CMS RVU26D · Effective 2026-10-01
Reports cervical or thoracic interlaminar epidural or subarachnoid medication delivery using an indwelling catheter for continuous infusion or intermittent bolus without imaging guidance. Compare 62324 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.
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.
$150.14
1 of 1 localities have a supported rate.
Payment area: Vermont
One mapped payment locality.
$83.34
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.
Pain management
Reports cervical or thoracic interlaminar epidural or subarachnoid medication delivery using an indwelling catheter for continuous infusion or intermittent bolus without imaging guidance.
This service covers placing an indwelling catheter through an interlaminar approach in the cervical or thoracic epidural or subarachnoid space and delivering diagnostic or therapeutic medication by continuous infusion or intermittent bolus. Anesthesiologists and pain medicine physicians commonly perform it in a hospital or ambulatory setting for acute or persistent pain management, including postoperative analgesia. The catheter may be used to deliver anesthetic, opioid, steroid, or another appropriate solution; neurolytic substances are outside this service.
Report the service when documentation supports the cervical or thoracic level, interlaminar route, catheter placement, medication delivery, and absence of imaging guidance. A one-time injection without an indwelling catheter points to a different code. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. CMS does not pay an assistant at surgery for this service; co-surgeons and team surgery are not permitted.
8K
Medicare services in 2024 · #1592 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.
Office rates for Vermont, from the same CMS release.
Both describe cervical or thoracic interlaminar medication delivery without imaging guidance. Choose 62324 when an indwelling catheter supports continuous infusion or intermittent bolus; 62320 is for injection without catheter-based delivery.
62321 is the cervical or thoracic injection service without catheter-based infusion or bolus delivery and includes imaging guidance. 62324 describes catheter-based delivery without imaging guidance.
62325 describes the cervical or thoracic catheter-based infusion or bolus service when imaging guidance is used; 62324 is the corresponding service without imaging guidance.
Both involve catheter-based interlaminar delivery without imaging guidance. 62324 is for the cervical or thoracic region; 62326 is for the lumbar or sacral region.
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
Office / nonfacility
$150.14
Facility
$83.34
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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 62324 in Vermont.
PPRRVU2026_Oct_nonQPP.csv
6,968
GPCI2026.csv
105
| Component | RVU | Locality factor | Adjusted |
|---|---|---|---|
| Physician work | 1.84 | × 1.000 | 1.8400 |
| Practice expense | 2.60 | × 0.990 | 2.5740 |
| Malpractice | 0.16 | × 0.506 | 0.0810 |
| Total RVUs | 4.4950 | ||
| Conversion factor | × 33.4009 | ||
Office / nonfacility rate, Vermont$150.14
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.84 | 1 |
| Practice expense | 2.6 | 0.99 |
| Malpractice | 0.16 | 0.506 |
(1.84 × 1 + 2.6 × 0.99 + 0.16 × 0.506) × $33.4009 = $150.14
| Component | RVU | Local GPCI |
|---|---|---|
| Work | 1.84 | 1 |
| Practice expense | 0.58 | 0.99 |
| Malpractice | 0.16 | 0.506 |
(1.84 × 1 + 0.58 × 0.99 + 0.16 × 0.506) × $33.4009 = $83.34
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.
62324 involves an indwelling catheter for continuous infusion or intermittent bolus. 62320 is for medication injection without that catheter-based delivery.
Use 62325 when the cervical or thoracic catheter injection is performed with imaging guidance. 62324 describes the corresponding service without imaging guidance.
Yes. Placement of the indwelling catheter is part of the service, along with medication delivery by infusion or intermittent bolus.
Document the cervical or thoracic interlaminar route, catheter placement, medication delivered, infusion or bolus method, and whether imaging guidance was used.
Same-day preoperative and postoperative care is included. For other procedures performed in the same session, CMS applies the multiple procedure reduction to procedures other than the highest-valued one.
CMS does not pay an assistant at surgery for 62324, and co-surgeons and team surgery are not permitted.
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.
