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62322 CPT Code: Lumbar Interlaminar Epidural Guidelines

Last Updated: February 17, 2026

An interlaminar epidural steroid injection is billed using the 62322/62323 series. The difference between the codes comes down strictly to the use of imaging guidance.

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2026 Medicare National Fee (62322): Non-Facility (Office): $184.51 · Facility (Hospital): $83.73
✓ 2,021 Medicare-Approved ICD-10 Diagnoses on file for 62322:

62322 vs 62323

  • 62322: Injection, interlaminar epidural, lumbar or sacral; without imaging guidance.
  • 62323: Injection, interlaminar epidural, lumbar or sacral; with imaging guidance (fluoroscopy or CT).

If the physician uses fluoroscopy, you must bill 62323. Like the transforaminal codes, you cannot bill the fluoroscopy code (77003) separately.

Medical Necessity

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Medicare requires strong medical necessity for epidural steroid injections, typically requiring documentation of radicular pain (e.g., M54.16 ↗ - Radiculopathy, lumbar region) that has failed conservative therapy.

NCCI Edits

These codes are not billed per level. Whether the physician injects one interlaminar space or two, you only bill the code once per session.

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