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CPT code 62327: Epidural infusion, lumbar or sacral, image-guided2026 Medicare rate & RVUs in Kentucky

Reports image-guided lumbar or sacral interlaminar epidural catheter placement for continuous infusion or intermittent bolus of a diagnostic or therapeutic substance.

CMS RVU26DEffective Oct 1, 2026One payment locality1K Medicare services in 2024

In Kentucky, Medicare pays $251.10 for 62327 in the office and $89.87 when it’s performed in a hospital or facility.

$251.10Office (non-facility)
$89.87Hospital or facility
−8.5%vs the national office rate ($274.56)

Check a contract rate as a % of Medicare · 62327 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 62327 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Kentucky
  2. What 62327 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 62327 covers

This service covers placing an indwelling catheter through a lumbar or sacral interlaminar approach and delivering a diagnostic or therapeutic substance by continuous infusion or intermittent bolus. It may be used for epidural analgesia or medication delivery when a catheter is needed, including in hospital or ambulatory procedural settings. Imaging guidance is part of the service. The code excludes neurolytic substances and is distinct from a one-time epidural injection without an indwelling catheter.

Report 62327 when the documented approach is lumbar or sacral and imaging guides catheter placement; the procedure note should identify the site, approach, imaging guidance, catheter placement, and medication-delivery method. The CMS global period is 0 days, so same-day preoperative and postoperative care is included. 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% multiple-procedure reduction. CMS does not pay an assistant at surgery for this service, and 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 Kentucky compares for 62327

Across 109 of 109 payment localities, the office rate for 62327 runs from $242.37 in Arkansas to $369.64 in San Benito County, CA. Kentucky pays $251.10. The RVUs are the same everywhere; the geographic indexes change the dollars.

62327 in Kentucky vs other payment areas
  1. Kentucky · this page$251.10
  2. Los Angeles, CA · California$312.73+$61.63
  3. Washington, DC area · District of Columbia$315.35+$64.25
  4. Miami, FL · Florida$292.72+$41.62
  5. Chicago, IL · Illinois$284.24+$33.14
  6. Manhattan, NY · New York$315.67+$64.57
  7. Alaska · Alaska$316.02+$64.92

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

Every other payment area

62327 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$246.00$87.30
ArkansasArkansas$242.37$86.58
ArizonaArizona$267.24$91.50
Bakersfield, CACalifornia$293.06$94.29
Chico, CACalifornia$292.48$93.70
El Centro, CACalifornia$292.51$93.73
Fresno, CACalifornia$292.48$93.70
Hanford, CACalifornia$292.48$93.70

62327 rates by state

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

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

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.

$242.37

$331.06

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

View every state and territory as a table
62327 office rate range by state
State / territoryOffice rate rangeLocalities
AK$316.021
AL$246.001
AR$242.371
AZ$267.241
CA$292.48–$369.6429
CO$287.121
CT$293.021
DC$315.351
DE$271.751
FL$268.67–$292.723
GA$253.48–$279.322
GU$300.161
HI$300.161
IA$253.181
ID$254.701
IL$260.17–$285.464
IN$256.221
KS$251.591
KY$251.101
LA$250.55–$263.242
MA$285.20–$316.442
MD$277.13–$315.353
ME$255.64–$270.362
MI$257.42–$271.682
MN$276.071
MO$245.90–$264.663
MS$244.211
MT$274.541
NC$258.431
ND$270.791
NE$254.711
NH$282.231
NJ$296.63–$311.912
NM$258.701
NV$273.701
NY$262.35–$322.965
OH$256.651
OK$251.051
OR$271.84–$296.832
PA$257.28–$285.362
PR$276.731
RI$281.861
SC$257.921
SD$270.341
TN$252.831
TX$255.53–$285.938
UT$261.521
VA$269.18–$315.352
VI$276.731
VT$269.361
WA$284.78–$323.342
WI$261.491
WV$250.251
WY$272.911

See 62327 in every payment locality

How the 62327 rate is calculated

Each of 62327’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 · 62327

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.85

1.85 RVUs× 1.000 GPCI

Practice expense6.18

6.18 RVUs× 1.000 GPCI

Malpractice0.19

0.19 RVUs× 1.000 GPCI

Adjusted RVUs

8.2200

Conversion factor

$33.4009

Medicare rate

$274.56

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

The exact Kentucky inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,971

Code
62327
Physician work
1.85
Practice expense
6.18
Malpractice
0.19

GPCI2026.csv

55

Locality
Kentucky
Physician work
1.000
Practice expense
0.889
Malpractice
0.915
Office calculation for 62327 in Kentucky
ComponentRVULocality factorAdjusted
Physician work1.85× 1.0001.8500
Practice expense6.18× 0.8895.4940
Malpractice0.19× 0.9150.1739
Total RVUs7.5179
Conversion factor× 33.4009

Office rate, Kentucky$251.10

Office: (1.85 × 1 + 6.18 × 0.889 + 0.19 × 0.915) × $33.4009 = $251.10

Facility: (1.85 × 1 + 0.75 × 0.889 + 0.19 × 0.915) × $33.4009 = $89.87

Open 62327 in the RVU calculator

Payment rules and modifiers for 62327

The CMS indicators that decide how 62327 is paid alongside other services.

CMS payment indicators · 62327

Epidural infusion, lumbar or sacral, image-guided

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

62327 without 51 · national office

$274.56

Epidural infusion, lumbar or sacral, image-guided

62327-51 · Second procedure: 50%

$137.28

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

Codes related to 62327

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

Codes related to 62327
CodeHow it relatesOffice range, Kentucky
Same family
62326Epidural injection, lumbar or sacral, catheter, no imagingLumbar or sacral catheter infusion service without imaging guidance.$142.87
62325Epidural injection, cervical or thoracic, catheterImage-guided catheter infusion service for a cervical or thoracic interlaminar site.$243.90
62324Epidural catheter injection, cervical or thoracic, no imagingCervical or thoracic catheter infusion service without imaging guidance.$143.55
Used instead
62323Lumbar epidural injection, interlaminar or caudal, with imaging guidanceImage-guided lumbar or sacral interlaminar injection without the catheter-infusion service.$249.56
62322Epidural injection, lumbar or sacral, no imagingLumbar or sacral interlaminar injection without imaging guidance or catheter infusion.$135.19

How 62327 has changed in Kentucky

62327 · Office / nonfacility

$251.10

Effective 2026-10-01

The base rate is $18.92 higher than on 2025-10-01, moving from $232.18 to $251.10 (8.1%).

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

    $232.18changed to$251.10

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.90 changed to 1.85
    • Practice expense RVU 5.81 changed to 6.18
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.877 changed to 0.889
    • Malpractice GPCI 0.913 changed to 0.915

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $247.11changed to$232.18

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 6.09 changed to 5.81

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $243.08changed to$247.11

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $246.31changed to$243.08

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.96 changed to 6.09
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.873 changed to 0.877
    • Malpractice GPCI 0.870 changed to 0.913

  5. January 1, 2023

    RVU23A

    $248.60changed to$246.31

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.89 changed to 5.96
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.869 changed to 0.873
    • Malpractice GPCI 0.827 changed to 0.870

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $247.04changed to$248.60

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.78 changed to 5.89
    • Malpractice RVU 0.19 changed to 0.20

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $231.31changed to$247.04

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.99 changed to 5.78
    • Malpractice RVU 0.18 changed to 0.19
    • Practice expense GPCI 0.874 changed to 0.869
    • Malpractice GPCI 0.823 changed to 0.827

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $220.03changed to$231.31

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.63 changed to 4.99
    • Malpractice RVU 0.16 changed to 0.18
    • Practice expense GPCI 0.880 changed to 0.874
    • Malpractice GPCI 0.819 changed to 0.823

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $210.29changed to$220.03

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.33 changed to 4.63

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $208.46changed to$210.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.25 changed to 4.33
    • Malpractice RVU 0.23 changed to 0.16
    • Practice expense GPCI 0.876 changed to 0.880
    • Malpractice GPCI 0.807 changed to 0.819

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$208.46

    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$251.10$89.87RVU26D
2026-07-01$251.10$89.87RVU26C
2026-04-01$251.10$89.87RVU26B
2026-01-01$251.10$89.87RVU26A
2025-10-01$232.18$98.29RVU25D
2025-07-01$232.18$98.29RVU25C
2025-04-01$232.18$98.29RVU25B
2025-01-01$232.18$98.29RVU25A
2024-10-01$247.11$101.44RVU24D
2024-07-01$247.11$101.44RVU24C
2024-04-01$247.11$101.44RVU24B
2024-03-09$247.11$101.44RVU24AR
2024-01-01$243.08$99.78RVU24A
2023-10-01$246.31$100.46RVU23D
2023-07-01$246.31$100.46RVU23C
2023-04-01$246.31$100.46RVU23B
2023-01-01$246.31$100.46RVU23A
2022-10-01$248.60$100.65RVU22D
2022-07-01$248.60$100.65RVU22C
2022-04-01$248.60$100.65RVU22B
2022-01-01$248.60$100.65RVU22A
2021-10-01$247.04$99.68RVU21D
2021-07-01$247.04$99.68RVU21C
2021-04-01$247.04$99.68RVU21B
2021-01-01$247.04$99.68RVU21A
2020-10-01$231.31$99.47RVU20D
2020-07-01$231.31$99.47RVU20C
2020-04-01$231.31$99.47RVU20B
2020-01-01$231.31$99.47RVU20A
2019-10-01$220.03$96.03RVU19D
2019-07-01$220.03$96.03RVU19C
2019-04-01$220.03$96.03RVU19B
2019-01-01$220.03$96.03RVU19A
2018-10-01$210.29$94.66RVU18D
2018-07-01$210.29$94.66RVU18C
2018-04-01$210.29$94.66RVU18B
2018-01-01$210.29$94.66RVU18AR1
2017-10-01$208.46$95.91RVU17D
2017-07-01$208.46$95.91RVU17C
2017-04-01$208.46$95.91RVU17B
2017-01-01$208.46$95.91RVU17A
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 62327 for an earlier date of service

Where the Kentucky rate applies

Kentucky is a Medicare payment area, not a city. Our Census mapping connects it to 553 cities and communities in Kentucky. Some span more than one payment area; confirm with the service ZIP.

  • Adairville
  • Ages
  • Albany
  • Alexandria
  • Allen
  • Allensville
  • Anchorage
  • Annville

Browse all communities in Kentucky

62327 billing questions

How does 62327 differ from 62323?

62327 describes lumbar or sacral catheter placement for continuous infusion or intermittent bolus with imaging guidance. 62323 is for an interlaminar injection without the indwelling-catheter infusion service.

Is imaging guidance included in 62327?

Yes. The service is reported with imaging guidance, such as fluoroscopy or CT, as part of the procedure.

Can the catheter placement and each later bolus be reported separately?

The code includes catheter placement and the continuous-infusion or intermittent-bolus method. Do not report each bolus as a separate catheter-placement service.

What documentation supports reporting 62327?

Document the lumbar or sacral interlaminar site, image-guided technique, indwelling catheter placement, and whether medication is delivered continuously or by intermittent bolus.

What happens when another procedure is performed in the same session?

CMS applies the standard multiple-procedure reduction: the highest-valued procedure is paid in full and other procedures are subject to a 50% reduction. The code has a 0-day global period.

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 62327PPRRVU2026_Oct_nonQPP.csv, line 6,971 (RVU26D)
Geographic factors for KentuckyGPCI2026.csv, line 55 (RVU26D)

Open CMS sourceHow we calculate rates

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