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62328 Dx lmbr spi pnxr w/fluor/ct

What 62328 is

CMS fee schedule short descriptor: Dx lmbr spi pnxr w/fluor/ct.

Full CPT long descriptions are licensed by the American Medical Association and are not published on this site; the short descriptor above is the one CMS prints in its own fee schedule file. See About CPT.

Medicare payment for 62328 (CY2026)

Work RVUPractice expense RVUMalpractice RVUTotalMedicare rate
Non-facility (office)1.694.580.186.45$215.44
Facility (hospital, ASC)1.690.330.182.20$73.48

National rates: total RVUs x the CY2026 conversion factor of 33.4009 (non-QP), before geographic adjustment. Actual Medicare payment is 80% of the rate shown after the deductible; the patient or secondary payer owes the 20% coinsurance.


Status: Active - payable under the Physician Fee Schedule. Global period: Global concept does not apply (endoscopic or minor procedure: global period is the day of the procedure).

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Medically Unlikely Edit (MUE)

Medicare caps 62328 at 2 units per date of service for practitioner claims (MAI 3 - date of service edit (clinical): units above the MUE may pay with documentation on appeal), rationale: Nature of Service/Procedure. Units above the cap are denied unless the edit's adjudication rules allow an appeal with documentation.

Billed with 62328? These codes are bundled into it

62328 is a Column 1 code in 236 active NCCI PTP edits. When one of these Column 2 codes is reported on the same date of service, it is denied as bundled - unless the edit's modifier indicator is 1 and documentation supports a distinct service with an NCCI-associated modifier.

Column 2 codeShort descriptionModifier indicator
00635Anes dx/ther lumbar pnxr0 - no modifier bypassCheck pair
01937Anes drg/aspir crv/thrc0 - no modifier bypassCheck pair
01938Anes drg/aspir lmbr/sac0 - no modifier bypassCheck pair
01939Anes nulyt agt crv/thrc0 - no modifier bypassCheck pair
01940Anes nulyt agt lmbr/sac0 - no modifier bypassCheck pair
01941Anes neuromd/ntrvrt crv/thrc0 - no modifier bypassCheck pair
01942Anes neuromd/ntrvrt lmbr/sac0 - no modifier bypassCheck pair
0213TNjx paravert w/us cer/thor0 - no modifier bypassCheck pair
0216TNjx paravert w/us lumb/sac0 - no modifier bypassCheck pair
0596TTemp fml iu vlv-pmp 1st insj1 - modifier may bypassCheck pair
0597TTemp fml iu valve-pmp rplcmt1 - modifier may bypassCheck pair
0708TId ca immntx prep & 1st njx1 - modifier may bypassCheck pair
0709TId ca immntx each addl njx1 - modifier may bypassCheck pair
0903TEcg alg 12 lead reduced i&r1 - modifier may bypassCheck pair
0904TEcg alg 12 ld rdcd trcg only1 - modifier may bypassCheck pair
0905TEcg alg 12 ld rdcd i&r only1 - modifier may bypassCheck pair
12001Rpr s/n/ax/gen/trnk 2.5cm/<1 - modifier may bypassCheck pair
12002Rpr s/n/ax/gen/trnk2.6-7.5cm1 - modifier may bypassCheck pair
12004Rpr s/n/ax/gen/trk7.6-12.5cm1 - modifier may bypassCheck pair
12005Rpr s/n/a/gen/trk12.6-20.0cm1 - modifier may bypassCheck pair
12006Rpr s/n/a/gen/trk20.1-30.0cm1 - modifier may bypassCheck pair
12007Rpr s/n/ax/gen/trnk >30.0 cm1 - modifier may bypassCheck pair
12011Rpr f/e/e/n/l/m 2.5 cm/<1 - modifier may bypassCheck pair
12013Rpr f/e/e/n/l/m 2.6-5.0 cm1 - modifier may bypassCheck pair
12014Rpr f/e/e/n/l/m 5.1-7.5 cm1 - modifier may bypassCheck pair
12015Rpr f/e/e/n/l/m 7.6-12.5 cm1 - modifier may bypassCheck pair
12016Rpr fe/e/en/l/m 12.6-20.0 cm1 - modifier may bypassCheck pair
12017Rpr fe/e/en/l/m 20.1-30.0 cm1 - modifier may bypassCheck pair
12018Rpr f/e/e/n/l/m >30.0 cm1 - modifier may bypassCheck pair
12020Tx supfc wnd dehsn smpl clsr1 - modifier may bypassCheck pair

Showing 30 of 236 column 2 codes. Use the pair checker for any specific combination.

62328 is bundled into these codes

62328 appears as a Column 2 code in 34 active edits. Reported with one of these Column 1 codes on the same date of service, 62328 is the code that denies.

Column 1 codeShort descriptionModifier indicator
54405Insert multi-comp penis pros1Check pair
62268Drain spinal cord cyst1Check pair
62269Needle biopsy spinal cord1Check pair
62272Ther spi pnxr drg csf1Check pair
62280Treat spinal cord lesion1Check pair
62281Treat spinal cord lesion1Check pair
62282Treat spinal canal lesion1Check pair
62284Injection for myelogram1Check pair
62302Myelography lumbar injection1Check pair
62303Myelography lumbar injection1Check pair
62304Myelography lumbar injection1Check pair
62305Myelography lumbar injection1Check pair
62350Implant spinal canal cath1Check pair
62355Remove spinal canal catheter1Check pair
62360Insert spine infusion device1Check pair

Data: CMS CY2026 Physician Fee Schedule RVU file (October release, RVU26D) and Medicare NCCI PTP practitioner edits v32.3 (2026 Q4). Verify against the official files before billing or contracting decisions.