$130.48–$188.71
Both cover lumbar interlaminar or caudal injections; 62323 requires documented fluoroscopic or CT guidance, while 62322 is for injections performed without imaging guidance.
On this page
CMS RVU26D · Effective 2026-10-01
62323 Lumbar epidural injection Medicare reimbursement rates
Report 62323 for an imaging-guided lumbar interlaminar or caudal injection into the epidural or subarachnoid space, commonly performed for lumbar radicular pain. Compare 62323 office and facility rates across CMS payment localities.
Amounts below use the non-QP conversion factor for participating physicians. These are base physician payments before claim-level adjustments, not patient costs or total hospital charges.
What does Medicare pay for 62323?
The service location and office or facility setting determine which base rate applies. These are the supported base rates for the 109 payment areas shown below, using the same CMS release.
Office / nonfacility
$241.03–$369.32
109 of 109 localities have a supported rate.
Lowest: Arkansas
Highest: San Jose-Sunnyvale-Santa Clara (San Benito Cnty)
A spread of $128.29 per service.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
Where 62323 pays more and less
109 payment localities
$241.03 to $369.32
Spine injection
About 62323: Lumbar or sacral interlaminar epidural injection with imaging
Report 62323 for an imaging-guided lumbar interlaminar or caudal injection into the epidural or subarachnoid space, commonly performed for lumbar radicular pain.
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.
CMS billing rules for 62323
- Global period
- Minor procedure with a 0-day global period: same-day preoperative and postoperative care is included.
- Multiple procedures
- Standard multiple procedure reduction: the highest-valued procedure is paid in full and others at 50% when performed in the same session.
- Assistant at surgery
- Statutory restriction: assistant at surgery is not paid.
- Co-surgeons
- Co-surgeons not permitted.
- Team surgery
- Team surgery not permitted.
Where the value comes from
- Work RVU1.76 · 22%
- Practice expense (office) RVU6.25 · 76%
- Malpractice RVU0.17 · 2%
643K
Medicare services in 2024 · #196 by national volume
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.
62323 compared with similar codes
Office rate ranges across all CMS payment localities, from the same CMS release.
$234.28–$356.28
64483 uses a transforaminal approach at one lumbar or sacral level, with 64484 added for another level. 62323 uses an interlaminar or caudal approach and is reported once per session for the region.
$244.44–$372.28
62321 covers an imaging-guided interlaminar injection with cervical or thoracic entry; choose 62323 for lumbar interlaminar or sacral caudal entry.
$190.95–$286.47
62328 is an imaging-guided diagnostic lumbar puncture to obtain cerebrospinal fluid. 62323 delivers a diagnostic or therapeutic substance into the epidural or subarachnoid space.
See how rates vary across the country
62323 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.
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.
$241.03
$330.47
Color shows the midpoint of each state’s locality range.
View all state and territory rates as a table
| State / territory | Rate range | Localities |
|---|---|---|
| AK | $313.63 | 1 |
| AL | $244.66 | 1 |
| AR | $241.03 | 1 |
| AZ | $265.93 | 1 |
| CA | $291.62–$369.32 | 29 |
| CO | $286.04 | 1 |
| CT | $291.66 | 1 |
| DC | $314.19 | 1 |
| DE | $270.43 | 1 |
| FL | $266.89–$290.46 | 3 |
| GA | $251.76–$277.88 | 2 |
| GU | $299.43 | 1 |
| HI | $299.43 | 1 |
| IA | $252.05 | 1 |
| ID | $253.53 | 1 |
| IL | $258.25–$283.65 | 4 |
| IN | $255.06 | 1 |
| KS | $250.36 | 1 |
| KY | $249.56 | 1 |
| LA | $248.97–$261.68 | 2 |
| MA | $284.07–$315.50 | 2 |
| MD | $275.85–$314.19 | 3 |
| ME | $254.37–$269.25 | 2 |
| MI | $255.79–$269.81 | 2 |
| MN | $275.28 | 1 |
| MO | $244.26–$263.21 | 3 |
| MS | $242.72 | 1 |
| MT | $273.21 | 1 |
| NC | $257.18 | 1 |
| ND | $269.85 | 1 |
| NE | $253.61 | 1 |
| NH | $281.07 | 1 |
| NJ | $295.33–$310.71 | 2 |
| NM | $257.03 | 1 |
| NV | $272.48 | 1 |
| NY | $261.10–$321.30 | 5 |
| OH | $255.10 | 1 |
| OK | $249.62 | 1 |
| OR | $270.70–$295.88 | 2 |
| PA | $255.79–$283.93 | 2 |
| PR | $275.43 | 1 |
| RI | $280.61 | 1 |
| SC | $256.50 | 1 |
| SD | $269.45 | 1 |
| TN | $251.59 | 1 |
| TX | $254.03–$284.80 | 8 |
| UT | $260.11 | 1 |
| VA | $268.00–$314.19 | 2 |
| VI | $275.43 | 1 |
| VT | $268.33 | 1 |
| WA | $283.69–$322.51 | 2 |
| WI | $260.52 | 1 |
| WV | $248.32 | 1 |
| WY | $271.74 | 1 |
Compare 62323 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | Office $244.66 | Facility $83.63 |
| Alaska* | Office $313.63 | Facility $117.63 |
| Arizona | Office $265.93 | Facility $87.60 |
| Arkansas | Office $241.03 | Facility $82.94 |
| Atlanta | Office $277.88 | Facility $90.89 |
| Austin | Office $284.80 | Facility $90.08 |
| Bakersfield | Office $292.16 | Facility $90.45 |
| Baltimore/Surr. Cntys | Office $290.74 | Facility $93.27 |
| Beaumont | Office $254.03 | Facility $86.55 |
| Brazoria | Office $270.56 | Facility $88.18 |
| Chicago | Office $282.03 | Facility $97.07 |
| Chico | Office $291.62 | Facility $89.92 |
| Colorado | Office $286.04 | Facility $90.22 |
| Connecticut | Office $291.66 | Facility $93.45 |
| Dallas | Office $272.11 | Facility $88.80 |
| Dc + Md/Va Suburbs | Office $314.19 | Facility $97.40 |
| Delaware | Office $270.43 | Facility $88.60 |
| Detroit | Office $269.81 | Facility $92.21 |
| East St. Louis | Office $262.28 | Facility $92.96 |
| El Centro | Office $291.65 | Facility $89.95 |
| Fort Lauderdale | Office $280.52 | Facility $94.09 |
| Fort Worth | Office $270.09 | Facility $88.63 |
| Fresno | Office $291.62 | Facility $89.92 |
| Galveston | Office $271.25 | Facility $88.50 |
| Hanford-Corcoran | Office $291.62 | Facility $89.92 |
| Hawaii, Guam | Office $299.43 | Facility $90.18 |
| Houston | Office $274.36 | Facility $91.61 |
| Idaho | Office $253.53 | Facility $84.21 |
| Indiana | Office $255.06 | Facility $84.46 |
| Iowa | Office $252.05 | Facility $83.66 |
| Kansas | Office $250.36 | Facility $83.99 |
| Kentucky | Office $249.56 | Facility $85.95 |
| Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty) | Office $311.92 | Facility $94.21 |
| Madera | Office $291.62 | Facility $89.92 |
| Manhattan | Office $314.13 | Facility $100.27 |
| Merced | Office $291.62 | Facility $89.92 |
| Metropolitan Boston | Office $315.50 | Facility $95.76 |
| Metropolitan Kansas City | Office $260.35 | Facility $87.54 |
| Metropolitan Philadelphia | Office $283.93 | Facility $92.35 |
| Metropolitan St. Louis | Office $263.21 | Facility $88.01 |
| Miami | Office $290.46 | Facility $98.88 |
| Minnesota | Office $275.28 | Facility $85.90 |
| Mississippi | Office $242.72 | Facility $84.26 |
| Modesto | Office $291.62 | Facility $89.92 |
| Montana** | Office $273.21 | Facility $89.17 |
| Napa | Office $340.51 | Facility $97.95 |
| Nebraska | Office $253.61 | Facility $83.75 |
| Nevada** | Office $272.48 | Facility $88.26 |
| New Hampshire | Office $281.07 | Facility $89.48 |
| New Mexico | Office $257.03 | Facility $88.27 |
| New Orleans | Office $261.68 | Facility $88.49 |
| North Carolina | Office $257.18 | Facility $85.47 |
| North Dakota** | Office $269.85 | Facility $85.81 |
| Northern Nj | Office $310.71 | Facility $97.22 |
| Nyc Suburbs/Long Island | Office $321.30 | Facility $102.48 |
| Ohio | Office $255.10 | Facility $87.08 |
| Oklahoma | Office $249.62 | Facility $85.27 |
| Oxnard-Thousand Oaks-Ventura | Office $310.72 | Facility $93.18 |
| Portland | Office $295.88 | Facility $91.41 |
| Poughkpsie/N Nyc Suburbs | Office $296.89 | Facility $95.37 |
| Puerto Rico | Office $275.43 | Facility $89.37 |
| Queens | Office $317.48 | Facility $99.95 |
| Redding | Office $291.62 | Facility $89.92 |
| Rest Of California | Office $291.62 | Facility $89.92 |
| Rest Of Florida | Office $266.89 | Facility $90.95 |
| Rest Of Georgia | Office $251.76 | Facility $87.60 |
| Rest Of Illinois | Office $258.25 | Facility $90.23 |
| Rest Of Louisiana | Office $248.97 | Facility $86.10 |
| Rest Of Maine | Office $254.37 | Facility $85.06 |
| Rest Of Maryland | Office $275.85 | Facility $89.60 |
| Rest Of Massachusetts | Office $284.07 | Facility $90.28 |
| Rest Of Michigan | Office $255.79 | Facility $87.76 |
| Rest Of Missouri | Office $244.26 | Facility $85.62 |
| Rest Of New Jersey | Office $295.33 | Facility $94.36 |
| Rest Of New York | Office $261.10 | Facility $86.26 |
| Rest Of Oregon | Office $270.70 | Facility $87.40 |
| Rest Of Pennsylvania | Office $255.79 | Facility $86.84 |
| Rest Of Texas | Office $262.02 | Facility $87.37 |
| Rest Of Washington | Office $283.69 | Facility $89.90 |
| Rhode Island | Office $280.61 | Facility $90.50 |
| Riverside-San Bernardino-Ontario | Office $293.48 | Facility $91.78 |
| Sacramento-Roseville-Folsom | Office $306.73 | Facility $92.69 |
| Salinas | Office $305.60 | Facility $92.30 |
| San Diego-Chula Vista-Carlsbad | Office $313.30 | Facility $93.19 |
| San Francisco-Oakland-Berkeley (Marin Cnty) | Office $361.32 | Facility $101.83 |
| San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty) | Office $361.13 | Facility $101.63 |
| San Jose-Sunnyvale-Santa Clara (San Benito Cnty) | Office $369.32 | Facility $103.94 |
| San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty) | Office $368.53 | Facility $103.15 |
| San Luis Obispo-Paso Robles | Office $300.60 | Facility $90.98 |
| Santa Cruz-Watsonville | Office $316.70 | Facility $93.09 |
| Santa Maria-Santa Barbara | Office $306.88 | Facility $92.29 |
| Santa Rosa-Petaluma | Office $319.94 | Facility $93.94 |
| Seattle (King Cnty) | Office $322.51 | Facility $96.69 |
| South Carolina | Office $256.50 | Facility $86.45 |
| South Dakota** | Office $269.45 | Facility $85.41 |
| Southern Maine | Office $269.25 | Facility $86.86 |
| Stockton | Office $291.62 | Facility $89.92 |
| Suburban Chicago | Office $283.65 | Facility $94.64 |
| Tennessee | Office $251.59 | Facility $84.30 |
| Utah | Office $260.11 | Facility $87.12 |
| Vallejo | Office $340.24 | Facility $97.67 |
| Vermont | Office $268.33 | Facility $86.13 |
| Virgin Islands | Office $275.43 | Facility $89.37 |
| Virginia | Office $268.00 | Facility $87.09 |
| Visalia | Office $291.62 | Facility $89.92 |
| West Virginia | Office $248.32 | Facility $88.39 |
| Wisconsin | Office $260.52 | Facility $84.21 |
| Wyoming** | Office $271.74 | Facility $87.70 |
| Yuba City | Office $291.62 | Facility $89.92 |
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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 indices and the applicable conversion factor. Unavailable or separately priced services are labeled rather than assigned a made-up amount.
Source: RVU26D. Effective 2026-10-01 through the day before 2027-01-01.
6,96462320,,Njx interlaminar crv/thrc,A,,1.76,2.93,,0.66,,0.21,4.90,2.63,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96562321,,Njx interlaminar crv/thrc,A,,1.90,6.20,,0.78,,0.18,8.28,2.86,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96662322,,Njx interlaminar lmbr/sac,A,,1.51,2.70,,0.56,,0.15,4.36,2.22,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96762323,,Njx interlaminar lmbr/sac,A,,1.76,6.25,,0.74,,0.17,8.18,2.67,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96862324,,Njx interlaminar crv/thrc,A,,1.84,2.60,,0.58,,0.16,4.60,2.58,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96962325,,Njx interlaminar crv/thrc,A,,2.15,5.60,,0.68,,0.19,7.94,3.02,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97062326,,Njx interlaminar lmbr/sac,A,,1.74,2.70,,0.57,,0.15,4.59,2.46,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00