CPT code 62326: Epidural injection, lumbar or sacral, catheter, no imaging2026 Medicare rate & RVUs in Virginia

Report this service for a lumbar or sacral interlaminar epidural or subarachnoid drug injection using a catheter for infusion or intermittent bolus without imaging guidance.

CMS RVU26DEffective Oct 1, 2026One payment locality1.3K Medicare services in 2024

In Virginia, Medicare pays $150.30 for 62326 in the office and $80.37 when it’s performed in a hospital or facility.

$150.30Office (non-facility)
$80.37Hospital or facility
−2.0%vs the national office rate ($153.31)

Check a contract rate as a % of Medicare · 62326 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 62326 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Virginia
  2. What 62326 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 62326 covers

This service covers delivery of a diagnostic or therapeutic substance into the lumbar or sacral epidural or subarachnoid space through a catheter, including catheter placement and continuous infusion or intermittent bolus. It is commonly performed by an anesthesiologist or pain specialist in a facility setting for situations such as epidural pain control or medication delivery for lumbar or sacral pain. The code describes a catheter technique without imaging guidance; it is distinct from a single-injection technique and from a catheter procedure performed with imaging guidance.

Select the code based on the documented spinal region, catheter use, infusion or bolus method, and whether imaging guidance was used. Documentation should identify the approach, catheter placement, injected substance, and guidance method. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Medicare 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 Virginia compares for 62326

Across 109 of 109 payment localities, the office rate for 62326 runs from $138.16 in Arkansas to $197.24 in San Benito County, CA. Virginia pays $150.30. The RVUs are the same everywhere; the geographic indexes change the dollars.

62326 in Virginia vs other payment areas
  1. Virginia · this page$150.30
  2. Los Angeles, CA · California$170.51+$20.21
  3. Washington, DC area · District of Columbia$173.07+$22.77
  4. Miami, FL · Florida$164.67+$14.37
  5. Chicago, IL · Illinois$160.66+$10.36
  6. Manhattan, NY · New York$174.58+$24.28
  7. Alaska · Alaska$185.98+$35.68

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

Every other payment area

62326 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$139.86$77.61
ArkansasArkansas$138.16$77.05
ArizonaArizona$149.79$80.85
Bakersfield, CACalifornia$161.11$83.14
Chico, CACalifornia$160.63$82.66
El Centro, CACalifornia$160.66$82.68
Fresno, CACalifornia$160.63$82.66
Hanford, CACalifornia$160.63$82.66

62326 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.

$138.16

$185.98

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
62326 office rate range by state
State / territoryOffice rate rangeLocalities
AK$185.981
AL$139.861
AR$138.161
AZ$149.791
CA$160.63–$197.2429
CO$158.681
CT$162.471
DC$173.071
DE$152.011
FL$151.86–$164.673
GA$144.53–$155.932
GU$163.561
HI$163.561
IA$142.621
ID$143.461
IL$148.28–$160.664
IN$144.151
KS$142.171
KY$142.871
LA$142.73–$148.672
MA$158.00–$172.642
MD$154.56–$173.073
ME$144.20–$150.652
MI$146.11–$153.592
MN$152.401
MO$140.73–$148.993
MS$139.471
MT$153.301
NC$145.461
ND$150.331
NE$143.251
NH$156.381
NJ$164.42–$171.742
NM$146.831
NV$152.561
NY$147.31–$178.375
OH$145.501
OK$142.541
OR$151.46–$162.972
PA$145.64–$159.022
PR$154.231
RI$156.851
SC$145.701
SD$149.981
TN$142.781
TX$144.84–$158.098
UT$147.391
VA$150.30–$173.072
VI$154.231
VT$149.931
WA$157.65–$175.772
WI$146.061
WV$143.661
WY$152.011

See 62326 in every payment locality

How the 62326 rate is calculated

Each of 62326’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 · 62326

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.74

1.74 RVUs× 1.000 GPCI

Practice expense2.70

2.70 RVUs× 1.000 GPCI

Malpractice0.15

0.15 RVUs× 1.000 GPCI

Adjusted RVUs

4.5900

Conversion factor

$33.4009

Medicare rate

$153.31

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Virginia inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,970

Code
62326
Physician work
1.74
Practice expense
2.70
Malpractice
0.15

GPCI2026.csv

106

Locality
Virginia
Physician work
1.000
Practice expense
0.983
Malpractice
0.706
Office calculation for 62326 in Virginia
ComponentRVULocality factorAdjusted
Physician work1.74× 1.0001.7400
Practice expense2.70× 0.9832.6541
Malpractice0.15× 0.7060.1059
Total RVUs4.5000
Conversion factor× 33.4009

Office rate, Virginia$150.30

Office: (1.74 × 1 + 2.7 × 0.983 + 0.15 × 0.706) × $33.4009 = $150.30

Facility: (1.74 × 1 + 0.57 × 0.983 + 0.15 × 0.706) × $33.4009 = $80.37

Open 62326 in the RVU calculator

Payment rules and modifiers for 62326

The CMS indicators that decide how 62326 is paid alongside other services.

CMS payment indicators · 62326

Epidural injection, lumbar or sacral, catheter, no imaging

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

62326 without 51 · national office

$153.31

Epidural injection, lumbar or sacral, catheter, no imaging

62326-51 · Second procedure: 50%

$76.66

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 62326 has changed in Virginia

62326 · Office / nonfacility

$150.30

Effective 2026-10-01

The base rate is $20.27 higher than on 2025-10-01, moving from $130.03 to $150.30 (15.6%).

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

    $130.03changed to$150.30

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.78 changed to 1.74
    • Practice expense RVU 2.15 changed to 2.70
    • Malpractice RVU 0.16 changed to 0.15
    • Work GPCI 1.002 changed to 1.000
    • Practice expense GPCI 0.984 changed to 0.983
    • Malpractice GPCI 0.755 changed to 0.706

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $134.80changed to$130.03

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.18 changed to 2.15

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $132.60changed to$134.80

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $139.22changed to$132.60

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.21 changed to 2.18
    • Malpractice RVU 0.17 changed to 0.16
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 0.990 changed to 0.984
    • Malpractice GPCI 0.826 changed to 0.755
  5. January 1, 2023

    RVU23A

    $143.32changed to$139.22

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.22 changed to 2.21
    • Practice expense GPCI 0.995 changed to 0.990
    • Malpractice GPCI 0.897 changed to 0.826

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $147.00changed to$143.32

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.31 changed to 2.22
    • Malpractice RVU 0.15 changed to 0.17

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $149.60changed to$147.00

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.25 changed to 2.31
    • Practice expense GPCI 0.991 changed to 0.995
    • Malpractice GPCI 0.903 changed to 0.897

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $152.56changed to$149.60

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.35 changed to 2.25
    • Practice expense GPCI 0.986 changed to 0.991
    • Malpractice GPCI 0.908 changed to 0.903

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $155.24changed to$152.56

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.43 changed to 2.35

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $154.19changed to$155.24

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.37 changed to 2.43
    • Malpractice RVU 0.21 changed to 0.15
    • Practice expense GPCI 0.985 changed to 0.986
    • Malpractice GPCI 0.866 changed to 0.908

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$154.19

    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$150.30$80.37RVU26D
2026-07-01$150.30$80.37RVU26C
2026-04-01$150.30$80.37RVU26B
2026-01-01$150.30$80.37RVU26A
2025-10-01$130.03$81.02RVU25D
2025-07-01$130.03$81.02RVU25C
2025-04-01$130.03$81.02RVU25B
2025-01-01$130.03$81.02RVU25A
2024-10-01$134.80$82.72RVU24D
2024-07-01$134.80$82.72RVU24C
2024-04-01$134.80$82.72RVU24B
2024-03-09$134.80$82.72RVU24AR
2024-01-01$132.60$81.37RVU24A
2023-10-01$139.22$84.87RVU23D
2023-07-01$139.22$84.87RVU23C
2023-04-01$139.22$84.87RVU23B
2023-01-01$139.22$84.87RVU23A
2022-10-01$143.32$86.50RVU22D
2022-07-01$143.32$86.50RVU22C
2022-04-01$143.32$86.50RVU22B
2022-01-01$143.32$86.50RVU22A
2021-10-01$147.00$86.94RVU21D
2021-07-01$147.00$86.94RVU21C
2021-04-01$147.00$86.94RVU21B
2021-01-01$147.00$86.94RVU21A
2020-10-01$149.60$90.23RVU20D
2020-07-01$149.60$90.23RVU20C
2020-04-01$149.60$90.23RVU20B
2020-01-01$149.60$90.23RVU20A
2019-10-01$152.56$91.44RVU19D
2019-07-01$152.56$91.44RVU19C
2019-04-01$152.56$91.44RVU19B
2019-01-01$152.56$91.44RVU19A
2018-10-01$155.24$92.05RVU18D
2018-07-01$155.24$92.05RVU18C
2018-04-01$155.24$92.05RVU18B
2018-01-01$155.24$92.05RVU18AR1
2017-10-01$154.19$93.03RVU17D
2017-07-01$154.19$93.03RVU17C
2017-04-01$154.19$93.03RVU17B
2017-01-01$154.19$93.03RVU17A
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 62326 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

62326 billing questions

How does this differ from 62322?

62326 involves a catheter for continuous infusion or intermittent bolus. 62322 is the lumbar or sacral interlaminar injection code for a technique without that catheter service.

When should 62327 be used instead?

Use 62327 when the lumbar or sacral catheter injection is performed with imaging guidance. This code describes the catheter technique without imaging guidance.

Does the code include catheter placement?

Yes. Catheter placement is part of the service, along with delivery by continuous infusion or intermittent bolus.

What documentation supports this code?

Document the lumbar or sacral interlaminar approach, catheter placement and use, the substance delivered, and whether imaging guidance was used.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full; other procedures performed in the same session are subject to the standard multiple-procedure reduction.

Can an assistant or co-surgeon be reported?

Medicare does not pay an assistant at surgery for this service, 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
RVUs for 62326PPRRVU2026_Oct_nonQPP.csv, line 6,970 (RVU26D)
Geographic factors for VirginiaGPCI2026.csv, line 106 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 62326 pays in Virginia?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets

Put 62326 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Build my fee sheet