Billing code 62325: Epidural injectionMedicare rate & RVUs in Washington
Reports image-guided cervical or thoracic epidural or subarachnoid medication delivery using an indwelling catheter for continuous infusion or intermittent bolus.
Medicare pays $274.53–$310.09 for 62325 in the office in Washington, from Rest Of Washington to Seattle (King Cnty). Which amount applies depends on the service address.
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
On this page 9 sections
What 62325 covers
This service places a catheter into the cervical or thoracic epidural or subarachnoid space under imaging guidance and delivers a diagnostic or therapeutic solution by continuous infusion or intermittent bolus. The injected medication may include an anesthetic, opioid, steroid, or other non-neurolytic substance. Anesthesiologists and pain medicine physicians commonly perform it in a hospital or outpatient procedural setting for situations such as regional analgesia or treatment of spinal pain.
Choose this code when the service includes indwelling catheter placement and image-guided medication delivery; a single injection without an indwelling catheter is reported with a different code. Documentation should identify the cervical or thoracic level, catheter placement, medication delivery method, and imaging guidance. The service has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and others at 50%. Medicare does not pay an assistant at surgery; co-surgeons and team surgery are not permitted.
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.
Where 62325 pays more and less in Washington
| Payment locality | Office | Facility |
|---|---|---|
| Rest Of Washington | $274.53 | $101.49 |
| Seattle (King Cnty) | $310.09 | $108.46 |
How the 62325 rate is calculated
Each of 62325’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.
How the rate is built · 62325
RVUs × geographic indexes × conversion factor
Swap in your local Medicare rate.
Work 2.15Practice expense 5.60Malpractice 0.19
All indexes start at 1.000 (the national rate). Enter a ZIP or drag a slider.
Payment rules and modifiers for 62325
The CMS indicators that decide how 62325 is paid alongside other services.
CMS payment indicators · 62325
Epidural injection
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 9 | The concept doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62325 without 51 · national office
$265.20
Epidural injection
62325-51 · Second procedure: 50%
$132.60
When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).
62325 compared with similar codes
Compare codes
62325 vs 62321 vs 62324 vs 62327: national Medicare rates
Swap in your local Medicare rate.
How to choose
- 62321Epidural injection
- Both involve image-guided cervical or thoracic epidural or subarachnoid medication delivery. 62325 includes indwelling catheter placement for continuous infusion or intermittent bolus; 62321 is the service without an indwelling catheter.
- 62324Epidural catheter injection
- This is the cervical or thoracic catheter-injection counterpart without imaging guidance. Choose 62325 when imaging guidance is used.
- 62327Epidural infusion
- Both describe image-guided catheter medication delivery, but 62327 is for the lumbar or sacral region; 62325 is for the cervical or thoracic region.
62325 billing questions
How is this different from 62321?
62325 describes cervical or thoracic medication delivery using an indwelling catheter for continuous infusion or intermittent bolus. Use 62321 for the corresponding service without indwelling catheter placement.
Is imaging guidance included?
Yes. This code represents the catheter injection service with imaging guidance; do not separately report imaging guidance for the same service.
Can the code be used for a lumbar or sacral catheter injection?
No. This code is for the cervical or thoracic region. The corresponding image-guided catheter service for the lumbar or sacral region is 62327.
Does the code include the same-day postoperative care?
Yes. The 0-day global period includes same-day preoperative and postoperative care.
How are other procedures in the same session paid?
Under the standard multiple procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50%.
Where these rates come from
FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.
CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027
Show the CMS file lines behind this rate
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