaging guidance is not used for this code.
Select 62322 for the lumbar or sacral site and an injection service without imaging guidance; document the approach, site, substance, indication, and whether imaging was used. The service has a 0-day global period, so same-day preoperative and postoperative care is included. 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. Medicare does not pay for an assistant at surgery for this service, and 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.
62322 in Hawaii, Guam, HI
| Payment locality | Office | Facility |
|---|---|---|
| Hawaii, Guam, HI | $155.87 | $74.60 |
How the 62322 rate is calculated
Each of 62322’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 · 62322
RVUs × geographic indexes × conversion factor
Work1.51
1.51 RVUs× 1.000 GPCI
Practice expense2.70
2.70 RVUs× 1.000 GPCI
Malpractice0.15
0.15 RVUs× 1.000 GPCI
Adjusted RVUs
4.3600
Conversion factor
$33.4009
Medicare rate
$145.63
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62322
The CMS indicators that decide how 62322 is paid alongside other services.
CMS payment indicators · 62322
Epidural injection, lumbar or sacral, 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
62322 without 51 · national office
$145.63
Epidural injection, lumbar or sacral, no imaging
62322-51 · Second procedure: 50%
$72.82
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%).
62322 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62323Lumbar epidural injectionInterlaminar or caudal, with imaging guidance
- Both cover lumbar or sacral interlaminar injection services. Report 62323 when imaging guidance is used; report 62322 when it is not.
- 62320Epidural injectionCervical or thoracic, no imaging
- The approach and lack of imaging guidance are similar, but 62320 is for the cervical or thoracic region rather than the lumbar or sacral region.
- 62326Epidural injectionLumbar or sacral, catheter, no imaging
- 62326 describes a lumbar or sacral infusion or intermittent bolus service with imaging guidance; 62322 is an injection service without imaging guidance.
62322 billing questions
When should I report 62323 instead?
Use 62323 for a lumbar or sacral interlaminar injection when imaging guidance is used. Code 62322 describes the corresponding service without imaging guidance.
Can I separately report needle or catheter placement?
No. Needle placement and placement of an indwelling catheter are included in the injection service.
Does this code cover a continuous epidural infusion?
No. 62322 is for an injection service without imaging guidance, not a continuous infusion or intermittent bolus service. Consider 62326 when the lumbar or sacral service involves that infusion approach with imaging guidance.
What documentation supports 62322?
Record the lumbar or sacral site, interlaminar approach, injected substance, clinical indication, and that imaging guidance was not used.
Can an assistant surgeon or co-surgeon be reported?
Medicare does not pay for an assistant at surgery for 62322. 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
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