$142.25
Both cover lumbar interlaminar or caudal injections; 62323 requires documented fluoroscopic or CT guidance, while 62322 is for injections performed without imaging guidance.
On this page
CMS RVU26D · Effective 2026-10-01
62323 Lumbar epidural injection Medicare reimbursement rates in Vermont
Report 62323 for an imaging-guided lumbar interlaminar or caudal injection into the epidural or subarachnoid space, commonly performed for lumbar radicular pain. Compare 62323 office and facility rates across CMS payment localities in Vermont.
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 62323 in Vermont?
Vermont 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
$268.33
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
Facility setting
$86.13
1 of 1 localities have a supported rate.
Payment area: Vermont
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.
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 Vermont, from the same CMS release.
$260.09
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.
$271.52
62321 covers an imaging-guided interlaminar injection with cervical or thoracic entry; choose 62323 for lumbar interlaminar or sacral caudal entry.
$210.94
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.
Compare 62323 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
Vermont →
Office / nonfacility
$268.33
Facility
$86.13
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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 62323 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,967
- Code
- 62323
- Physician work
- 1.76
- Practice expense
- 6.25
- Malpractice
- 0.17
GPCI2026.csv
105
- Locality
- Vermont
- Physician work
- 1.000
- Practice expense
- 0.990
- Malpractice
- 0.506
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.76 | × 1.000 | 1.7600 |
| Practice expense | 6.25 | × 0.990 | 6.1875 |
| Malpractice | 0.17 | × 0.506 | 0.0860 |
| Total RVUs | 8.0335 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$268.33
Explore RVUs, geographic factors and the full formula
Office / nonfacility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 6.25 | 0.99 |
| Malpractice | 0.17 | 0.506 |
(1.76 × 1 + 6.25 × 0.99 + 0.17 × 0.506) × $33.4009 = $268.33
Facility
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.76 | 1 |
| Practice expense | 0.74 | 0.99 |
| Malpractice | 0.17 | 0.506 |
(1.76 × 1 + 0.74 × 0.99 + 0.17 × 0.506) × $33.4009 = $86.13
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.
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.
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
6,96962325,,Njx interlaminar crv/thrc,A,,2.15,5.60,,0.68,,0.19,7.94,3.02,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
6,97062326,,Njx interlaminar lmbr/sac,A,,1.74,2.70,,0.57,,0.15,4.59,2.46,0,000,0.00,0.00,0.00,2,9,1,0,0,9,,33.4009,09,0,99,0.00,0.00,0.00
10204412,TX,18,HOUSTON,1.008,0.993,1.376
10304412,TX,99,REST OF TEXAS,1.000,0.949,0.903
10403502,UT,09,UTAH,1.000,0.940,0.898
10514512,VT,50,VERMONT,1.000,0.990,0.506
10611302,VA,00,VIRGINIA,1.000,0.983,0.706
10709202,VI,50,VIRGIN ISLANDS,1.000,1.011,0.985
10802402,WA,02,SEATTLE (KING CNTY),1.050,1.227,0.817