$259.25–$287.35
Both describe cervical or thoracic interlaminar injection, but 62321 includes imaging guidance; 62320 is for a procedure performed without it.
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CMS RVU26D · Effective 2026-10-01
62320 Epidural injection Medicare reimbursement rates in Pennsylvania
Reports a cervical or thoracic interlaminar injection of a diagnostic or therapeutic substance when the procedure is performed without imaging guidance. Compare 62320 office and facility rates across CMS payment localities in Pennsylvania.
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 62320 in Pennsylvania?
Pennsylvania has 2 payment localities in this comparison. Use the service location to choose the applicable amount. These are the supported base rates for the 2 payment areas shown below, using the same CMS release.
Office / nonfacility
$155.25–$170.09
2 of 2 localities have a supported rate.
Facility setting
$85.65–$91.16
2 of 2 localities have a supported rate.
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 62320: Cervical or thoracic interlaminar injection
Reports a cervical or thoracic interlaminar injection of a diagnostic or therapeutic substance when the procedure is performed without imaging guidance.
This code covers an interlaminar injection into the cervical or thoracic epidural or subarachnoid space using a diagnostic or therapeutic substance, such as local anesthetic or steroid. It is commonly performed by pain medicine physicians, anesthesiologists, or other clinicians treating cervical radicular pain or thoracic spinal pain in an outpatient setting. The service includes needle or catheter placement for the injection, but it is not the code for ongoing infusion through an indwelling catheter. Imaging guidance is not included.
Report the code when documentation identifies the cervical or thoracic region, interlaminar approach, injected substance and clinical purpose, and confirms that imaging guidance was not used. The code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, Medicare pays the highest-valued procedure in full and reduces the others by 50%. Medicare does not pay an assistant-at-surgery claim for this code; co-surgeons and team surgery are not permitted.
CMS billing rules for 62320
- 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 · 36%
- Practice expense (office) RVU2.93 · 60%
- Malpractice RVU0.21 · 4%
1.1K
Medicare services in 2024 · #2928 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.
62320 compared with similar codes
Office rates for Pennsylvania, from the same CMS release.
$137.96–$151.20
62322 describes the no-imaging interlaminar injection in the lumbar or sacral region. Select 62320 for the cervical or thoracic region.
$146.23–$159.34
62324 is for cervical or thoracic administration through an indwelling catheter by continuous infusion or intermittent bolus. 62320 describes an injection rather than that catheter-based delivery.
$255.79–$283.93
62323 is the image-guided lumbar or sacral interlaminar injection. 62320 is cervical or thoracic and performed without imaging guidance.
Compare 62320 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.
2 of 2 payment localities
Metropolitan Philadelphia →
Office / nonfacility
$170.09
Facility
$91.16
Rest Of Pennsylvania →
Office / nonfacility
$155.25
Facility
$85.65
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62320 billing questions
When should 62321 be reported instead?
No. The service is reported without imaging guidance; use the corresponding image-guided code when imaging is used.
How does 62320 differ from a catheter infusion code?
62320 reports an injection, including placement needed to deliver it. A cervical or thoracic service using an indwelling catheter for continuous infusion or intermittent bolus is represented by 62324 without imaging or 62325 with imaging.
What documentation supports reporting 62320?
Document the cervical or thoracic site, interlaminar approach, substance injected, clinical purpose, and whether imaging guidance was used.
Can an assistant or co-surgeon be reported?
Medicare does not pay an assistant-at-surgery claim for 62320, and co-surgeon or team-surgery billing is 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.
6,96162303,,Myelography lumbar injection,A,,2.23,5.01,,0.61,,0.21,7.45,3.05,0,000,0.00,0.00,0.00,2,0,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,96262304,,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