$148.39
Both describe cervical or thoracic interlaminar injections; 62321 includes imaging guidance, while 62320 is for a service performed without imaging guidance.
On this page
CMS RVU26D · Effective 2026-10-01
62321 Epidural injection Medicare reimbursement rates in Alabama
Reports an image-guided interlaminar cervical or thoracic epidural injection for diagnostic or therapeutic medication delivery without an indwelling infusion catheter. Compare 62321 office and facility rates across CMS payment localities in Alabama.
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.
What does Medicare pay for 62321 in Alabama?
Alabama has 1 payment locality in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the payment area shown below, using the same CMS release.
Office / nonfacility
$248.06
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
Facility setting
$89.66
1 of 1 localities have a supported rate.
Payment area: Alabama
One mapped payment locality.
These are locality ranges, not averages or address-specific quotes. A facility-setting amount covers the physician service; it does not include a hospital’s separate bill. Choose a locality below to inspect its calculation, compare other payment areas, or price a percentage of Medicare.
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 Alabama, from the same CMS release.
$244.66
Both describe image-guided interlaminar injections, but 62323 is for the lumbar or sacral region rather than the cervical or thoracic region.
$239.07
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.
Compare 62321 by payment locality
Find the payment area for your service address, then open its rate page for calculation inputs, release history and the percentage-of-Medicare tool. A city may cross payment-area boundaries; the ZIP lookup above helps resolve the location.
1 of 1 payment localities
Alabama →
Office / nonfacility
$248.06
Facility
$89.66
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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 Alabama.
PPRRVU2026_Oct_nonQPP.csv
6,965
- Code
- 62321
- Physician work
- 1.90
- Practice expense
- 6.20
- Malpractice
- 0.18
GPCI2026.csv
4
- Locality
- Alabama
- Physician work
- 1.000
- Practice expense
- 0.875
- Malpractice
- 0.566
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.90 | × 1.000 | 1.9000 |
| Practice expense | 6.20 | × 0.875 | 5.4250 |
| Malpractice | 0.18 | × 0.566 | 0.1019 |
| Total RVUs | 7.4269 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Alabama$248.06
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1 |
| Practice expense | 6.2 | 0.875 |
| Malpractice | 0.18 | 0.566 |
(1.9 × 1 + 6.2 × 0.875 + 0.18 × 0.566) × $33.4009 = $248.06
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.9 | 1 |
| Practice expense | 0.78 | 0.875 |
| Malpractice | 0.18 | 0.566 |
(1.9 × 1 + 0.78 × 0.875 + 0.18 × 0.566) × $33.4009 = $89.66
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.
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.
6,96262304,,Myelography lumbar injection,A,,2.19,4.85,,0.61,,0.22,7.26,3.02,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96362305,,Myelography lumbar injection,A,,2.29,5.41,,0.63,,0.22,7.92,3.14,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96462320,,Njx interlaminar crv/thrc,A,,1.76,2.93,,0.66,,0.21,4.90,2.63,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96562321,,Njx interlaminar crv/thrc,A,,1.90,6.20,,0.78,,0.18,8.28,2.86,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96662322,,Njx interlaminar lmbr/sac,A,,1.51,2.70,,0.56,,0.15,4.36,2.22,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96762323,,Njx interlaminar lmbr/sac,A,,1.76,6.25,,0.74,,0.17,8.18,2.67,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96862324,,Njx interlaminar crv/thrc,A,,1.84,2.60,,0.58,,0.16,4.60,2.58,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
1ADDENDUM E. FINAL CY 2026 GEOGRAPHIC PRACTICE COST INDICES (GPCIs) BY STATE AND MEDICARE LOCALITY,,,,,,
2,,,,,,
3Medicare Administrative Contractor (MAC),State,Locality Number,Locality Name,2026 PW GPCI (with 1.0 Floor)***,2026 PE GPCI,2026 MP GPCI
410112,AL,00,ALABAMA,1.000,0.875,0.566
502102,AK,01,ALASKA*,1.500,1.065,0.551
603102,AZ,00,ARIZONA,1.000,0.969,0.856
707102,AR,13,ARKANSAS,1.000,0.859,0.515