{
    "code": "62323",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/62323/2019/A",
    "release_specific_url": "https://localishealth.com/cpt/62323/2019/B",
    "description": "The same epidural injection as its neck-and-upper-back sibling, but placed in the lumbar or sacral spine: a needle passes between the vertebrae into the epidural space and delivers steroid, anesthetic, or both around the irritated nerves. It is performed with fluoroscopy or CT so the needle path and medication spread can be confirmed on screen, which is the feature distinguishing it from the unguided version. This is the single-visit injection, not the placement of an indwelling catheter for repeated dosing.",
    "answer": {
        "question": "How much did Medicare pay for CPT 62323 in Q2 2019?",
        "text": "Medicare paid $256.24 for CPT 62323 in the office (non-facility) setting and $102.35 in a facility under the Q2 2019 Physician Fee Schedule, effective April 2019. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This price has been unchanged since Q1 2019, when it increased 2.3%."
    },
    "release": {
        "schedule": "pfs",
        "year": 2019,
        "quarter": "B",
        "label": "Q2 2019",
        "effective": "April 1 – June 30, 2019",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 256.24,
        "facility": 102.35,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.8,
        "practice_expense_non_facility": 5.15,
        "practice_expense_facility": 0.88,
        "malpractice": 0.16
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0391,
    "source": {
        "label": "Physician relative value file (Q2 2019)",
        "cms_url": "https://www.cms.gov/medicare/medicare-fee-for-service-payment/physicianfeesched/downloads/rvu19b.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2019/B",
        "file": "PPRRVU19_APR.csv",
        "row": 11057,
        "sha256": "b427bbfdcb61b355ba034840681873d1bd6cdcf51752bdae1bab7c5449efc971"
    },
    "modified_at": "2026-08-04T03:08:53+00:00"
}