CPT code 62323: Lumbar epidural injection, interlaminar or caudal, with imaging guidance2026 Medicare rate & RVUs in Nevada

Report 62323 for an imaging-guided lumbar interlaminar or caudal injection into the epidural or subarachnoid space, commonly performed for lumbar radicular pain.

CMS RVU26DEffective Oct 1, 2026One payment locality643K Medicare services in 2024

In Nevada, Medicare pays $272.48 for 62323 in the office and $88.26 when it’s performed in a hospital or facility.

$272.48Office (non-facility)
$88.26Hospital or facility
−0.3%vs the national office rate ($273.22)

Check a contract rate as a % of Medicare · 62323 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 62323 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Nevada
  2. What 62323 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 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.

How Nevada compares for 62323

Across 109 of 109 payment localities, the office rate for 62323 runs from $241.03 in Arkansas to $369.32 in San Benito County, CA. Nevada pays $272.48. The RVUs are the same everywhere; the geographic indexes change the dollars.

62323 in Nevada vs other payment areas
  1. Nevada · this page$272.48
  2. Los Angeles, CA · California$311.92+$39.44
  3. Washington, DC area · District of Columbia$314.19+$41.71
  4. Miami, FL · Florida$290.46+$17.98
  5. Chicago, IL · Illinois$282.03+$9.55
  6. Manhattan, NY · New York$314.13+$41.65
  7. Alaska · Alaska$313.63+$41.15

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

Every other payment area

62323 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$244.66$83.63
ArkansasArkansas$241.03$82.94
ArizonaArizona$265.93$87.60
Bakersfield, CACalifornia$292.16$90.45
Chico, CACalifornia$291.62$89.92
El Centro, CACalifornia$291.65$89.95
Fresno, CACalifornia$291.62$89.92
Hanford, CACalifornia$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
62323 office rate range by state
State / territoryOffice rate rangeLocalities
AK$313.631
AL$244.661
AR$241.031
AZ$265.931
CA$291.62–$369.3229
CO$286.041
CT$291.661
DC$314.191
DE$270.431
FL$266.89–$290.463
GA$251.76–$277.882
GU$299.431
HI$299.431
IA$252.051
ID$253.531
IL$258.25–$283.654
IN$255.061
KS$250.361
KY$249.561
LA$248.97–$261.682
MA$284.07–$315.502
MD$275.85–$314.193
ME$254.37–$269.252
MI$255.79–$269.812
MN$275.281
MO$244.26–$263.213
MS$242.721
MT$273.211
NC$257.181
ND$269.851
NE$253.611
NH$281.071
NJ$295.33–$310.712
NM$257.031
NV$272.481
NY$261.10–$321.305
OH$255.101
OK$249.621
OR$270.70–$295.882
PA$255.79–$283.932
PR$275.431
RI$280.611
SC$256.501
SD$269.451
TN$251.591
TX$254.03–$284.808
UT$260.111
VA$268.00–$314.192
VI$275.431
VT$268.331
WA$283.69–$322.512
WI$260.521
WV$248.321
WY$271.741

See 62323 in every payment locality

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

Office or facility?

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.

The exact Nevada inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,967

Code
62323
Physician work
1.76
Practice expense
6.25
Malpractice
0.17

GPCI2026.csv

73

Locality
Nevada
Physician work
1.000
Practice expense
1.001
Malpractice
0.833
Office calculation for 62323 in Nevada
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0001.7600
Practice expense6.25× 1.0016.2562
Malpractice0.17× 0.8330.1416
Total RVUs8.1579
Conversion factor× 33.4009

Office rate, Nevada$272.48

Office: (1.76 × 1 + 6.25 × 1.001 + 0.17 × 0.833) × $33.4009 = $272.48

Facility: (1.76 × 1 + 0.74 × 1.001 + 0.17 × 0.833) × $33.4009 = $88.26

Open 62323 in the RVU calculator

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

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

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%).

When to use modifier 51

How 62323 has changed in Nevada

62323 · Office / nonfacility

$272.48

Effective 2026-10-01

The base rate is $26.53 higher than on 2025-10-01, moving from $245.95 to $272.48 (10.8%).

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

    $245.95changed to$272.48

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 5.66 changed to 6.25
    • Practice expense GPCI 1.000 changed to 1.001
    • Malpractice GPCI 0.844 changed to 0.833

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $257.38changed to$245.95

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.78 changed to 5.66
    • Malpractice RVU 0.18 changed to 0.17

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $253.18changed to$257.38

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $262.88changed to$253.18

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.76 changed to 5.78
    • Malpractice GPCI 1.098 changed to 0.844
  5. January 1, 2023

    RVU23A

    $272.89changed to$262.88

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.82 changed to 5.76
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.005 changed to 1.000
    • Malpractice GPCI 1.351 changed to 1.098

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $276.31changed to$272.89

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.88 changed to 5.82
    • Malpractice RVU 0.17 changed to 0.19

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $264.20changed to$276.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.31 changed to 5.88
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.004 changed to 1.005
    • Malpractice GPCI 1.130 changed to 1.351

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $259.00changed to$264.20

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.15 changed to 5.31
    • Malpractice RVU 0.16 changed to 0.18
    • Work GPCI 1.002 changed to 1.004
    • Practice expense GPCI 1.017 changed to 1.000
    • Malpractice GPCI 0.909 changed to 1.130

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $253.22changed to$259.00

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 5.00 changed to 5.15

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $254.60changed to$253.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.93 changed to 5.00
    • Malpractice RVU 0.20 changed to 0.16
    • Work GPCI 1.004 changed to 1.002
    • Practice expense GPCI 1.034 changed to 1.017
    • Malpractice GPCI 0.946 changed to 0.909

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$254.60

    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$272.48$88.26RVU26D
2026-07-01$272.48$88.26RVU26C
2026-04-01$272.48$88.26RVU26B
2026-01-01$272.48$88.26RVU26A
2025-10-01$245.95$95.21RVU25D
2025-07-01$245.95$95.21RVU25C
2025-04-01$245.95$95.21RVU25B
2025-01-01$245.95$95.21RVU25A
2024-10-01$257.38$97.60RVU24D
2024-07-01$257.38$97.60RVU24C
2024-04-01$257.38$97.60RVU24B
2024-03-09$257.38$97.60RVU24AR
2024-01-01$253.18$96.00RVU24A
2023-10-01$262.88$99.55RVU23D
2023-07-01$262.88$99.55RVU23C
2023-04-01$262.88$99.55RVU23B
2023-01-01$262.88$99.55RVU23A
2022-10-01$272.89$103.32RVU22D
2022-07-01$272.89$103.32RVU22C
2022-04-01$272.89$103.32RVU22B
2022-01-01$272.89$103.32RVU22A
2021-10-01$276.31$103.24RVU21D
2021-07-01$276.31$103.24RVU21C
2021-04-01$276.31$103.24RVU21B
2021-01-01$276.31$103.24RVU21A
2020-10-01$264.20$104.32RVU20D
2020-07-01$264.20$104.32RVU20C
2020-04-01$264.20$104.32RVU20B
2020-01-01$264.20$104.32RVU20A
2019-10-01$259.00$102.50RVU19D
2019-07-01$259.00$102.50RVU19C
2019-04-01$259.00$102.50RVU19B
2019-01-01$259.00$102.50RVU19A
2018-10-01$253.22$102.75RVU18D
2018-07-01$253.22$102.75RVU18C
2018-04-01$253.22$102.75RVU18B
2018-01-01$253.22$102.75RVU18AR1
2017-10-01$254.60$104.68RVU17D
2017-07-01$254.60$104.68RVU17C
2017-04-01$254.60$104.68RVU17B
2017-01-01$254.60$104.68RVU17A
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 62323 for an earlier date of service

Where the Nevada rate applies

Nevada is a Medicare payment area, not a city. Our Census mapping connects it to 138 cities and communities in Nevada. Some span more than one payment area; confirm with the service ZIP.

  • Alamo
  • Amargosa Valley
  • Austin
  • Baker
  • Battle Mountain
  • Beatty
  • Beaverdam
  • Bennett Springs

Browse all communities in Nevada

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
RVUs for 62323PPRRVU2026_Oct_nonQPP.csv, line 6,967 (RVU26D)
Geographic factors for NevadaGPCI2026.csv, line 73 (RVU26D)

Open CMS sourceHow we calculate rates

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