CPT code 62323: Lumbar epidural injection, interlaminar or caudal, with imaging guidance2026 Medicare rate & RVUs
Report 62323 for an imaging-guided lumbar interlaminar or caudal injection into the epidural or subarachnoid space, commonly performed for lumbar radicular pain.
Medicare pays $273.22 for 62323 nationally in the office and $89.18 in a hospital or facility. Local office rates run $241.03–$369.32.
Medicare rate · 62323
Lumbar epidural injection, interlaminar or caudal, with imaging guidance
- Work RVUs
- 1.76
- Total RVUs
- 8.18
- Global days
- 000
National rate · 2026
$273.22
Office setting, before claim adjustments.
See every locality for 62323 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
Your location
On this page 10 sections
What 62323 covers
This service involves placing a needle, or a catheter used only for the injection, into the lumbar epidural or subarachnoid space through an interlaminar approach, or into the sacral epidural space through the sacral hiatus. A non-neurolytic substance, commonly an anesthetic or steroid, is injected. A typical case is an epidural steroid injection for lumbar radiculopathy associated with disc herniation or spinal stenosis. Interventional pain physicians, anesthesiologists, physiatrists, and interventional radiologists perform these injections in offices, ambulatory surgery centers, and hospital outpatient departments using fluoroscopy or CT.
Report one unit for the lumbar or sacral region per session, even if multiple interspaces are accessed. Imaging guidance and contrast injection to confirm placement are included. Documentation should identify the approach, entry level, imaging modality, injected substance and dose, and contrast spread when contrast is used. The 0-day global period includes routine same-day pre- and postprocedure care; a significant, separately identifiable E/M service requires modifier 25 on the E/M code. In the same session, the highest-valued procedure is paid in full and other procedures are subject to the 50% multiple procedure reduction. Medicare does not pay an assistant at surgery and does not permit co-surgeon or team surgery billing.
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 62323 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$241.03 to $369.32
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $244.66 | $83.63 |
| Alaska | $313.63 | $117.63 |
| Arizona | $265.93 | $87.60 |
| Arkansas | $241.03 | $82.94 |
| Atlanta, GA | $277.88 | $90.89 |
| Austin, TX | $284.80 | $90.08 |
| Bakersfield, CA | $292.16 | $90.45 |
| Baltimore area, MD | $290.74 | $93.27 |
| Beaumont, TX | $254.03 | $86.55 |
| Brazoria, TX | $270.56 | $88.18 |
| Chicago, IL | $282.03 | $97.07 |
| Chico, CA | $291.62 | $89.92 |
| Colorado | $286.04 | $90.22 |
| Connecticut | $291.66 | $93.45 |
| Dallas, TX | $272.11 | $88.80 |
| Delaware | $270.43 | $88.60 |
| Detroit, MI | $269.81 | $92.21 |
| East St. Louis, IL | $262.28 | $92.96 |
| El Centro, CA | $291.65 | $89.95 |
| Fort Lauderdale, FL | $280.52 | $94.09 |
| Fort Worth, TX | $270.09 | $88.63 |
| Fresno, CA | $291.62 | $89.92 |
| Galveston, TX | $271.25 | $88.50 |
| Hanford, CA | $291.62 | $89.92 |
| Hawaii, Guam, HI | $299.43 | $90.18 |
| Houston, TX | $274.36 | $91.61 |
| Idaho | $253.53 | $84.21 |
| Indiana | $255.06 | $84.46 |
| Iowa | $252.05 | $83.66 |
| Kansas | $250.36 | $83.99 |
| Kentucky | $249.56 | $85.95 |
| King County, WA | $322.51 | $96.69 |
| Los Angeles, CA | $311.92 | $94.21 |
| Madera, CA | $291.62 | $89.92 |
| Manhattan, NY | $314.13 | $100.27 |
| Marin County, CA | $361.32 | $101.83 |
| Merced, CA | $291.62 | $89.92 |
| Metropolitan Boston, MA | $315.50 | $95.76 |
| Metropolitan Kansas City, MO | $260.35 | $87.54 |
| Metropolitan Philadelphia, PA | $283.93 | $92.35 |
| Metropolitan St. Louis, MO | $263.21 | $88.01 |
| Miami, FL | $290.46 | $98.88 |
| Minnesota | $275.28 | $85.90 |
| Mississippi | $242.72 | $84.26 |
| Modesto, CA | $291.62 | $89.92 |
| Montana | $273.21 | $89.17 |
| Napa, CA | $340.51 | $97.95 |
| Nebraska | $253.61 | $83.75 |
| Nevada | $272.48 | $88.26 |
| New Hampshire | $281.07 | $89.48 |
| New Mexico | $257.03 | $88.27 |
| New Orleans, LA | $261.68 | $88.49 |
| North Carolina | $257.18 | $85.47 |
| North Dakota | $269.85 | $85.81 |
| Northern New Jersey | $310.71 | $97.22 |
| NYC suburbs and Long Island, NY | $321.30 | $102.48 |
| Ohio | $255.10 | $87.08 |
| Oklahoma | $249.62 | $85.27 |
| Oxnard, CA | $310.72 | $93.18 |
| Portland, OR | $295.88 | $91.41 |
| Poughkeepsie and northern NYC suburbs, NY | $296.89 | $95.37 |
| Puerto Rico | $275.43 | $89.37 |
| Queens, NY | $317.48 | $99.95 |
| Redding, CA | $291.62 | $89.92 |
| Rest of California | $291.62 | $89.92 |
| Rest of Florida | $266.89 | $90.95 |
| Rest of Georgia | $251.76 | $87.60 |
| Rest of Illinois | $258.25 | $90.23 |
| Rest of Louisiana | $248.97 | $86.10 |
| Rest of Maine | $254.37 | $85.06 |
| Rest of Maryland | $275.85 | $89.60 |
| Rest of Massachusetts | $284.07 | $90.28 |
| Rest of Michigan | $255.79 | $87.76 |
| Rest of Missouri | $244.26 | $85.62 |
| Rest of New Jersey | $295.33 | $94.36 |
| Rest of New York | $261.10 | $86.26 |
| Rest of Oregon | $270.70 | $87.40 |
| Rest of Pennsylvania | $255.79 | $86.84 |
| Rest of Texas | $262.02 | $87.37 |
| Rest of Washington | $283.69 | $89.90 |
| Rhode Island | $280.61 | $90.50 |
| Riverside, CA | $293.48 | $91.78 |
| Sacramento, CA | $306.73 | $92.69 |
| Salinas, CA | $305.60 | $92.30 |
| San Benito County, CA | $369.32 | $103.94 |
| San Diego, CA | $313.30 | $93.19 |
| San Francisco, CA | $361.13 | $101.63 |
| San Luis Obispo, CA | $300.60 | $90.98 |
| Santa Clara County, CA | $368.53 | $103.15 |
| Santa Cruz, CA | $316.70 | $93.09 |
| Santa Maria, CA | $306.88 | $92.29 |
| Santa Rosa, CA | $319.94 | $93.94 |
| South Carolina | $256.50 | $86.45 |
| South Dakota | $269.45 | $85.41 |
| Southern Maine, ME | $269.25 | $86.86 |
| Stockton, CA | $291.62 | $89.92 |
| Suburban Chicago, IL | $283.65 | $94.64 |
| Tennessee | $251.59 | $84.30 |
| Utah | $260.11 | $87.12 |
| Vallejo, CA | $340.24 | $97.67 |
| Vermont | $268.33 | $86.13 |
| Virgin Islands, VI | $275.43 | $89.37 |
| Virginia | $268.00 | $87.09 |
| Visalia, CA | $291.62 | $89.92 |
| Washington, DC area | $314.19 | $97.40 |
| West Virginia | $248.32 | $88.39 |
| Wisconsin | $260.52 | $84.21 |
| Wyoming | $271.74 | $87.70 |
| Yuba City, CA | $291.62 | $89.92 |
62323 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.
$241.03
$330.47
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 | $313.63 | 1 |
| AL | $244.66 | 1 |
| AR | $241.03 | 1 |
| AZ | $265.93 | 1 |
| CA | $291.62–$369.32 | 29 |
| CO | $286.04 | 1 |
| CT | $291.66 | 1 |
| DC | $314.19 | 1 |
| DE | $270.43 | 1 |
| FL | $266.89–$290.46 | 3 |
| GA | $251.76–$277.88 | 2 |
| GU | $299.43 | 1 |
| HI | $299.43 | 1 |
| IA | $252.05 | 1 |
| ID | $253.53 | 1 |
| IL | $258.25–$283.65 | 4 |
| IN | $255.06 | 1 |
| KS | $250.36 | 1 |
| KY | $249.56 | 1 |
| LA | $248.97–$261.68 | 2 |
| MA | $284.07–$315.50 | 2 |
| MD | $275.85–$314.19 | 3 |
| ME | $254.37–$269.25 | 2 |
| MI | $255.79–$269.81 | 2 |
| MN | $275.28 | 1 |
| MO | $244.26–$263.21 | 3 |
| MS | $242.72 | 1 |
| MT | $273.21 | 1 |
| NC | $257.18 | 1 |
| ND | $269.85 | 1 |
| NE | $253.61 | 1 |
| NH | $281.07 | 1 |
| NJ | $295.33–$310.71 | 2 |
| NM | $257.03 | 1 |
| NV | $272.48 | 1 |
| NY | $261.10–$321.30 | 5 |
| OH | $255.10 | 1 |
| OK | $249.62 | 1 |
| OR | $270.70–$295.88 | 2 |
| PA | $255.79–$283.93 | 2 |
| PR | $275.43 | 1 |
| RI | $280.61 | 1 |
| SC | $256.50 | 1 |
| SD | $269.45 | 1 |
| TN | $251.59 | 1 |
| TX | $254.03–$284.80 | 8 |
| UT | $260.11 | 1 |
| VA | $268.00–$314.19 | 2 |
| VI | $275.43 | 1 |
| VT | $268.33 | 1 |
| WA | $283.69–$322.51 | 2 |
| WI | $260.52 | 1 |
| WV | $248.32 | 1 |
| WY | $271.74 | 1 |
How the 62323 rate is calculated
Each of 62323’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 · 62323
RVUs × geographic indexes × conversion factor
Work1.76
1.76 RVUs× 1.000 GPCI
Practice expense6.25
6.25 RVUs× 1.000 GPCI
Malpractice0.17
0.17 RVUs× 1.000 GPCI
Adjusted RVUs
8.1800
Conversion factor
$33.4009
Medicare rate
$273.22
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62323
The CMS indicators that decide how 62323 is paid alongside other services.
CMS payment indicators · 62323
Lumbar epidural injection, interlaminar or caudal, with imaging guidance
| 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
62323 without 51 · national office
$273.22
Lumbar epidural injection, interlaminar or caudal, with imaging guidance
62323-51 · Second procedure: 50%
$136.61
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%).
62323 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 62322Epidural injectionLumbar or sacral, no imaging
- Both cover lumbar interlaminar or caudal injections; 62323 requires documented fluoroscopic or CT guidance, while 62322 is for injections performed without imaging guidance.
- 64483Transforaminal epidural injectionLumbar or sacral, first level
- 64483 uses a transforaminal approach at one lumbar or sacral level, with 64484 added for another level. 62323 uses an interlaminar or caudal approach and is reported once per session for the region.
- 62321Epidural injectionCervical or thoracic, image-guided
- 62321 covers an imaging-guided interlaminar injection with cervical or thoracic entry; choose 62323 for lumbar interlaminar or sacral caudal entry.
- 62328Lumbar punctureDiagnostic, with imaging
- 62328 is an imaging-guided diagnostic lumbar puncture to obtain cerebrospinal fluid. 62323 delivers a diagnostic or therapeutic substance into the epidural or subarachnoid space.
62323 billing questions
When is 62323 reported instead of 62322?
Use 62323 when fluoroscopy or CT guides the lumbar interlaminar or caudal injection. For the same injection without imaging guidance, report 62322.
Can fluoroscopy (77003) or epidurography be billed with 62323?
Imaging guidance and contrast injection used to confirm placement are included in 62323. Do not separately report 77003, 77012, or epidurography for that placement confirmation.
Is a caudal epidural steroid injection reported with 62323?
Yes. An imaging-guided injection through the sacral hiatus is covered, as is an imaging-guided lumbar interlaminar injection.
How many times can 62323 be billed if injections are given at two lumbar levels?
Report one unit for the lumbar or sacral region per session, regardless of how many interspaces are accessed. Transforaminal injections are coded by level with 64483 and, for an additional level, 64484.
Can an office visit be billed on the same day as 62323?
Routine pre-injection evaluation is included in the 0-day global period. Report a separate E/M only when its documentation supports a significant, separately identifiable service beyond the usual care for the injection; append modifier 25 to the E/M code.
Which code applies if a catheter is left in place for continuous infusion?
62323 covers injection through a needle or a catheter used only for that injection. For a lumbar or sacral indwelling catheter used for continuous infusion or intermittent bolus, use 62327 with imaging guidance or 62326 without it.
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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