Billing code 62326: Epidural injectionMedicare rate & RVUs
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.
Medicare pays $153.31 for 62326 nationally in the office and $82.17 in a hospital or facility. Local office rates run $138.16–$197.24.
Medicare rate · 62326
Epidural injection
Swap in your local Medicare rate.
- Work RVUs
- 1.74
- Total RVUs
- 4.59
- Global days
- 000
National rate · 2026
$153.31
Office setting, before claim adjustments.
See every locality for 62326 → · 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 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.
Where 62326 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
$138.16 to $197.24
109 of 109 payment localities
62326 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.
$138.16
$185.98
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 | $185.98 | 1 |
| AL | $139.86 | 1 |
| AR | $138.16 | 1 |
| AZ | $149.79 | 1 |
| CA | $160.63–$197.24 | 29 |
| CO | $158.68 | 1 |
| CT | $162.47 | 1 |
| DC | $173.07 | 1 |
| DE | $152.01 | 1 |
| FL | $151.86–$164.67 | 3 |
| GA | $144.53–$155.93 | 2 |
| GU | $163.56 | 1 |
| HI | $163.56 | 1 |
| IA | $142.62 | 1 |
| ID | $143.46 | 1 |
| IL | $148.28–$160.66 | 4 |
| IN | $144.15 | 1 |
| KS | $142.17 | 1 |
| KY | $142.87 | 1 |
| LA | $142.73–$148.67 | 2 |
| MA | $158.00–$172.64 | 2 |
| MD | $154.56–$173.07 | 3 |
| ME | $144.20–$150.65 | 2 |
| MI | $146.11–$153.59 | 2 |
| MN | $152.40 | 1 |
| MO | $140.73–$148.99 | 3 |
| MS | $139.47 | 1 |
| MT | $153.30 | 1 |
| NC | $145.46 | 1 |
| ND | $150.33 | 1 |
| NE | $143.25 | 1 |
| NH | $156.38 | 1 |
| NJ | $164.42–$171.74 | 2 |
| NM | $146.83 | 1 |
| NV | $152.56 | 1 |
| NY | $147.31–$178.37 | 5 |
| OH | $145.50 | 1 |
| OK | $142.54 | 1 |
| OR | $151.46–$162.97 | 2 |
| PA | $145.64–$159.02 | 2 |
| PR | $154.23 | 1 |
| RI | $156.85 | 1 |
| SC | $145.70 | 1 |
| SD | $149.98 | 1 |
| TN | $142.78 | 1 |
| TX | $144.84–$158.09 | 8 |
| UT | $147.39 | 1 |
| VA | $150.30–$173.07 | 2 |
| VI | $154.23 | 1 |
| VT | $149.93 | 1 |
| WA | $157.65–$175.77 | 2 |
| WI | $146.06 | 1 |
| WV | $143.66 | 1 |
| WY | $152.01 | 1 |
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
Swap in your local Medicare rate.
Work 1.74Practice expense 2.70Malpractice 0.15
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62326
The CMS indicators that decide how 62326 is paid alongside other services.
CMS payment indicators · 62326
Epidural 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
62326 without 51 · national office
$153.31
Epidural injection
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%).
62326 compared with similar codes
Compare codes
62326 vs 62322 vs 62327 vs 62324: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62322Epidural injection
- Both describe lumbar or sacral interlaminar injections without imaging guidance. Choose 62326 for catheter delivery by continuous infusion or intermittent bolus; 62322 describes the technique without that catheter service.
- 62327Epidural infusion
- Both cover lumbar or sacral catheter injection by continuous infusion or intermittent bolus. Choose 62327 when imaging guidance is used; 62326 is for the procedure without imaging guidance.
- 62324Epidural catheter injection
- The catheter technique is similar, but 62324 is for the cervical or thoracic region. 62326 is for the lumbar or sacral region.
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
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