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See a sample rate comparisonCPT 62321 Fee Schedule
Last Verified: September 2026
Healthcare providers use this code to document and receive reimbursement for visits that address moderate-level medical decision-making, often including multiple diagnoses or prescription management.
Njx Interlaminar Crv Thrc, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic With Imaging Guidance Ie Fluoroscopy Or Ct
| Key Fact | Detail |
|---|---|
| Service Type | Surgery Surgical Procedures on the Nervous System |
| Common Place of Service | 24 - Ambulatory Surgical Center 11 - Office |
| Common Modifiers | None SG - Scene to Hospital ESRD facility AG - Primary physician |
| Complexity Level | Moderate |
| Medicare Fee Schedule | View Medicare rates for 62321 |
| Medicaid Fee Schedule | View Medicaid rates for 62321 |
National average reimbursement for CPT 62321 by major payers:
$294.54
$349.93
$372.30
$414.06
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CPT 62321
5 of 25 sample ratesHigher to lower in this preview
Wayne Surgical Center LLC
Wayne Surgical Center, LLC
$2,122.00Published rateUcsd Center For Surgery Of Encinitas, L.P.
$1,067.00Published rateWake Forest Ambulatory Ventures, LLC
Wake Forest Ambulatory Ventures LLC
$675.00Published rateAlexander Radnovich
Deaconess Hospital Inc
$445.30Published rateAzar Eye Surgery Center LLC
$169.00Published rate
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Payer Contract Negotiation
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See a sample payer proposalCPT 62321 vs. Other Surgical Procedures on the Nervous System Codes
The CPT 62321 code is part of the Surgery services used for Surgical Procedures on the Nervous System. It represents a moderate-complexity encounter and is one of several codes that vary based on time spent, level of medical decision-making, and documentation requirements.
The CPT 62321 code involves more provider time and moderate medical decision-making, unlike lower-level codes that require less time and simpler assessments. It typically includes multiple diagnoses, medication management, or test interpretation, leading to higher reimbursement and more detailed documentation requirements.
| Code | Complexity | Description |
|---|---|---|
| 62320-CPT | Moderate | Njx Interlaminar Crv Thrc, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic Without Imaging Guidance |
| 62321-CPT | Moderate | Njx Interlaminar Crv Thrc, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Cervical Or Thoracic With Imaging Guidance Ie Fluoroscopy Or Ct |
| 62322-CPT | Low | Njx Interlaminar Lmbr Sac, Injection S Of Diagnostic Or Therapeutic Substance S Eg Anesthetic Antispasmodic Opioid Steroid Other Solution Not Including Neurolytic Substances Including Needle Or Catheter Placement Interlaminar Epidural Or Subarachnoid Lumbar Or Sacral Caudal Without Imaging Guidance |
What is a fee schedule?
A fee schedule is a list of fixed prices that healthcare providers charge for specific services, including CPT 62321. These prices vary depending on payer type (Medicare, Medicaid, private insurance), geographic location, and provider contracts.
Understanding the 62321 fee schedule helps patients estimate costs and providers optimize billing for accurate reimbursements.
Factors that affect fee schedules
Medicare & Medicaid Rates
Government-set reimbursement amounts
Private Insurance Rates
Negotiated rates between providers and insurance companies
Geographic Location
Costs may be higher in urban areas.
Provider Type
Hospital providers may have different rates than private practice.
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