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

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 Houston, TX, Medicare pays $274.36 for 62323 in the office and $91.61 when it’s performed in a hospital or facility.

$274.36Office (non-facility)
$91.61Hospital or facility
+0.4%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 Houston, TX
  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 Houston, TX 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. Houston, TX pays $274.36. The RVUs are the same everywhere; the geographic indexes change the dollars.

62323 in Houston, TX vs other payment areas
  1. Houston, TX · this page$274.36
  2. Austin, TX · Texas$284.80+$10.44
  3. Beaumont, TX · Texas$254.03−$20.33
  4. Brazoria, TX · Texas$270.56−$3.80
  5. Dallas, TX · Texas$272.11−$2.25
  6. Fort Worth, TX · Texas$270.09−$4.27
  7. Galveston, TX · Texas$271.25−$3.11

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

Every other payment area

62323 in every other Medicare payment locality
Payment localityOfficeFacility
Rest of TexasTexas$262.02$87.37
Los Angeles, CACalifornia$311.92$94.21
Washington, DC areaDistrict of Columbia$314.19$97.40
Miami, FLFlorida$290.46$98.88
Chicago, ILIllinois$282.03$97.07
Manhattan, NYNew York$314.13$100.27
AlaskaAlaska$313.63$117.63
AlabamaAlabama$244.66$83.63

62323 rates by state

Office rate range in each state. Select a state to see its payment localities.

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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 Houston, TX 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

102

Locality
Houston, TX
Physician work
1.008
Practice expense
0.993
Malpractice
1.376
Office calculation for 62323 in Houston, TX
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0081.7741
Practice expense6.25× 0.9936.2062
Malpractice0.17× 1.3760.2339
Total RVUs8.2142
Conversion factor× 33.4009

Office rate, Houston, TX$274.36

Office: (1.76 × 1.008 + 6.25 × 0.993 + 0.17 × 1.376) × $33.4009 = $274.36

Facility: (1.76 × 1.008 + 0.74 × 0.993 + 0.17 × 1.376) × $33.4009 = $91.61

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 Houston, TX

62323 · Office / nonfacility

$274.36

Effective 2026-10-01

The base rate is $23.94 higher than on 2025-10-01, moving from $250.42 to $274.36 (9.6%).

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

    $250.42changed to$274.36

    • 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
    • Work GPCI 1.014 changed to 1.008
    • Practice expense GPCI 1.003 changed to 0.993
    • Malpractice GPCI 1.409 changed to 1.376

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $262.18changed to$250.42

    • 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

    $257.90changed to$262.18

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $267.75changed to$257.90

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.76 changed to 5.78
    • Work GPCI 1.023 changed to 1.014
    • Practice expense GPCI 1.016 changed to 1.003
    • Malpractice GPCI 1.154 changed to 1.409
  5. January 1, 2023

    RVU23A

    $277.45changed to$267.75

    • 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 1.032 changed to 1.023
    • Practice expense GPCI 1.029 changed to 1.016
    • Malpractice GPCI 0.900 changed to 1.154

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $281.28changed to$277.45

    • 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

    $268.08changed to$281.28

    • 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 1.026 changed to 1.032
    • Practice expense GPCI 1.020 changed to 1.029
    • Malpractice GPCI 0.918 changed to 0.900

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $259.39changed to$268.08

    • 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 1.020 changed to 1.026
    • Practice expense GPCI 1.012 changed to 1.020
    • Malpractice GPCI 0.936 changed to 0.918

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $253.64changed to$259.39

    • 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

    $251.21changed to$253.64

    • 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
    • Practice expense GPCI 1.009 changed to 1.012
    • Malpractice GPCI 0.946 changed to 0.936

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$251.21

    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$274.36$91.61RVU26D
2026-07-01$274.36$91.61RVU26C
2026-04-01$274.36$91.61RVU26B
2026-01-01$274.36$91.61RVU26A
2025-10-01$250.42$99.23RVU25D
2025-07-01$250.42$99.23RVU25C
2025-04-01$250.42$99.23RVU25B
2025-01-01$250.42$99.23RVU25A
2024-10-01$262.18$101.92RVU24D
2024-07-01$262.18$101.92RVU24C
2024-04-01$262.18$101.92RVU24B
2024-03-09$262.18$101.92RVU24AR
2024-01-01$257.90$100.25RVU24A
2023-10-01$267.75$101.80RVU23D
2023-07-01$267.75$101.80RVU23C
2023-04-01$267.75$101.80RVU23B
2023-01-01$267.75$101.80RVU23A
2022-10-01$277.45$102.96RVU22D
2022-07-01$277.45$102.96RVU22C
2022-04-01$277.45$102.96RVU22B
2022-01-01$277.45$102.96RVU22A
2021-10-01$281.28$103.19RVU21D
2021-07-01$281.28$103.19RVU21C
2021-04-01$281.28$103.19RVU21B
2021-01-01$281.28$103.19RVU21A
2020-10-01$268.08$105.01RVU20D
2020-07-01$268.08$105.01RVU20C
2020-04-01$268.08$105.01RVU20B
2020-01-01$268.08$105.01RVU20A
2019-10-01$259.39$103.66RVU19D
2019-07-01$259.39$103.66RVU19C
2019-04-01$259.39$103.66RVU19B
2019-01-01$259.39$103.66RVU19A
2018-10-01$253.64$103.91RVU18D
2018-07-01$253.64$103.91RVU18C
2018-04-01$253.64$103.91RVU18B
2018-01-01$253.64$103.91RVU18AR1
2017-10-01$251.21$104.91RVU17D
2017-07-01$251.21$104.91RVU17C
2017-04-01$251.21$104.91RVU17B
2017-01-01$251.21$104.91RVU17A
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 Houston, TX rate applies

Houston, TX is a Medicare payment area, not a city. Our Census mapping connects it to 46 cities and communities in Texas. Some span more than one payment area; confirm with the service ZIP.

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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 Houston, TXGPCI2026.csv, line 102 (RVU26D)

Open CMS sourceHow we calculate rates

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