Billing code 62324: Epidural catheter injectionMedicare rate & RVUs
Reports cervical or thoracic interlaminar epidural or subarachnoid medication delivery using an indwelling catheter for continuous infusion or intermittent bolus without imaging guidance.
Medicare pays $153.64 for 62324 nationally in the office and $86.17 in a hospital or facility. Local office rates run $138.81–$196.31.
Medicare rate · 62324
Epidural catheter injection
Swap in your local Medicare rate.
- Work RVUs
- 1.84
- Total RVUs
- 4.60
- Global days
- 000
National rate · 2026
$153.64
Office setting, before claim adjustments.
See every locality for 62324 → · Billed by an NP, PA or therapist? →
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 10 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.
Where 62324 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$138.81 to $196.31
109 of 109 payment localities
62324 rates by state
Office rate range in each state. Select a state to see its payment localities.
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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
Swap in your local Medicare rate.
Work 1.84Practice expense 2.60Malpractice 0.16
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
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
| 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
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%).
62324 compared with similar codes
Compare codes
62324 vs 62320 vs 62321 vs 62325 vs 62326: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62320Epidural injection
- Both describe cervical or thoracic interlaminar medication delivery without imaging guidance. Choose 62324 when an indwelling catheter supports continuous infusion or intermittent bolus; 62320 is for injection without catheter-based delivery.
- 62321Epidural injection
- 62321 is the cervical or thoracic injection service without catheter-based infusion or bolus delivery and includes imaging guidance. 62324 describes catheter-based delivery without imaging guidance.
- 62325Epidural injection
- 62325 describes the cervical or thoracic catheter-based infusion or bolus service when imaging guidance is used; 62324 is the corresponding service without imaging guidance.
- 62326Epidural injection
- Both involve catheter-based interlaminar delivery without imaging guidance. 62324 is for the cervical or thoracic region; 62326 is for the lumbar or sacral region.
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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