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CMS RVU26D · Effective 2026-10-01

62321 in Austin

Office / nonfacility

$288.01

Base rate per service

Facility setting

$96.48

Base rate per service

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.

Pain management

About 62321: Image-guided cervical thoracic interlaminar injection

Reports an image-guided interlaminar cervical or thoracic epidural injection for diagnostic or therapeutic medication delivery without an indwelling infusion catheter.

Anesthesiologists, interventional pain physicians, and other qualified clinicians use this service to deliver medication through an interlaminar approach in the cervical or thoracic spine. A common clinical situation is treatment of cervical radicular pain with an epidural steroid injection. Fluoroscopy or CT guides needle placement. The service covers an injection, rather than placement of an indwelling catheter for ongoing infusion.

Select the code based on the spinal region, interlaminar approach, use of imaging, and whether medication is delivered through a catheter. Documentation should identify the treated level, approach, imaging guidance, indication, and injected substance. Imaging guidance is included in this code. 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. Assistant-at-surgery payment is statutorily restricted; co-surgeons and team surgery are not permitted.

CMS billing rules for 62321

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 RVU1.90 · 23%
  • Practice expense (office) RVU6.20 · 75%
  • Malpractice RVU0.18 · 2%

228.4K

Medicare services in 2024 · #359 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.

62321 compared with similar codes

Office rates for Austin, from the same CMS release.

62320

Epidural injection

Cervical or thoracic, no imaging

$168.66

Both describe cervical or thoracic interlaminar injections; 62321 includes imaging guidance, while 62320 is for a service performed without imaging guidance.

62323

Lumbar epidural injection

Interlaminar or caudal, with imaging guidance

$284.80

Both describe image-guided interlaminar injections, but 62323 is for the lumbar or sacral region rather than the cervical or thoracic region.

62325

Epidural injection

Cervical or thoracic, catheter

$275.47

Both involve image guidance in the cervical or thoracic region. Choose 62325 for indwelling catheter delivery by continuous infusion or intermittent bolus rather than an injection without ongoing catheter delivery.

The same code, a different location

How does Austin compare?

In Beaumont, the office rate for 62321 is $257.49—$30.52 lower than the $288.01 rate in Austin. Both use the same code, release and participation basis.

62321 across payment areas

Same release and payment basis · bars start at $0

  1. Austin · This locality

    $288.01

  2. Beaumont

    $257.49

    $30.52 lower than Austin

  3. Brazoria

    $273.88

    $14.13 lower than Austin

  4. Dallas

    $275.45

    $12.56 lower than Austin

  5. Fort Worth

    $273.46

    $14.55 lower than Austin

  6. Galveston

    $274.58

    $13.43 lower than Austin

  7. Houston

    $277.88

    $10.13 lower than Austin

Other payment areas listed in Texas appear first, followed by selected cross-country examples. The chart compares amounts, not distance.

Across 109 of 109 CMS payment localities with a supported office rate, 62321 ranges from $244.44 in Arkansas to $372.28 in San Jose-Sunnyvale-Santa Clara (San Benito Cnty). This is a geographic range, not an average.

The code’s RVUs stay the same in these comparisons. Geographic adjustments to work, practice expense and malpractice change the dollar amount. A city name alone may not identify the payment area for a service address.

Compare all 108 other payment areas

  • Rest Of Texas

    Texas · 62321

    Office

    $265.41

    Facility

    $93.61

    $22.60 lower than Austin for the office setting.

  • Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    California · 62321

    Office

    $315.04

    Facility

    $100.88

    $27.03 higher than Austin for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62321

    Office

    $317.53

    Facility

    $104.27

    $29.52 higher than Austin for the office setting.

  • Miami

    Florida · 62321

    Office

    $294.24

    Facility

    $105.79

    $6.23 higher than Austin for the office setting.

  • Chicago

    Illinois · 62321

    Office

    $285.82

    Facility

    $103.89

    $2.19 lower than Austin for the office setting.

  • Manhattan

    New York · 62321

    Office

    $317.69

    Facility

    $107.33

    $29.68 higher than Austin for the office setting.

  • Alaska*

    Alaska · 62321

    Office

    $319.05

    Facility

    $126.25

    $31.04 higher than Austin for the office setting.

  • Alabama

    Alabama · 62321

    Office

    $248.06

    Facility

    $89.66

    $39.95 lower than Austin for the office setting.

  • Arkansas

    Arkansas · 62321

    Office

    $244.44

    Facility

    $88.94

    $43.57 lower than Austin for the office setting.

  • Arizona

    Arizona · 62321

    Office

    $269.27

    Facility

    $93.85

    $18.74 lower than Austin for the office setting.

  • Bakersfield

    California · 62321

    Office

    $295.29

    Facility

    $96.88

    $7.28 higher than Austin for the office setting.

  • Chico

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • El Centro

    California · 62321

    Office

    $294.76

    Facility

    $96.35

    $6.75 higher than Austin for the office setting.

  • Fresno

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Hanford-Corcoran

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Madera

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Merced

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Modesto

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Napa

    California · 62321

    Office

    $343.45

    Facility

    $104.85

    $55.44 higher than Austin for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62321

    Office

    $313.76

    Facility

    $99.78

    $25.75 higher than Austin for the office setting.

  • Redding

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Rest Of California

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62321

    Office

    $296.70

    Facility

    $98.29

    $8.69 higher than Austin for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62321

    Office

    $309.81

    Facility

    $99.27

    $21.80 higher than Austin for the office setting.

  • Salinas

    California · 62321

    Office

    $308.66

    Facility

    $98.85

    $20.65 higher than Austin for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62321

    Office

    $316.30

    Facility

    $99.78

    $28.29 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62321

    Office

    $364.24

    Facility

    $108.98

    $76.23 higher than Austin for the office setting.

  • San Francisco-Oakland-Berkeley (San Francisco/San Mateo/Alameda/Contra Costa Cnty)

    California · 62321

    Office

    $364.04

    Facility

    $108.78

    $76.03 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (San Benito Cnty)

    California · 62321

    Office

    $372.28

    Facility

    $111.23

    $84.27 higher than Austin for the office setting.

  • San Jose-Sunnyvale-Santa Clara (Santa Clara Cnty)

    California · 62321

    Office

    $371.45

    Facility

    $110.40

    $83.44 higher than Austin for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62321

    Office

    $303.63

    Facility

    $97.44

    $15.62 higher than Austin for the office setting.

  • Santa Cruz-Watsonville

    California · 62321

    Office

    $319.63

    Facility

    $99.67

    $31.62 higher than Austin for the office setting.

  • Santa Maria-Santa Barbara

    California · 62321

    Office

    $309.92

    Facility

    $98.84

    $21.91 higher than Austin for the office setting.

  • Santa Rosa-Petaluma

    California · 62321

    Office

    $322.89

    Facility

    $100.58

    $34.88 higher than Austin for the office setting.

  • Stockton

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Vallejo

    California · 62321

    Office

    $343.16

    Facility

    $104.56

    $55.15 higher than Austin for the office setting.

  • Visalia

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Yuba City

    California · 62321

    Office

    $294.73

    Facility

    $96.32

    $6.72 higher than Austin for the office setting.

  • Colorado

    Colorado · 62321

    Office

    $289.26

    Facility

    $96.64

    $1.25 higher than Austin for the office setting.

  • Connecticut

    Connecticut · 62321

    Office

    $295.04

    Facility

    $100.06

    $7.03 higher than Austin for the office setting.

  • Delaware

    Delaware · 62321

    Office

    $273.78

    Facility

    $94.92

    $14.23 lower than Austin for the office setting.

  • Fort Lauderdale

    Florida · 62321

    Office

    $284.11

    Facility

    $100.72

    $3.90 lower than Austin for the office setting.

  • Rest Of Florida

    Florida · 62321

    Office

    $270.47

    Facility

    $97.40

    $17.54 lower than Austin for the office setting.

  • Atlanta

    Georgia · 62321

    Office

    $281.27

    Facility

    $97.34

    $6.74 lower than Austin for the office setting.

  • Rest Of Georgia

    Georgia · 62321

    Office

    $255.35

    Facility

    $93.87

    $32.66 lower than Austin for the office setting.

  • Hawaii, Guam

    Hawaii · 62321

    Office

    $302.40

    Facility

    $96.56

    $14.39 higher than Austin for the office setting.

  • Iowa

    Iowa · 62321

    Office

    $255.33

    Facility

    $89.69

    $32.68 lower than Austin for the office setting.

  • Idaho

    Idaho · 62321

    Office

    $256.82

    Facility

    $90.27

    $31.19 lower than Austin for the office setting.

  • East St. Louis

    Illinois · 62321

    Office

    $266.09

    Facility

    $99.54

    $21.92 lower than Austin for the office setting.

  • Rest Of Illinois

    Illinois · 62321

    Office

    $261.93

    Facility

    $96.64

    $26.08 lower than Austin for the office setting.

  • Suburban Chicago

    Illinois · 62321

    Office

    $287.24

    Facility

    $101.32

    $0.77 lower than Austin for the office setting.

  • Indiana

    Indiana · 62321

    Office

    $258.35

    Facility

    $90.53

    $29.66 lower than Austin for the office setting.

  • Kansas

    Kansas · 62321

    Office

    $253.70

    Facility

    $90.04

    $34.31 lower than Austin for the office setting.

  • Kentucky

    Kentucky · 62321

    Office

    $253.06

    Facility

    $92.12

    $34.95 lower than Austin for the office setting.

  • New Orleans

    Louisiana · 62321

    Office

    $265.16

    Facility

    $94.81

    $22.85 lower than Austin for the office setting.

  • Rest Of Louisiana

    Louisiana · 62321

    Office

    $252.49

    Facility

    $92.28

    $35.52 lower than Austin for the office setting.

  • Metropolitan Boston

    Massachusetts · 62321

    Office

    $318.67

    Facility

    $102.52

    $30.66 higher than Austin for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62321

    Office

    $287.33

    Facility

    $96.70

    $0.68 lower than Austin for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62321

    Office

    $294.12

    Facility

    $99.87

    $6.11 higher than Austin for the office setting.

  • Rest Of Maryland

    Maryland · 62321

    Office

    $279.19

    Facility

    $95.98

    $8.82 lower than Austin for the office setting.

  • Rest Of Maine

    Maine · 62321

    Office

    $257.72

    Facility

    $91.17

    $30.29 lower than Austin for the office setting.

  • Southern Maine

    Maine · 62321

    Office

    $272.48

    Facility

    $93.07

    $15.53 lower than Austin for the office setting.

  • Detroit

    Michigan · 62321

    Office

    $273.44

    Facility

    $98.74

    $14.57 lower than Austin for the office setting.

  • Rest Of Michigan

    Michigan · 62321

    Office

    $259.32

    Facility

    $94.04

    $28.69 lower than Austin for the office setting.

  • Minnesota

    Minnesota · 62321

    Office

    $278.33

    Facility

    $92.05

    $9.68 lower than Austin for the office setting.

  • Metropolitan Kansas City

    Missouri · 62321

    Office

    $263.79

    Facility

    $93.80

    $24.22 lower than Austin for the office setting.

  • Metropolitan St. Louis

    Missouri · 62321

    Office

    $266.63

    Facility

    $94.29

    $21.38 lower than Austin for the office setting.

  • Rest Of Missouri

    Missouri · 62321

    Office

    $247.83

    Facility

    $91.77

    $40.18 lower than Austin for the office setting.

  • Mississippi

    Mississippi · 62321

    Office

    $246.21

    Facility

    $90.34

    $41.80 lower than Austin for the office setting.

  • Montana**

    Montana · 62321

    Office

    $276.55

    Facility

    $95.51

    $11.46 lower than Austin for the office setting.

  • North Carolina

    North Carolina · 62321

    Office

    $260.51

    Facility

    $91.61

    $27.50 lower than Austin for the office setting.

  • North Dakota**

    North Dakota · 62321

    Office

    $272.99

    Facility

    $91.96

    $15.02 lower than Austin for the office setting.

  • Nebraska

    Nebraska · 62321

    Office

    $256.87

    Facility

    $89.78

    $31.14 lower than Austin for the office setting.

  • New Hampshire

    New Hampshire · 62321

    Office

    $284.30

    Facility

    $95.84

    $3.71 lower than Austin for the office setting.

  • Northern Nj

    New Jersey · 62321

    Office

    $314.10

    Facility

    $104.10

    $26.09 higher than Austin for the office setting.

  • Rest Of New Jersey

    New Jersey · 62321

    Office

    $298.73

    Facility

    $101.05

    $10.72 higher than Austin for the office setting.

  • New Mexico

    New Mexico · 62321

    Office

    $260.58

    Facility

    $94.57

    $27.43 lower than Austin for the office setting.

  • Nevada**

    Nevada · 62321

    Office

    $275.76

    Facility

    $94.55

    $12.25 lower than Austin for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62321

    Office

    $324.91

    Facility

    $109.66

    $36.90 higher than Austin for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62321

    Office

    $300.35

    Facility

    $102.12

    $12.34 higher than Austin for the office setting.

  • Queens

    New York · 62321

    Office

    $320.97

    Facility

    $106.99

    $32.96 higher than Austin for the office setting.

  • Rest Of New York

    New York · 62321

    Office

    $264.42

    Facility

    $92.44

    $23.59 lower than Austin for the office setting.

  • Ohio

    Ohio · 62321

    Office

    $258.59

    Facility

    $93.31

    $29.42 lower than Austin for the office setting.

  • Oklahoma

    Oklahoma · 62321

    Office

    $253.06

    Facility

    $91.40

    $34.95 lower than Austin for the office setting.

  • Portland

    Oregon · 62321

    Office

    $299.02

    Facility

    $97.89

    $11.01 higher than Austin for the office setting.

  • Rest Of Oregon

    Oregon · 62321

    Office

    $273.95

    Facility

    $93.64

    $14.06 lower than Austin for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62321

    Office

    $287.35

    Facility

    $98.90

    $0.66 lower than Austin for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62321

    Office

    $259.25

    Facility

    $93.06

    $28.76 lower than Austin for the office setting.

  • Puerto Rico

    Puerto Rico · 62321

    Office

    $278.75

    Facility

    $95.72

    $9.26 lower than Austin for the office setting.

  • Rhode Island

    Rhode Island · 62321

    Office

    $283.95

    Facility

    $96.94

    $4.06 lower than Austin for the office setting.

  • South Carolina

    South Carolina · 62321

    Office

    $259.92

    Facility

    $92.64

    $28.09 lower than Austin for the office setting.

  • South Dakota**

    South Dakota · 62321

    Office

    $272.57

    Facility

    $91.53

    $15.44 lower than Austin for the office setting.

  • Tennessee

    Tennessee · 62321

    Office

    $254.93

    Facility

    $90.37

    $33.08 lower than Austin for the office setting.

  • Utah

    Utah · 62321

    Office

    $263.52

    Facility

    $93.35

    $24.49 lower than Austin for the office setting.

  • Virginia

    Virginia · 62321

    Office

    $271.27

    Facility

    $93.32

    $16.74 lower than Austin for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62321

    Office

    $278.75

    Facility

    $95.72

    $9.26 lower than Austin for the office setting.

  • Vermont

    Vermont · 62321

    Office

    $271.52

    Facility

    $92.30

    $16.49 lower than Austin for the office setting.

  • Rest Of Washington

    Washington · 62321

    Office

    $286.92

    Facility

    $96.30

    $1.09 lower than Austin for the office setting.

  • Seattle (King Cnty)

    Washington · 62321

    Office

    $325.64

    Facility

    $103.51

    $37.63 higher than Austin for the office setting.

  • Wisconsin

    Wisconsin · 62321

    Office

    $263.70

    Facility

    $90.27

    $24.31 lower than Austin for the office setting.

  • West Virginia

    West Virginia · 62321

    Office

    $252.02

    Facility

    $94.70

    $35.99 lower than Austin for the office setting.

  • Wyoming**

    Wyoming · 62321

    Office

    $275.00

    Facility

    $93.96

    $13.01 lower than Austin for the office setting.

See how rates vary across the country

62321 · Office / nonfacility · Non-QP. Choose a state to explore its payment localities. A range means the amount varies within that state.

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.

$244.44

$333.51

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$319.051
AL$248.061
AR$244.441
AZ$269.271
CA$294.73–$372.2829
CO$289.261
CT$295.041
DC$317.531
DE$273.781
FL$270.47–$294.243
GA$255.35–$281.272
GU$302.401
HI$302.401
IA$255.331
ID$256.821
IL$261.93–$287.244
IN$258.351
KS$253.701
KY$253.061
LA$252.49–$265.162
MA$287.33–$318.672
MD$279.19–$317.533
ME$257.72–$272.482
MI$259.32–$273.442
MN$278.331
MO$247.83–$266.633
MS$246.211
MT$276.551
NC$260.511
ND$272.991
NE$256.871
NH$284.301
NJ$298.73–$314.102
NM$260.581
NV$275.761
NY$264.42–$324.915
OH$258.591
OK$253.061
OR$273.95–$299.022
PA$259.25–$287.352
PR$278.751
RI$283.951
SC$259.921
SD$272.571
TN$254.931
TX$257.49–$288.018
UT$263.521
VA$271.27–$317.532
VI$278.751
VT$271.521
WA$286.92–$325.642
WI$263.701
WV$252.021
WY$275.001

Explore 62321 on the national rate map →

Where does this rate apply?

Austin is a Medicare payment area. Our Census mapping connects it to 31 cities and communities in Texas, including the examples shown here.

Some communities span more than one payment area. Follow a city link to compare all of its mapped areas, or check the service-location ZIP above for an address-level starting point.

Browse all communities in Texas →

Why are the office and facility amounts different?

For 62321 in Austin, the physician’s office rate is $288.01 and the facility-setting rate is $96.48: a difference of $191.53.

The calculation uses a different practice-expense RVU for each setting. Both amounts here are physician fee-schedule amounts. The facility figure does not include a hospital’s separate charges, so this comparison does not tell you the total cost of receiving care in each setting.

See the inputs behind this difference →

Use this rate

What is a percentage of Medicare worth?

Turn a percentage into dollars for 62321 in Austin. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$316.81

$288.01 × 110% = $316.81

A contract may specify another Medicare year or additional adjustments. This is percentage arithmetic on the displayed base rate, not a claim adjudication.

Working with a whole code list?

Compare an offer across your annual code mix, including an older Medicare schedule or flat per-code rates.

Compare your contract offer →

How this local rate is calculated

Each RVU component is multiplied by its own geographic practice cost index (GPCI). The three adjusted components are added, then multiplied by the conversion factor. These are the inputs used for 62321 in Austin.

PPRRVU2026_Oct_nonQPP.csv

6,965

Code
62321
Physician work
1.90
Practice expense
6.20
Malpractice
0.18

GPCI2026.csv

96

Locality
Austin
Physician work
1.002
Practice expense
1.058
Malpractice
0.886
Office / nonfacility calculation for 62321 in Austin
ComponentRVULocality factorAdjusted
Physician work1.90× 1.0021.9038
Practice expense6.20× 1.0586.5596
Malpractice0.18× 0.8860.1595
Total RVUs8.6229
Conversion factor× 33.4009

Office / nonfacility rate, Austin$288.01

Open 62321 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.91.002
Practice expense6.21.058
Malpractice0.180.886

(1.9 × 1.002 + 6.2 × 1.058 + 0.18 × 0.886) × $33.4009 = $288.01

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.91.002
Practice expense0.781.058
Malpractice0.180.886

(1.9 × 1.002 + 0.78 × 1.058 + 0.18 × 0.886) × $33.4009 = $96.48

The office and facility calculations use their respective practice-expense RVUs. The facility amount here is the physician fee, not a separate hospital or facility bill.

How this rate has changed

62321 · Office / nonfacility

$288.01

Effective 2026-10-01

The base rate is $29.12 higher than on 2025-10-01, moving from $258.89 to $288.01 (11.2%).

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

    $258.89changed to$288.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.95 changed to 1.90
    • Practice expense RVU 5.63 changed to 6.20
    • Work GPCI 1.000 changed to 1.002
    • Practice expense GPCI 1.046 changed to 1.058
    • Malpractice GPCI 0.914 changed to 0.886

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $258.89

    Held through RVU25B, RVU25C, RVU25D.

Explore release dates and calculate this code in an earlier period →

Each row uses the accepted CMS release effective on that date and the same contractor and locality identifiers. Missing rates stay visible. Historical boundaries may differ; verify the service address for an older claim.

Inspect every release and its CMS source
Effective fromOffice / nonfacilityFacilityCMS release
2026-10-01$288.01$96.48RVU26D
2026-07-01$288.01$96.48RVU26C
2026-04-01$288.01$96.48RVU26B
2026-01-01$288.01$96.48RVU26A
2025-10-01$258.89$104.94RVU25D
2025-07-01$258.89$104.94RVU25C
2025-04-01$258.89$104.94RVU25B
2025-01-01$258.89$104.94RVU25A

62321 billing questions

When should 62321 be chosen over 62320?

Use 62321 for an interlaminar cervical or thoracic injection performed with imaging guidance. Code 62320 describes the corresponding service without imaging guidance.

How does 62321 differ from 62325?

62321 is for an injection without an indwelling catheter for ongoing infusion. 62325 is the image-guided cervical or thoracic catheter service for continuous infusion or intermittent bolus delivery.

Can imaging guidance be billed separately?

Imaging guidance is included in 62321. Do not separately report the guidance for this injection.

What documentation supports 62321?

Document the cervical or thoracic level, interlaminar approach, imaging guidance, clinical indication, and substance injected. The record should support that the service was an injection rather than indwelling catheter delivery.

How are other procedures in the same session paid?

The highest-valued procedure is paid in full, and other procedures in the same session are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in 62321's 0-day global period.

Can an assistant or co-surgeon be billed for 62321?

Assistant-at-surgery payment is statutorily restricted for this code. 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 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.

RVUs for 62321PPRRVU2026_Oct_nonQPP.csv, line 6,965 (RVU26D)
Geographic factors for AustinGPCI2026.csv, line 96 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet