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

In Virginia, Medicare pays $268.00 for 62323 in the office and $87.09 when it’s performed in a hospital or facility.

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.

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 Virginia 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. Virginia pays $268.00. The RVUs are the same everywhere; the geographic indexes change the dollars.

Every other payment area

62323 rates by state

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

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.

Payment rules and modifiers for 62323

The CMS indicators that decide how 62323 is paid alongside other services.

What modifiers do to the payment

When to use modifier 51

Codes related to 62323

Related codes aren’t interchangeable: bill the code that matches the service performed.

How 62323 has changed in Virginia

Price 62323 for an earlier date of service

Where the Virginia rate applies

Virginia is a Medicare payment area, not a city. Our Census mapping connects it to 628 cities and communities in Virginia. Some span more than one payment area; confirm with the service ZIP.

• Abbs Valley
• Abingdon
• Accomac
• Adwolf
• Afton
• Alberta
• Aldie
• Allison Gap

Browse all communities in Virginia

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

Open CMS sourceHow we calculate rates