Billing code 62327: Epidural infusionMedicare rate & RVUs
Reports image-guided lumbar or sacral interlaminar epidural catheter placement for continuous infusion or intermittent bolus of a diagnostic or therapeutic substance.
Medicare pays $274.56 for 62327 nationally in the office and $93.19 in a hospital or facility. Local office rates run $242.37–$369.64.
Medicare rate · 62327
Epidural infusion
- Work RVUs
- 1.85
- Total RVUs
- 8.22
- Global days
- 000
National rate · 2026
$274.56
Office setting, before claim adjustments.
See every locality for 62327 →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 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.
Where 62327 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
$242.37 to $369.64
109 of 109 payment localities
62327 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.
$242.37
$331.06
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 | $316.02 | 1 |
| AL | $246.00 | 1 |
| AR | $242.37 | 1 |
| AZ | $267.24 | 1 |
| CA | $292.48–$369.64 | 29 |
| CO | $287.12 | 1 |
| CT | $293.02 | 1 |
| DC | $315.35 | 1 |
| DE | $271.75 | 1 |
| FL | $268.67–$292.72 | 3 |
| GA | $253.48–$279.32 | 2 |
| GU | $300.16 | 1 |
| HI | $300.16 | 1 |
| IA | $253.18 | 1 |
| ID | $254.70 | 1 |
| IL | $260.17–$285.46 | 4 |
| IN | $256.22 | 1 |
| KS | $251.59 | 1 |
| KY | $251.10 | 1 |
| LA | $250.55–$263.24 | 2 |
| MA | $285.20–$316.44 | 2 |
| MD | $277.13–$315.35 | 3 |
| ME | $255.64–$270.36 | 2 |
| MI | $257.42–$271.68 | 2 |
| MN | $276.07 | 1 |
| MO | $245.90–$264.66 | 3 |
| MS | $244.21 | 1 |
| MT | $274.54 | 1 |
| NC | $258.43 | 1 |
| ND | $270.79 | 1 |
| NE | $254.71 | 1 |
| NH | $282.23 | 1 |
| NJ | $296.63–$311.91 | 2 |
| NM | $258.70 | 1 |
| NV | $273.70 | 1 |
| NY | $262.35–$322.96 | 5 |
| OH | $256.65 | 1 |
| OK | $251.05 | 1 |
| OR | $271.84–$296.83 | 2 |
| PA | $257.28–$285.36 | 2 |
| PR | $276.73 | 1 |
| RI | $281.86 | 1 |
| SC | $257.92 | 1 |
| SD | $270.34 | 1 |
| TN | $252.83 | 1 |
| TX | $255.53–$285.93 | 8 |
| UT | $261.52 | 1 |
| VA | $269.18–$315.35 | 2 |
| VI | $276.73 | 1 |
| VT | $269.36 | 1 |
| WA | $284.78–$323.34 | 2 |
| WI | $261.49 | 1 |
| WV | $250.25 | 1 |
| WY | $272.91 | 1 |
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
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.
Payment rules and modifiers for 62327
The CMS indicators that decide how 62327 is paid alongside other services.
CMS payment indicators · 62327
Epidural infusion
| 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
62327 without 51 · national office
$274.56
Epidural infusion
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%).
62327 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62326Epidural injection
- Both describe lumbar or sacral catheter infusion services. 62327 includes imaging guidance; 62326 is the counterpart without imaging guidance.
- 62323Lumbar epidural injection
- Choose 62327 for image-guided indwelling catheter placement with continuous infusion or intermittent bolus. 62323 describes an image-guided injection without that catheter-infusion service.
- 62325Epidural injection
- Both include imaging-guided catheter infusion, but 62325 is for a cervical or thoracic interlaminar site; 62327 is for lumbar or sacral.
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
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