CPT code 62324: Epidural catheter injection, cervical or thoracic, no imaging2026 Medicare rate & RVUs in Iowa
Reports cervical or thoracic interlaminar epidural or subarachnoid medication delivery using an indwelling catheter for continuous infusion or intermittent bolus without imaging guidance.
In Iowa, Medicare pays $143.04 for 62324 in the office and $81.31 when it’s performed in a hospital or facility.
Check a contract rate as a % of Medicare · 62324 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 62324 covers
This service covers placing an indwelling catheter through an interlaminar approach in the cervical or thoracic epidural or subarachnoid space and delivering diagnostic or therapeutic medication by continuous infusion or intermittent bolus. Anesthesiologists and pain medicine physicians commonly perform it in a hospital or ambulatory setting for acute or persistent pain management, including postoperative analgesia. The catheter may be used to deliver anesthetic, opioid, steroid, or another appropriate solution; neurolytic substances are outside this service.
Report the service when documentation supports the cervical or thoracic level, interlaminar route, catheter placement, medication delivery, and absence of imaging guidance. A one-time injection without an indwelling catheter points to a different code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS does not pay an assistant at surgery for this service; 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 Iowa compares for 62324
Across 109 of 109 payment localities, the office rate for 62324 runs from $138.81 in Arkansas to $196.31 in San Benito County, CA. Iowa pays $143.04. The RVUs are the same everywhere; the geographic indexes change the dollars.
- Iowa · this page$143.04
- Los Angeles, CA · California$170.26+$27.22
- Washington, DC area · District of Columbia$173.02+$29.98
- Miami, FL · Florida$165.38+$22.34
- Chicago, IL · Illinois$161.43+$18.39
- Manhattan, NY · New York$174.78+$31.74
- Alaska · Alaska$187.62+$44.58
Other areas in Iowa first, then benchmark localities. Bars start at $0.
Every other payment area
| Payment locality | Office | Facility |
|---|---|---|
| AlabamaAlabama | $140.47 | $81.43 |
| ArkansasArkansas | $138.81 | $80.85 |
| ArizonaArizona | $150.18 | $84.80 |
| Bakersfield, CACalifornia | $161.06 | $87.11 |
| Chico, CACalifornia | $160.55 | $86.60 |
| El Centro, CACalifornia | $160.57 | $86.63 |
| Fresno, CACalifornia | $160.55 | $86.60 |
| Hanford, CACalifornia | $160.55 | $86.60 |
| Madera, CACalifornia | $160.55 | $86.60 |
| Merced, CACalifornia | $160.55 | $86.60 |
| Modesto, CACalifornia | $160.55 | $86.60 |
| Napa, CACalifornia | $182.50 | $93.58 |
| Oxnard, CACalifornia | $169.16 | $89.41 |
| Redding, CACalifornia | $160.55 | $86.60 |
| Rest of CaliforniaCalifornia | $160.55 | $86.60 |
| Riverside, CACalifornia | $162.30 | $88.35 |
| Sacramento, CACalifornia | $167.53 | $89.06 |
| Salinas, CACalifornia | $166.88 | $88.68 |
| San Diego, CACalifornia | $170.06 | $89.37 |
| Marin County, CACalifornia | $192.20 | $97.06 |
| San Francisco, CACalifornia | $192.02 | $96.88 |
| San Benito County, CACalifornia | $196.31 | $99.02 |
| Santa Clara County, CACalifornia | $195.57 | $98.27 |
| San Luis Obispo, CACalifornia | $164.28 | $87.43 |
| Santa Cruz, CACalifornia | $171.13 | $89.15 |
| Santa Maria, CACalifornia | $167.30 | $88.63 |
| Santa Rosa, CACalifornia | $172.81 | $89.96 |
| Stockton, CACalifornia | $160.55 | $86.60 |
| Vallejo, CACalifornia | $182.24 | $93.32 |
| Visalia, CACalifornia | $160.55 | $86.60 |
| Yuba City, CACalifornia | $160.55 | $86.60 |
| ColoradoColorado | $158.77 | $86.98 |
| ConnecticutConnecticut | $162.68 | $90.02 |
| DelawareDelaware | $152.37 | $85.71 |
| Fort Lauderdale, FLFlorida | $159.09 | $90.74 |
| Rest of FloridaFlorida | $152.51 | $88.01 |
| Atlanta, GAGeorgia | $156.29 | $87.74 |
| Rest of GeorgiaGeorgia | $145.29 | $85.11 |
| Hawaii, Guam, HIHawaii | $163.29 | $86.58 |
| IdahoIdaho | $143.88 | $81.81 |
| East St. Louis, ILIllinois | $152.12 | $90.04 |
| Rest of IllinoisIllinois | $149.10 | $87.50 |
| Suburban Chicago, ILIllinois | $160.54 | $91.25 |
| IndianaIndiana | $144.56 | $82.01 |
| KansasKansas | $142.66 | $81.66 |
| KentuckyKentucky | $143.55 | $83.57 |
| New Orleans, LALouisiana | $149.25 | $85.76 |
| Rest of LouisianaLouisiana | $143.43 | $83.72 |
| Metropolitan Boston, MAMassachusetts | $172.42 | $91.86 |
| Rest of MassachusettsMassachusetts | $158.15 | $87.10 |
| Baltimore area, MDMaryland | $162.23 | $89.84 |
| Rest of MarylandMaryland | $154.86 | $86.58 |
| Rest of MaineMaine | $144.68 | $82.60 |
| Southern Maine, MEMaine | $150.89 | $84.03 |
| Detroit, MIMichigan | $154.27 | $89.16 |
| Rest of MichiganMichigan | $146.78 | $85.18 |
| MinnesotaMinnesota | $152.40 | $82.97 |
| Metropolitan Kansas City, MOMissouri | $148.22 | $84.87 |
| Metropolitan St. Louis, MOMissouri | $149.49 | $85.26 |
| Rest of MissouriMissouri | $141.52 | $83.36 |
| MississippiMississippi | $140.18 | $82.09 |
| MontanaMontana | $153.63 | $86.16 |
| North CarolinaNorth Carolina | $145.90 | $82.95 |
| North DakotaNorth Dakota | $150.47 | $83.00 |
| NebraskaNebraska | $143.63 | $81.36 |
| New HampshireNew Hampshire | $156.54 | $86.30 |
| Northern New JerseyNew Jersey | $171.77 | $93.51 |
| Rest of New JerseyNew Jersey | $164.61 | $90.93 |
| New MexicoNew Mexico | $147.51 | $85.64 |
| NevadaNevada | $152.84 | $85.30 |
| NYC suburbs and Long Island, NYNew York | $178.57 | $98.35 |
| Poughkeepsie and northern NYC suburbs, NYNew York | $165.78 | $91.90 |
| Queens, NYNew York | $175.74 | $96.00 |
| Rest of New YorkNew York | $147.71 | $83.62 |
| OhioOhio | $146.13 | $84.53 |
| OklahomaOklahoma | $143.16 | $82.91 |
| Portland, OROregon | $162.90 | $87.94 |
| Rest of OregonOregon | $151.71 | $84.51 |
| Metropolitan Philadelphia, PAPennsylvania | $159.34 | $89.11 |
| Rest of PennsylvaniaPennsylvania | $146.23 | $84.29 |
| Puerto RicoPuerto Rico | $154.52 | $86.31 |
| Rhode IslandRhode Island | $157.10 | $87.40 |
| South CarolinaSouth Carolina | $146.24 | $83.90 |
| South DakotaSouth Dakota | $150.10 | $82.63 |
| TennesseeTennessee | $143.27 | $81.94 |
| Austin, TXTexas | $158.19 | $86.81 |
| Beaumont, TXTexas | $145.45 | $84.05 |
| Brazoria, TXTexas | $152.18 | $85.32 |
| Dallas, TXTexas | $153.09 | $85.89 |
| Fort Worth, TXTexas | $152.29 | $85.77 |
| Galveston, TXTexas | $152.61 | $85.61 |
| Houston, TXTexas | $155.54 | $88.54 |
| Rest of TexasTexas | $148.70 | $84.67 |
| UtahUtah | $147.89 | $84.47 |
| VirginiaVirginia | $150.60 | $84.27 |
| Virgin Islands, VIUnited States Virgin Islands | $154.52 | $86.31 |
| VermontVermont | $150.14 | $83.34 |
| Rest of WashingtonWashington | $157.77 | $86.72 |
| King County, WAWashington | $175.45 | $92.67 |
| WisconsinWisconsin | $146.30 | $81.66 |
| West VirginiaWest Virginia | $144.57 | $85.94 |
| WyomingWyoming | $152.25 | $84.78 |
62324 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.
$138.81
$187.62
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 | $187.62 | 1 |
| AL | $140.47 | 1 |
| AR | $138.81 | 1 |
| AZ | $150.18 | 1 |
| CA | $160.55–$196.31 | 29 |
| CO | $158.77 | 1 |
| CT | $162.68 | 1 |
| DC | $173.02 | 1 |
| DE | $152.37 | 1 |
| FL | $152.51–$165.38 | 3 |
| GA | $145.29–$156.29 | 2 |
| GU | $163.29 | 1 |
| HI | $163.29 | 1 |
| IA | $143.04 | 1 |
| ID | $143.88 | 1 |
| IL | $149.10–$161.43 | 4 |
| IN | $144.56 | 1 |
| KS | $142.66 | 1 |
| KY | $143.55 | 1 |
| LA | $143.43–$149.25 | 2 |
| MA | $158.15–$172.42 | 2 |
| MD | $154.86–$173.02 | 3 |
| ME | $144.68–$150.89 | 2 |
| MI | $146.78–$154.27 | 2 |
| MN | $152.40 | 1 |
| MO | $141.52–$149.49 | 3 |
| MS | $140.18 | 1 |
| MT | $153.63 | 1 |
| NC | $145.90 | 1 |
| ND | $150.47 | 1 |
| NE | $143.63 | 1 |
| NH | $156.54 | 1 |
| NJ | $164.61–$171.77 | 2 |
| NM | $147.51 | 1 |
| NV | $152.84 | 1 |
| NY | $147.71–$178.57 | 5 |
| OH | $146.13 | 1 |
| OK | $143.16 | 1 |
| OR | $151.71–$162.90 | 2 |
| PA | $146.23–$159.34 | 2 |
| PR | $154.52 | 1 |
| RI | $157.10 | 1 |
| SC | $146.24 | 1 |
| SD | $150.10 | 1 |
| TN | $143.27 | 1 |
| TX | $145.45–$158.19 | 8 |
| UT | $147.89 | 1 |
| VA | $150.60–$173.02 | 2 |
| VI | $154.52 | 1 |
| VT | $150.14 | 1 |
| WA | $157.77–$175.45 | 2 |
| WI | $146.30 | 1 |
| WV | $144.57 | 1 |
| WY | $152.25 | 1 |
How the 62324 rate is calculated
Each of 62324’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 · 62324
RVUs × geographic indexes × conversion factor
Work1.84
1.84 RVUs× 1.000 GPCI
Practice expense2.60
2.60 RVUs× 1.000 GPCI
Malpractice0.16
0.16 RVUs× 1.000 GPCI
Adjusted RVUs
4.6000
Conversion factor
$33.4009
Medicare rate
$153.64
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
The exact Iowa inputs and CMS source lines
PPRRVU2026_Oct_nonQPP.csv
6,968
- Code
- 62324
- Physician work
- 1.84
- Practice expense
- 2.60
- Malpractice
- 0.16
GPCI2026.csv
53
- Locality
- Iowa
- Physician work
- 1.000
- Practice expense
- 0.915
- Malpractice
- 0.397
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.84 | × 1.000 | 1.8400 |
| Practice expense | 2.60 | × 0.915 | 2.3790 |
| Malpractice | 0.16 | × 0.397 | 0.0635 |
| Total RVUs | 4.2825 | ||
| Conversion factor | × 33.4009 | ||
Office rate, Iowa$143.04
Office: (1.84 × 1 + 2.6 × 0.915 + 0.16 × 0.397) × $33.4009 = $143.04
Facility: (1.84 × 1 + 0.58 × 0.915 + 0.16 × 0.397) × $33.4009 = $81.31
Payment rules and modifiers for 62324
The CMS indicators that decide how 62324 is paid alongside other services.
CMS payment indicators · 62324
Epidural catheter injection, cervical or thoracic, 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
62324 without 51 · national office
$153.64
Epidural catheter injection, cervical or thoracic, no imaging
62324-51 · Second procedure: 50%
$76.82
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 62324 has changed in Iowa
62324 · Office / nonfacility
$143.04
Effective 2026-10-01
The base rate is $19.29 higher than on 2025-10-01, moving from $123.75 to $143.04 (15.6%).
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
$123.75changed to$143.04
- Conversion factor 32.3465 changed to 33.4009
- Work RVU 1.89 changed to 1.84
- Practice expense RVU 2.04 changed to 2.60
- Practice expense GPCI 0.913 changed to 0.915
- Malpractice GPCI 0.457 changed to 0.397
Held through RVU26B, RVU26C, RVU26D.
January 1, 2025
RVU25A
$127.95changed to$123.75
- Conversion factor 33.2875 changed to 32.3465
- Practice expense RVU 2.06 changed to 2.04
Held through RVU25B, RVU25C, RVU25D.
March 9, 2024
RVU24AR
$125.87changed to$127.95
- Conversion factor 32.7442 changed to 33.2875
Held through RVU24B, RVU24C, RVU24D.
January 1, 2024
RVU24A
$130.42changed to$125.87
- Conversion factor 33.8872 changed to 32.7442
- Practice expense RVU 2.07 changed to 2.06
- Malpractice RVU 0.17 changed to 0.16
- Practice expense GPCI 0.910 changed to 0.913
- Malpractice GPCI 0.441 changed to 0.457
January 1, 2023
RVU23A
$132.56changed to$130.42
- Conversion factor 34.6062 changed to 33.8872
- Practice expense RVU 2.06 changed to 2.07
- Practice expense GPCI 0.907 changed to 0.910
- Malpractice GPCI 0.425 changed to 0.441
Held through RVU23B, RVU23C, RVU23D.
January 1, 2022
RVU22A
$135.27changed to$132.56
- Conversion factor 34.8931 changed to 34.6062
- Practice expense RVU 2.12 changed to 2.06
- Malpractice RVU 0.15 changed to 0.17
Held through RVU22B, RVU22C, RVU22D.
January 1, 2021
RVU21A
$136.63changed to$135.27
- Conversion factor 36.0896 changed to 34.8931
- Practice expense RVU 2.02 changed to 2.12
- Malpractice GPCI 0.424 changed to 0.425
Held through RVU21B, RVU21C, RVU21D.
January 1, 2020
RVU20A
$138.39changed to$136.63
- Conversion factor 36.0391 changed to 36.0896
- Practice expense RVU 2.08 changed to 2.02
- Malpractice GPCI 0.423 changed to 0.424
Held through RVU20B, RVU20C, RVU20D.
January 1, 2019
RVU19A
$138.89changed to$138.39
- Conversion factor 35.9996 changed to 36.0391
- Practice expense RVU 2.10 changed to 2.08
Held through RVU19B, RVU19C, RVU19D.
January 1, 2018
RVU18AR1
$137.17changed to$138.89
- Conversion factor 35.8887 changed to 35.9996
- Practice expense RVU 2.02 changed to 2.10
- Malpractice RVU 0.24 changed to 0.15
- Practice expense GPCI 0.902 changed to 0.907
- Malpractice GPCI 0.458 changed to 0.423
Held through RVU18B, RVU18C, RVU18D.
January 1, 2017
RVU17A
No ratechanged to$137.17
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 | $143.04 | $81.31 | RVU26D |
| 2026-07-01 | $143.04 | $81.31 | RVU26C |
| 2026-04-01 | $143.04 | $81.31 | RVU26B |
| 2026-01-01 | $143.04 | $81.31 | RVU26A |
| 2025-10-01 | $123.75 | $81.81 | RVU25D |
| 2025-07-01 | $123.75 | $81.81 | RVU25C |
| 2025-04-01 | $123.75 | $81.81 | RVU25B |
| 2025-01-01 | $123.75 | $81.81 | RVU25A |
| 2024-10-01 | $127.95 | $83.28 | RVU24D |
| 2024-07-01 | $127.95 | $83.28 | RVU24C |
| 2024-04-01 | $127.95 | $83.28 | RVU24B |
| 2024-03-09 | $127.95 | $83.28 | RVU24AR |
| 2024-01-01 | $125.87 | $81.92 | RVU24A |
| 2023-10-01 | $130.42 | $84.47 | RVU23D |
| 2023-07-01 | $130.42 | $84.47 | RVU23C |
| 2023-04-01 | $130.42 | $84.47 | RVU23B |
| 2023-01-01 | $130.42 | $84.47 | RVU23A |
| 2022-10-01 | $132.56 | $85.48 | RVU22D |
| 2022-07-01 | $132.56 | $85.48 | RVU22C |
| 2022-04-01 | $132.56 | $85.48 | RVU22B |
| 2022-01-01 | $132.56 | $85.48 | RVU22A |
| 2021-10-01 | $135.27 | $85.90 | RVU21D |
| 2021-07-01 | $135.27 | $85.90 | RVU21C |
| 2021-04-01 | $135.27 | $85.90 | RVU21B |
| 2021-01-01 | $135.27 | $85.90 | RVU21A |
| 2020-10-01 | $136.63 | $88.18 | RVU20D |
| 2020-07-01 | $136.63 | $88.18 | RVU20C |
| 2020-04-01 | $136.63 | $88.18 | RVU20B |
| 2020-01-01 | $136.63 | $88.18 | RVU20A |
| 2019-10-01 | $138.39 | $88.71 | RVU19D |
| 2019-07-01 | $138.39 | $88.71 | RVU19C |
| 2019-04-01 | $138.39 | $88.71 | RVU19B |
| 2019-01-01 | $138.39 | $88.71 | RVU19A |
| 2018-10-01 | $138.89 | $88.61 | RVU18D |
| 2018-07-01 | $138.89 | $88.61 | RVU18C |
| 2018-04-01 | $138.89 | $88.61 | RVU18B |
| 2018-01-01 | $138.89 | $88.61 | RVU18AR1 |
| 2017-10-01 | $137.17 | $89.58 | RVU17D |
| 2017-07-01 | $137.17 | $89.58 | RVU17C |
| 2017-04-01 | $137.17 | $89.58 | RVU17B |
| 2017-01-01 | $137.17 | $89.58 | 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 Iowa rate applies
Iowa is a Medicare payment area, not a city. Our Census mapping connects it to 1026 cities and communities in Iowa. Some span more than one payment area; confirm with the service ZIP.
- Ackley
- Ackworth
- Adair
- Adel
- Afton
- Agency
- Ainsworth
- Akron
62324 billing questions
How does 62324 differ from 62320?
62324 involves an indwelling catheter for continuous infusion or intermittent bolus. 62320 is for medication injection without that catheter-based delivery.
When is 62325 a better fit?
Use 62325 when the cervical or thoracic catheter injection is performed with imaging guidance. 62324 describes the corresponding service without imaging guidance.
Does 62324 include catheter placement?
Yes. Placement of the indwelling catheter is part of the service, along with medication delivery by infusion or intermittent bolus.
What documentation supports reporting 62324?
Document the cervical or thoracic interlaminar route, catheter placement, medication delivered, infusion or bolus method, and whether imaging guidance was used.
How does the 0-day global period affect billing?
Same-day preoperative and postoperative care is included. For other procedures performed in the same session, CMS applies the multiple procedure reduction to procedures other than the highest-valued one.
Can an assistant or co-surgeon be reported?
CMS does not pay an assistant at surgery for 62324, and 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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