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CMS RVU26D · Effective 2026-10-01

62323 in El Centro

Office / nonfacility

$291.65

Base rate per service

Facility setting

$89.95

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.

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 rates for El Centro, from the same CMS release.

62322

Epidural injection

Lumbar or sacral, no imaging

$152.84

Both cover lumbar interlaminar or caudal injections; 62323 requires documented fluoroscopic or CT guidance, while 62322 is for injections performed without imaging guidance.

64483

Transforaminal epidural injection

Lumbar or sacral, first level

$282.26

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.

62321

Epidural injection

Cervical or thoracic, image-guided

$294.76

62321 covers an imaging-guided interlaminar injection with cervical or thoracic entry; choose 62323 for lumbar interlaminar or sacral caudal entry.

62328

Lumbar puncture

Diagnostic, with imaging

$228.32

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.

The same code, a different location

How does El Centro compare?

In Bakersfield, the office rate for 62323 is $292.16—$0.51 higher than the $291.65 rate in El Centro. Both use the same code, release and participation basis.

62323 across payment areas

Same release and payment basis · bars start at $0

  1. El Centro · This locality

    $291.65

  2. Bakersfield

    $292.16

    $0.51 higher than El Centro

  3. Chico

    $291.62

    $0.03 lower than El Centro

  4. Fresno

    $291.62

    $0.03 lower than El Centro

  5. Hanford-Corcoran

    $291.62

    $0.03 lower than El Centro

  6. Los Angeles-Long Beach-Anaheim (Los Angeles/Orange Cnty)

    $311.92

    $20.27 higher than El Centro

  7. Madera

    $291.62

    $0.03 lower than El Centro

Other payment areas listed in California 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, 62323 ranges from $241.03 in Arkansas to $369.32 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

  • Merced

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Modesto

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Napa

    California · 62323

    Office

    $340.51

    Facility

    $97.95

    $48.86 higher than El Centro for the office setting.

  • Oxnard-Thousand Oaks-Ventura

    California · 62323

    Office

    $310.72

    Facility

    $93.18

    $19.07 higher than El Centro for the office setting.

  • Redding

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Rest Of California

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Riverside-San Bernardino-Ontario

    California · 62323

    Office

    $293.48

    Facility

    $91.78

    $1.83 higher than El Centro for the office setting.

  • Sacramento-Roseville-Folsom

    California · 62323

    Office

    $306.73

    Facility

    $92.69

    $15.08 higher than El Centro for the office setting.

  • Salinas

    California · 62323

    Office

    $305.60

    Facility

    $92.30

    $13.95 higher than El Centro for the office setting.

  • San Diego-Chula Vista-Carlsbad

    California · 62323

    Office

    $313.30

    Facility

    $93.19

    $21.65 higher than El Centro for the office setting.

  • San Francisco-Oakland-Berkeley (Marin Cnty)

    California · 62323

    Office

    $361.32

    Facility

    $101.83

    $69.67 higher than El Centro for the office setting.

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

    California · 62323

    Office

    $361.13

    Facility

    $101.63

    $69.48 higher than El Centro for the office setting.

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

    California · 62323

    Office

    $369.32

    Facility

    $103.94

    $77.67 higher than El Centro for the office setting.

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

    California · 62323

    Office

    $368.53

    Facility

    $103.15

    $76.88 higher than El Centro for the office setting.

  • San Luis Obispo-Paso Robles

    California · 62323

    Office

    $300.60

    Facility

    $90.98

    $8.95 higher than El Centro for the office setting.

  • Santa Cruz-Watsonville

    California · 62323

    Office

    $316.70

    Facility

    $93.09

    $25.05 higher than El Centro for the office setting.

  • Santa Maria-Santa Barbara

    California · 62323

    Office

    $306.88

    Facility

    $92.29

    $15.23 higher than El Centro for the office setting.

  • Santa Rosa-Petaluma

    California · 62323

    Office

    $319.94

    Facility

    $93.94

    $28.29 higher than El Centro for the office setting.

  • Stockton

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Vallejo

    California · 62323

    Office

    $340.24

    Facility

    $97.67

    $48.59 higher than El Centro for the office setting.

  • Visalia

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Yuba City

    California · 62323

    Office

    $291.62

    Facility

    $89.92

    $0.03 lower than El Centro for the office setting.

  • Dc + Md/Va Suburbs

    District of Columbia · 62323

    Office

    $314.19

    Facility

    $97.40

    $22.54 higher than El Centro for the office setting.

  • Miami

    Florida · 62323

    Office

    $290.46

    Facility

    $98.88

    $1.19 lower than El Centro for the office setting.

  • Chicago

    Illinois · 62323

    Office

    $282.03

    Facility

    $97.07

    $9.62 lower than El Centro for the office setting.

  • Manhattan

    New York · 62323

    Office

    $314.13

    Facility

    $100.27

    $22.48 higher than El Centro for the office setting.

  • Alaska*

    Alaska · 62323

    Office

    $313.63

    Facility

    $117.63

    $21.98 higher than El Centro for the office setting.

  • Alabama

    Alabama · 62323

    Office

    $244.66

    Facility

    $83.63

    $46.99 lower than El Centro for the office setting.

  • Arkansas

    Arkansas · 62323

    Office

    $241.03

    Facility

    $82.94

    $50.62 lower than El Centro for the office setting.

  • Arizona

    Arizona · 62323

    Office

    $265.93

    Facility

    $87.60

    $25.72 lower than El Centro for the office setting.

  • Colorado

    Colorado · 62323

    Office

    $286.04

    Facility

    $90.22

    $5.61 lower than El Centro for the office setting.

  • Connecticut

    Connecticut · 62323

    Office

    $291.66

    Facility

    $93.45

    $0.01 higher than El Centro for the office setting.

  • Delaware

    Delaware · 62323

    Office

    $270.43

    Facility

    $88.60

    $21.22 lower than El Centro for the office setting.

  • Fort Lauderdale

    Florida · 62323

    Office

    $280.52

    Facility

    $94.09

    $11.13 lower than El Centro for the office setting.

  • Rest Of Florida

    Florida · 62323

    Office

    $266.89

    Facility

    $90.95

    $24.76 lower than El Centro for the office setting.

  • Atlanta

    Georgia · 62323

    Office

    $277.88

    Facility

    $90.89

    $13.77 lower than El Centro for the office setting.

  • Rest Of Georgia

    Georgia · 62323

    Office

    $251.76

    Facility

    $87.60

    $39.89 lower than El Centro for the office setting.

  • Hawaii, Guam

    Hawaii · 62323

    Office

    $299.43

    Facility

    $90.18

    $7.78 higher than El Centro for the office setting.

  • Iowa

    Iowa · 62323

    Office

    $252.05

    Facility

    $83.66

    $39.60 lower than El Centro for the office setting.

  • Idaho

    Idaho · 62323

    Office

    $253.53

    Facility

    $84.21

    $38.12 lower than El Centro for the office setting.

  • East St. Louis

    Illinois · 62323

    Office

    $262.28

    Facility

    $92.96

    $29.37 lower than El Centro for the office setting.

  • Rest Of Illinois

    Illinois · 62323

    Office

    $258.25

    Facility

    $90.23

    $33.40 lower than El Centro for the office setting.

  • Suburban Chicago

    Illinois · 62323

    Office

    $283.65

    Facility

    $94.64

    $8.00 lower than El Centro for the office setting.

  • Indiana

    Indiana · 62323

    Office

    $255.06

    Facility

    $84.46

    $36.59 lower than El Centro for the office setting.

  • Kansas

    Kansas · 62323

    Office

    $250.36

    Facility

    $83.99

    $41.29 lower than El Centro for the office setting.

  • Kentucky

    Kentucky · 62323

    Office

    $249.56

    Facility

    $85.95

    $42.09 lower than El Centro for the office setting.

  • New Orleans

    Louisiana · 62323

    Office

    $261.68

    Facility

    $88.49

    $29.97 lower than El Centro for the office setting.

  • Rest Of Louisiana

    Louisiana · 62323

    Office

    $248.97

    Facility

    $86.10

    $42.68 lower than El Centro for the office setting.

  • Metropolitan Boston

    Massachusetts · 62323

    Office

    $315.50

    Facility

    $95.76

    $23.85 higher than El Centro for the office setting.

  • Rest Of Massachusetts

    Massachusetts · 62323

    Office

    $284.07

    Facility

    $90.28

    $7.58 lower than El Centro for the office setting.

  • Baltimore/Surr. Cntys

    Maryland · 62323

    Office

    $290.74

    Facility

    $93.27

    $0.91 lower than El Centro for the office setting.

  • Rest Of Maryland

    Maryland · 62323

    Office

    $275.85

    Facility

    $89.60

    $15.80 lower than El Centro for the office setting.

  • Rest Of Maine

    Maine · 62323

    Office

    $254.37

    Facility

    $85.06

    $37.28 lower than El Centro for the office setting.

  • Southern Maine

    Maine · 62323

    Office

    $269.25

    Facility

    $86.86

    $22.40 lower than El Centro for the office setting.

  • Detroit

    Michigan · 62323

    Office

    $269.81

    Facility

    $92.21

    $21.84 lower than El Centro for the office setting.

  • Rest Of Michigan

    Michigan · 62323

    Office

    $255.79

    Facility

    $87.76

    $35.86 lower than El Centro for the office setting.

  • Minnesota

    Minnesota · 62323

    Office

    $275.28

    Facility

    $85.90

    $16.37 lower than El Centro for the office setting.

  • Metropolitan Kansas City

    Missouri · 62323

    Office

    $260.35

    Facility

    $87.54

    $31.30 lower than El Centro for the office setting.

  • Metropolitan St. Louis

    Missouri · 62323

    Office

    $263.21

    Facility

    $88.01

    $28.44 lower than El Centro for the office setting.

  • Rest Of Missouri

    Missouri · 62323

    Office

    $244.26

    Facility

    $85.62

    $47.39 lower than El Centro for the office setting.

  • Mississippi

    Mississippi · 62323

    Office

    $242.72

    Facility

    $84.26

    $48.93 lower than El Centro for the office setting.

  • Montana**

    Montana · 62323

    Office

    $273.21

    Facility

    $89.17

    $18.44 lower than El Centro for the office setting.

  • North Carolina

    North Carolina · 62323

    Office

    $257.18

    Facility

    $85.47

    $34.47 lower than El Centro for the office setting.

  • North Dakota**

    North Dakota · 62323

    Office

    $269.85

    Facility

    $85.81

    $21.80 lower than El Centro for the office setting.

  • Nebraska

    Nebraska · 62323

    Office

    $253.61

    Facility

    $83.75

    $38.04 lower than El Centro for the office setting.

  • New Hampshire

    New Hampshire · 62323

    Office

    $281.07

    Facility

    $89.48

    $10.58 lower than El Centro for the office setting.

  • Northern Nj

    New Jersey · 62323

    Office

    $310.71

    Facility

    $97.22

    $19.06 higher than El Centro for the office setting.

  • Rest Of New Jersey

    New Jersey · 62323

    Office

    $295.33

    Facility

    $94.36

    $3.68 higher than El Centro for the office setting.

  • New Mexico

    New Mexico · 62323

    Office

    $257.03

    Facility

    $88.27

    $34.62 lower than El Centro for the office setting.

  • Nevada**

    Nevada · 62323

    Office

    $272.48

    Facility

    $88.26

    $19.17 lower than El Centro for the office setting.

  • Nyc Suburbs/Long Island

    New York · 62323

    Office

    $321.30

    Facility

    $102.48

    $29.65 higher than El Centro for the office setting.

  • Poughkpsie/N Nyc Suburbs

    New York · 62323

    Office

    $296.89

    Facility

    $95.37

    $5.24 higher than El Centro for the office setting.

  • Queens

    New York · 62323

    Office

    $317.48

    Facility

    $99.95

    $25.83 higher than El Centro for the office setting.

  • Rest Of New York

    New York · 62323

    Office

    $261.10

    Facility

    $86.26

    $30.55 lower than El Centro for the office setting.

  • Ohio

    Ohio · 62323

    Office

    $255.10

    Facility

    $87.08

    $36.55 lower than El Centro for the office setting.

  • Oklahoma

    Oklahoma · 62323

    Office

    $249.62

    Facility

    $85.27

    $42.03 lower than El Centro for the office setting.

  • Portland

    Oregon · 62323

    Office

    $295.88

    Facility

    $91.41

    $4.23 higher than El Centro for the office setting.

  • Rest Of Oregon

    Oregon · 62323

    Office

    $270.70

    Facility

    $87.40

    $20.95 lower than El Centro for the office setting.

  • Metropolitan Philadelphia

    Pennsylvania · 62323

    Office

    $283.93

    Facility

    $92.35

    $7.72 lower than El Centro for the office setting.

  • Rest Of Pennsylvania

    Pennsylvania · 62323

    Office

    $255.79

    Facility

    $86.84

    $35.86 lower than El Centro for the office setting.

  • Puerto Rico

    Puerto Rico · 62323

    Office

    $275.43

    Facility

    $89.37

    $16.22 lower than El Centro for the office setting.

  • Rhode Island

    Rhode Island · 62323

    Office

    $280.61

    Facility

    $90.50

    $11.04 lower than El Centro for the office setting.

  • South Carolina

    South Carolina · 62323

    Office

    $256.50

    Facility

    $86.45

    $35.15 lower than El Centro for the office setting.

  • South Dakota**

    South Dakota · 62323

    Office

    $269.45

    Facility

    $85.41

    $22.20 lower than El Centro for the office setting.

  • Tennessee

    Tennessee · 62323

    Office

    $251.59

    Facility

    $84.30

    $40.06 lower than El Centro for the office setting.

  • Austin

    Texas · 62323

    Office

    $284.80

    Facility

    $90.08

    $6.85 lower than El Centro for the office setting.

  • Beaumont

    Texas · 62323

    Office

    $254.03

    Facility

    $86.55

    $37.62 lower than El Centro for the office setting.

  • Brazoria

    Texas · 62323

    Office

    $270.56

    Facility

    $88.18

    $21.09 lower than El Centro for the office setting.

  • Dallas

    Texas · 62323

    Office

    $272.11

    Facility

    $88.80

    $19.54 lower than El Centro for the office setting.

  • Fort Worth

    Texas · 62323

    Office

    $270.09

    Facility

    $88.63

    $21.56 lower than El Centro for the office setting.

  • Galveston

    Texas · 62323

    Office

    $271.25

    Facility

    $88.50

    $20.40 lower than El Centro for the office setting.

  • Houston

    Texas · 62323

    Office

    $274.36

    Facility

    $91.61

    $17.29 lower than El Centro for the office setting.

  • Rest Of Texas

    Texas · 62323

    Office

    $262.02

    Facility

    $87.37

    $29.63 lower than El Centro for the office setting.

  • Utah

    Utah · 62323

    Office

    $260.11

    Facility

    $87.12

    $31.54 lower than El Centro for the office setting.

  • Virginia

    Virginia · 62323

    Office

    $268.00

    Facility

    $87.09

    $23.65 lower than El Centro for the office setting.

  • Virgin Islands

    United States Virgin Islands · 62323

    Office

    $275.43

    Facility

    $89.37

    $16.22 lower than El Centro for the office setting.

  • Vermont

    Vermont · 62323

    Office

    $268.33

    Facility

    $86.13

    $23.32 lower than El Centro for the office setting.

  • Rest Of Washington

    Washington · 62323

    Office

    $283.69

    Facility

    $89.90

    $7.96 lower than El Centro for the office setting.

  • Seattle (King Cnty)

    Washington · 62323

    Office

    $322.51

    Facility

    $96.69

    $30.86 higher than El Centro for the office setting.

  • Wisconsin

    Wisconsin · 62323

    Office

    $260.52

    Facility

    $84.21

    $31.13 lower than El Centro for the office setting.

  • West Virginia

    West Virginia · 62323

    Office

    $248.32

    Facility

    $88.39

    $43.33 lower than El Centro for the office setting.

  • Wyoming**

    Wyoming · 62323

    Office

    $271.74

    Facility

    $87.70

    $19.91 lower than El Centro for the office setting.

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.

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.

$241.03

$330.47

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

View all state and territory rates as a table
State / territoryRate rangeLocalities
AK$313.631
AL$244.661
AR$241.031
AZ$265.931
CA$291.62–$369.3229
CO$286.041
CT$291.661
DC$314.191
DE$270.431
FL$266.89–$290.463
GA$251.76–$277.882
GU$299.431
HI$299.431
IA$252.051
ID$253.531
IL$258.25–$283.654
IN$255.061
KS$250.361
KY$249.561
LA$248.97–$261.682
MA$284.07–$315.502
MD$275.85–$314.193
ME$254.37–$269.252
MI$255.79–$269.812
MN$275.281
MO$244.26–$263.213
MS$242.721
MT$273.211
NC$257.181
ND$269.851
NE$253.611
NH$281.071
NJ$295.33–$310.712
NM$257.031
NV$272.481
NY$261.10–$321.305
OH$255.101
OK$249.621
OR$270.70–$295.882
PA$255.79–$283.932
PR$275.431
RI$280.611
SC$256.501
SD$269.451
TN$251.591
TX$254.03–$284.808
UT$260.111
VA$268.00–$314.192
VI$275.431
VT$268.331
WA$283.69–$322.512
WI$260.521
WV$248.321
WY$271.741

Explore 62323 on the national rate map →

Where does this rate apply?

El Centro is a Medicare payment area. Our Census mapping connects it to 18 cities and communities in California, 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 California →

Why are the office and facility amounts different?

For 62323 in El Centro, the physician’s office rate is $291.65 and the facility-setting rate is $89.95: a difference of $201.70.

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 62323 in El Centro. This uses the base rate on this page, so the locality and release stay consistent.

Reference amount per service

$320.81

$291.65 × 110% = $320.81

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 62323 in El Centro.

PPRRVU2026_Oct_nonQPP.csv

6,967

Code
62323
Physician work
1.76
Practice expense
6.25
Malpractice
0.17

GPCI2026.csv

10

Locality
El Centro
Physician work
1.017
Practice expense
1.096
Malpractice
0.541
Office / nonfacility calculation for 62323 in El Centro
ComponentRVULocality factorAdjusted
Physician work1.76× 1.0171.7899
Practice expense6.25× 1.0966.8500
Malpractice0.17× 0.5410.0920
Total RVUs8.7319
Conversion factor× 33.4009

Office / nonfacility rate, El Centro$291.65

Values as parsed from CMS release RVU26D, effective 2026-10-01. The amount is rounded to the nearest cent only at the end.

Open 62323 in the RVU calculator →

Explore RVUs, geographic factors and the full formula

Office / nonfacility

Office / nonfacility calculation inputs
ComponentRVULocal GPCI
Work1.761.017
Practice expense6.251.096
Malpractice0.170.541

(1.76 × 1.017 + 6.25 × 1.096 + 0.17 × 0.541) × $33.4009 = $291.65

Facility

Facility calculation inputs
ComponentRVULocal GPCI
Work1.761.017
Practice expense0.741.096
Malpractice0.170.541

(1.76 × 1.017 + 0.74 × 1.096 + 0.17 × 0.541) × $33.4009 = $89.95

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

62323 · Office / nonfacility

$291.65

Effective 2026-10-01

The base rate is $29.37 higher than on 2025-10-01, moving from $262.28 to $291.65 (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

    $262.28changed to$291.65

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.80 changed to 1.76
    • Practice expense RVU 5.66 changed to 6.25
    • Work GPCI 1.014 changed to 1.017
    • Practice expense GPCI 1.093 changed to 1.096
    • Malpractice GPCI 0.570 changed to 0.541

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    Earliest loaded release: $262.28

    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$291.65$89.95RVU26D
2026-07-01$291.65$89.95RVU26C
2026-04-01$291.65$89.95RVU26B
2026-01-01$291.65$89.95RVU26A
2025-10-01$262.28$97.53RVU25D
2025-07-01$262.28$97.53RVU25C
2025-04-01$262.28$97.53RVU25B
2025-01-01$262.28$97.53RVU25A

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.

RVUs for 62323PPRRVU2026_Oct_nonQPP.csv, line 6,967 (RVU26D)
Geographic factors for El CentroGPCI2026.csv, line 10 (RVU26D)
Open CMS sourceHow this rate is calculatedBuild a fee sheet