{
    "code": "62323",
    "coding_system": "CPT",
    "canonical_url": "https://localishealth.com/cpt/62323/2020/A",
    "release_specific_url": "https://localishealth.com/cpt/62323/2020/A",
    "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 Q1 2020?",
        "text": "Medicare paid $263.09 for CPT 62323 in the office (non-facility) setting and $103.22 in a facility under the Q1 2020 Physician Fee Schedule, effective January 2020. These are the national allowed amounts before the ~2% sequestration cut and before locality (GPCI) adjustment. This is a 2.7% increase from the previous quarter."
    },
    "release": {
        "schedule": "pfs",
        "year": 2020,
        "quarter": "A",
        "label": "Q1 2020",
        "effective": "January 1 – March 31, 2020",
        "revision": 1
    },
    "status": {
        "code": "A",
        "non_facility_payable": true,
        "facility_payable": true
    },
    "national_rates_usd": {
        "office_non_facility": 263.09,
        "facility": 103.22,
        "sequestration_applied": false,
        "gpci": 1
    },
    "rvus": {
        "work": 1.8,
        "practice_expense_non_facility": 5.31,
        "practice_expense_facility": 0.88,
        "malpractice": 0.18
    },
    "formula": "(work_rvu × work_gpci + pe_rvu × pe_gpci + mp_rvu × mp_gpci) × conversion_factor",
    "conversion_factor": 36.0896,
    "source": {
        "label": "Physician relative value file (Q1 2020)",
        "cms_url": "https://www.cms.gov/files/zip/rvu20a-updated-01312020.zip",
        "local_source_url": "https://localishealth.com/sources/physician-fee-schedule/2020/A",
        "file": "PPRRVU20_Jan.csv",
        "row": 11285,
        "sha256": "28d2c1e57daa957d1eef39cb96dc0e0f55fd4e6ab886473e117d9b4f43a9875d"
    },
    "modified_at": "2026-08-04T03:09:22+00:00"
}
