# CPT 62321

> Medicare paid $274.08 for CPT 62321 in the office (non-facility) setting and $108.66 in a facility under the Q2 2022 Physician Fee Schedule, effective April 2022. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2022, when it decreased 1.3%.

## What it is

A needle is passed between the bones of the neck or mid-back into the epidural space, the sleeve of fat and veins just outside the covering of the spinal cord, and steroid or numbing medication is delivered there. This version covers the cervical and thoracic spine and is done under live x-ray or CT guidance so the physician can watch the needle and the spread of contrast. The imaging is what separates it from the same injection done by feel alone, and the neck-and-upper-back level is what separates it from the lower-back version. No catheter is left behind; the medication is given in one sitting.

## Selected release

- Release: Q2 2022 (2022 B)
- Effective: April 1 – June 30, 2022
- Status indicator: A
- Office (non-facility) national allowed amount: $274.08
- Facility national allowed amount: $108.66
- Sequestration: not applied

## RVUs and formula

- Work RVU: 1.95
- Office (non-facility) practice expense RVU: 5.77
- Facility practice expense RVU: 0.99
- Malpractice RVU: 0.20
- Conversion factor: 34.6062
- Formula: `(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor`

## Source and citation

- Source: Physician relative value file (Q2 2022)
- CMS file: https://www.cms.gov/files/zip/rvu22b.zip
- Parsed file: PPRRVU22_APR.csv, row 11,588
- Canonical page: https://localishealth.com/cpt/62321/2022/A
- Release-specific citation URL: https://localishealth.com/cpt/62321/2022/B
- Last significant update: 2026-08-04T03:11:36+00:00