CPT code 62322: Epidural injection, lumbar or sacral, no imaging2026 Medicare rate & RVUs in South Dakota
Reports a lumbar or sacral interlaminar epidural or subarachnoid injection of a diagnostic or therapeutic substance when imaging guidance is not used.
In South Dakota, Medicare pays $142.30 for 62322 in the office and $70.82 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62322 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 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.
How South Dakota compares for 62322
Across 109 of 109 payment localities, the office rate for 62322 runs from $130.48 in Arkansas to $188.71 in San Benito County, CA. South Dakota pays $142.30. The RVUs are the same everywhere; the geographic indexes change the dollars.
- South Dakota · this page$142.30
- Los Angeles, CA · California$162.52+$20.22
- Washington, DC area · District of Columbia$164.97+$22.67
- Miami, FL · Florida$156.99+$14.69
- Chicago, IL · Illinois$152.92+$10.62
- Manhattan, NY · New York$166.40+$24.10
- Alaska · Alaska$174.46+$32.16
Other areas in South Dakota first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $132.18 | $69.64 |
| ArkansasArkansas | $130.48 | $69.08 |
| ArizonaArizona | $142.11 | $72.85 |
| Bakersfield, CACalifornia | $153.28 | $74.94 |
| Chico, CACalifornia | $152.82 | $74.48 |
| El Centro, CACalifornia | $152.84 | $74.50 |
| Fresno, CACalifornia | $152.82 | $74.48 |
| Hanford, CACalifornia | $152.82 | $74.48 |
| Madera, CACalifornia | $152.82 | $74.48 |
| Merced, CACalifornia | $152.82 | $74.48 |
| Modesto, CACalifornia | $152.82 | $74.48 |
| Napa, CACalifornia | $175.02 | $80.81 |
| Oxnard, CACalifornia | $161.56 | $77.08 |
| Redding, CACalifornia | $152.82 | $74.48 |
| Rest of CaliforniaCalifornia | $152.82 | $74.48 |
| Riverside, CACalifornia | $154.46 | $76.12 |
| Sacramento, CACalifornia | $159.82 | $76.69 |
| Salinas, CACalifornia | $159.21 | $76.36 |
| San Diego, CACalifornia | $162.52 | $77.03 |
| Marin County, CACalifornia | $184.68 | $83.90 |
| San Francisco, CACalifornia | $184.51 | $83.73 |
| San Benito County, CACalifornia | $188.71 | $85.64 |
| Santa Clara County, CACalifornia | $188.02 | $84.94 |
| San Luis Obispo, CACalifornia | $156.70 | $75.28 |
| Santa Cruz, CACalifornia | $163.75 | $76.91 |
| Santa Maria, CACalifornia | $159.69 | $76.34 |
| Santa Rosa, CACalifornia | $165.38 | $77.60 |
| Stockton, CACalifornia | $152.82 | $74.48 |
| Vallejo, CACalifornia | $174.77 | $80.56 |
| Visalia, CACalifornia | $152.82 | $74.48 |
| Yuba City, CACalifornia | $152.82 | $74.48 |
| ColoradoColorado | $150.91 | $74.86 |
| ConnecticutConnecticut | $154.63 | $77.65 |
| DelawareDelaware | $144.29 | $73.67 |
| Fort Lauderdale, FLFlorida | $150.85 | $78.44 |
| Rest of FloridaFlorida | $144.18 | $75.85 |
| Atlanta, GAGeorgia | $148.23 | $75.61 |
| Rest of GeorgiaGeorgia | $136.85 | $73.09 |
| Hawaii, Guam, HIHawaii | $155.87 | $74.60 |
| IowaIowa | $134.94 | $69.54 |
| IdahoIdaho | $135.77 | $70.01 |
| East St. Louis, ILIllinois | $143.49 | $77.73 |
| Rest of IllinoisIllinois | $140.60 | $75.34 |
| Suburban Chicago, ILIllinois | $152.28 | $78.88 |
| IndianaIndiana | $136.47 | $70.21 |
| KansasKansas | $134.49 | $69.87 |
| KentuckyKentucky | $135.19 | $71.65 |
| New Orleans, LALouisiana | $140.99 | $73.73 |
| Rest of LouisianaLouisiana | $135.05 | $71.79 |
| Metropolitan Boston, MAMassachusetts | $164.64 | $79.30 |
| Rest of MassachusettsMassachusetts | $150.20 | $74.93 |
| Baltimore area, MDMaryland | $154.21 | $77.51 |
| Rest of MarylandMaryland | $146.80 | $74.47 |
| Rest of MaineMaine | $136.52 | $70.76 |
| Southern Maine, MEMaine | $142.97 | $72.13 |
| Detroit, MIMichigan | $145.91 | $76.93 |
| Rest of MichiganMichigan | $138.43 | $73.17 |
| MinnesotaMinnesota | $144.72 | $71.17 |
| Metropolitan Kansas City, MOMissouri | $140.01 | $72.89 |
| Metropolitan St. Louis, MOMissouri | $141.31 | $73.26 |
| Rest of MissouriMissouri | $133.05 | $71.44 |
| MississippiMississippi | $131.78 | $70.24 |
| MontanaMontana | $145.62 | $74.14 |
| North CarolinaNorth Carolina | $137.78 | $71.09 |
| North DakotaNorth Dakota | $142.65 | $71.17 |
| NebraskaNebraska | $135.57 | $69.59 |
| New HampshireNew Hampshire | $148.70 | $74.29 |
| Northern New JerseyNew Jersey | $163.58 | $80.66 |
| Rest of New JerseyNew Jersey | $156.43 | $78.37 |
| New MexicoNew Mexico | $139.15 | $73.60 |
| NevadaNevada | $144.88 | $73.33 |
| NYC suburbs and Long Island, NYNew York | $170.19 | $85.21 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $157.52 | $79.25 |
| Queens, NYNew York | $167.48 | $83.00 |
| Rest of New YorkNew York | $139.63 | $71.73 |
| OhioOhio | $137.82 | $72.56 |
| OklahomaOklahoma | $134.86 | $71.03 |
| Portland, OROregon | $155.16 | $75.75 |
| Rest of OregonOregon | $143.78 | $72.59 |
| Metropolitan Philadelphia, PAPennsylvania | $151.20 | $76.79 |
| Rest of PennsylvaniaPennsylvania | $137.96 | $72.34 |
| Puerto RicoPuerto Rico | $146.54 | $74.28 |
| Rhode IslandRhode Island | $149.02 | $75.18 |
| South CarolinaSouth Carolina | $138.02 | $71.98 |
| TennesseeTennessee | $135.10 | $70.13 |
| Austin, TXTexas | $150.39 | $74.76 |
| Beaumont, TXTexas | $137.16 | $72.11 |
| Brazoria, TXTexas | $144.12 | $73.28 |
| Dallas, TXTexas | $145.01 | $73.82 |
| Fort Worth, TXTexas | $144.17 | $73.70 |
| Galveston, TXTexas | $144.54 | $73.56 |
| Houston, TXTexas | $147.28 | $76.31 |
| Rest of TexasTexas | $140.54 | $72.71 |
| UtahUtah | $139.71 | $72.52 |
| VirginiaVirginia | $142.62 | $72.36 |
| Virgin Islands, VIUnited States Virgin Islands | $146.54 | $74.28 |
| VermontVermont | $142.25 | $71.49 |
| Rest of WashingtonWashington | $149.87 | $74.60 |
| King County, WAWashington | $167.70 | $80.00 |
| WisconsinWisconsin | $138.37 | $69.90 |
| West VirginiaWest Virginia | $135.97 | $73.86 |
| WyomingWyoming | $144.33 | $72.85 |
62322 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.
$130.48
$174.46
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 | $174.46 | 1 |
| AL | $132.18 | 1 |
| AR | $130.48 | 1 |
| AZ | $142.11 | 1 |
| CA | $152.82–$188.71 | 29 |
| CO | $150.91 | 1 |
| CT | $154.63 | 1 |
| DC | $164.97 | 1 |
| DE | $144.29 | 1 |
| FL | $144.18–$156.99 | 3 |
| GA | $136.85–$148.23 | 2 |
| GU | $155.87 | 1 |
| HI | $155.87 | 1 |
| IA | $134.94 | 1 |
| ID | $135.77 | 1 |
| IL | $140.60–$152.92 | 4 |
| IN | $136.47 | 1 |
| KS | $134.49 | 1 |
| KY | $135.19 | 1 |
| LA | $135.05–$140.99 | 2 |
| MA | $150.20–$164.64 | 2 |
| MD | $146.80–$164.97 | 3 |
| ME | $136.52–$142.97 | 2 |
| MI | $138.43–$145.91 | 2 |
| MN | $144.72 | 1 |
| MO | $133.05–$141.31 | 3 |
| MS | $131.78 | 1 |
| MT | $145.62 | 1 |
| NC | $137.78 | 1 |
| ND | $142.65 | 1 |
| NE | $135.57 | 1 |
| NH | $148.70 | 1 |
| NJ | $156.43–$163.58 | 2 |
| NM | $139.15 | 1 |
| NV | $144.88 | 1 |
| NY | $139.63–$170.19 | 5 |
| OH | $137.82 | 1 |
| OK | $134.86 | 1 |
| OR | $143.78–$155.16 | 2 |
| PA | $137.96–$151.20 | 2 |
| PR | $146.54 | 1 |
| RI | $149.02 | 1 |
| SC | $138.02 | 1 |
| SD | $142.30 | 1 |
| TN | $135.10 | 1 |
| TX | $137.16–$150.39 | 8 |
| UT | $139.71 | 1 |
| VA | $142.62–$164.97 | 2 |
| VI | $146.54 | 1 |
| VT | $142.25 | 1 |
| WA | $149.87–$167.70 | 2 |
| WI | $138.37 | 1 |
| WV | $135.97 | 1 |
| WY | $144.33 | 1 |
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.
The exact South Dakota inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,966
- Code
- 62322
- Physician work
- 1.51
- Practice expense
- 2.70
- Malpractice
- 0.15
GPCI2026.csv
94
- Locality
- South Dakota
- Physician work
- 1.000
- Practice expense
- 1.000
- Malpractice
- 0.336
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.51 | × 1.000 | 1.5100 |
| Practice expense | 2.70 | × 1.000 | 2.7000 |
| Malpractice | 0.15 | × 0.336 | 0.0504 |
| Total RVUs | 4.2604 | ||
| Conversion factor | × 33.4009 | ||
Office rate, South Dakota$142.30
Office: (1.51 × 1 + 2.7 × 1 + 0.15 × 0.336) × $33.4009 = $142.30
Facility: (1.51 × 1 + 0.56 × 1 + 0.15 × 0.336) × $33.4009 = $70.82
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%).
How 62322 has changed in South Dakota
62322 · Office / nonfacility
$142.30
Effective 2026-10-01
The base rate is $17.73 higher than on 2025-10-01, moving from $124.57 to $142.30 (14.2%).
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
$124.57changed to$142.30
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.55 changed to 1.51
- Practice expense RVU 2.24 changed to 2.70
- Malpractice RVU 0.16 changed to 0.15
- Malpractice GPCI 0.382 changed to 0.336
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$131.65changed to$124.57
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.34 changed to 2.24
- Malpractice RVU 0.17 changed to 0.16
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$129.50changed to$131.65
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$136.41changed to$129.50
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.41 changed to 2.34
- Malpractice RVU 0.18 changed to 0.17
- Malpractice GPCI 0.364 changed to 0.382
January 1, 2023
RVU23A
$140.01changed to$136.41
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.43 changed to 2.41
- Malpractice RVU 0.19 changed to 0.18
- Malpractice GPCI 0.347 changed to 0.364
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$145.12changed to$140.01
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.55 changed to 2.43
- Malpractice RVU 0.17 changed to 0.19
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$150.68changed to$145.12
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.57 changed to 2.55
- Malpractice RVU 0.15 changed to 0.17
- Malpractice GPCI 0.368 changed to 0.347
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$154.05changed to$150.68
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.67 changed to 2.57
- Malpractice RVU 0.14 changed to 0.15
- Malpractice GPCI 0.389 changed to 0.368
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$156.76changed to$154.05
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.75 changed to 2.67
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$155.08changed to$156.76
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.70 changed to 2.75
- Malpractice RVU 0.18 changed to 0.14
- Malpractice GPCI 0.395 changed to 0.389
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$155.08
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 | $142.30 | $70.82 | RVU26D |
| 2026-07-01 | $142.30 | $70.82 | RVU26C |
| 2026-04-01 | $142.30 | $70.82 | RVU26B |
| 2026-01-01 | $142.30 | $70.82 | RVU26A |
| 2025-10-01 | $124.57 | $72.49 | RVU25D |
| 2025-07-01 | $124.57 | $72.49 | RVU25C |
| 2025-04-01 | $124.57 | $72.49 | RVU25B |
| 2025-01-01 | $124.57 | $72.49 | RVU25A |
| 2024-10-01 | $131.65 | $75.06 | RVU24D |
| 2024-07-01 | $131.65 | $75.06 | RVU24C |
| 2024-04-01 | $131.65 | $75.06 | RVU24B |
| 2024-03-09 | $131.65 | $75.06 | RVU24AR |
| 2024-01-01 | $129.50 | $73.84 | RVU24A |
| 2023-10-01 | $136.41 | $76.77 | RVU23D |
| 2023-07-01 | $136.41 | $76.77 | RVU23C |
| 2023-04-01 | $136.41 | $76.77 | RVU23B |
| 2023-01-01 | $136.41 | $76.77 | RVU23A |
| 2022-10-01 | $140.01 | $78.07 | RVU22D |
| 2022-07-01 | $140.01 | $78.07 | RVU22C |
| 2022-04-01 | $140.01 | $78.07 | RVU22B |
| 2022-01-01 | $140.01 | $78.07 | RVU22A |
| 2021-10-01 | $145.12 | $78.82 | RVU21D |
| 2021-07-01 | $145.12 | $78.82 | RVU21C |
| 2021-04-01 | $145.12 | $78.82 | RVU21B |
| 2021-01-01 | $145.12 | $78.82 | RVU21A |
| 2020-10-01 | $150.68 | $84.28 | RVU20D |
| 2020-07-01 | $150.68 | $84.28 | RVU20C |
| 2020-04-01 | $150.68 | $84.28 | RVU20B |
| 2020-01-01 | $150.68 | $84.28 | RVU20A |
| 2019-10-01 | $154.05 | $85.57 | RVU19D |
| 2019-07-01 | $154.05 | $85.57 | RVU19C |
| 2019-04-01 | $154.05 | $85.57 | RVU19B |
| 2019-01-01 | $154.05 | $85.57 | RVU19A |
| 2018-10-01 | $156.76 | $86.56 | RVU18D |
| 2018-07-01 | $156.76 | $86.56 | RVU18C |
| 2018-04-01 | $156.76 | $86.56 | RVU18B |
| 2018-01-01 | $156.76 | $86.56 | RVU18AR1 |
| 2017-10-01 | $155.08 | $86.89 | RVU17D |
| 2017-07-01 | $155.08 | $86.89 | RVU17C |
| 2017-04-01 | $155.08 | $86.89 | RVU17B |
| 2017-01-01 | $155.08 | $86.89 | 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 South Dakota rate applies
South Dakota is a Medicare payment area, not a city. Our Census mapping connects it to 485 cities and communities in South Dakota. Some span more than one payment area; confirm with the service ZIP.
- Aberdeen
- Agar
- Agency Village
- Akaska
- Albee
- Alcester
- Alexandria
- Allen
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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