CPT 62320
Global 000 ActiveNjx interlaminar crv/thrc
CPT 62320 Billing & Documentation Guide
CPT code 62320 (Njx interlaminar crv/thrc) is classified under Surgery (Endocrine/Nervous/Eye/Ear) with a global period indicator of 000. The 2026 Medicare Physician Fee Schedule assigns a work RVU of 1.76, a non-facility practice expense RVU of 2.93, and a malpractice RVU of 0.21, a total non-facility RVU of 4.9 and facility RVU of 2.63. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $168.13, though rates vary from $146.46 to $210.13 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 62320, ensure documentation supports medical necessity and the specific components required for the code's level of service. For E/M codes, document MDM (medical decision-making) elements: problems addressed, data reviewed, and risk. For procedural codes, document the indication, technique, and any complications. Always verify NCCI edits before bundling 62320 with related codes; this code has 10 PTP bundling relationships on file (see table below).
Payment Status & Global Period
Active code (paid under MPFS)
Endoscopic or minor procedure with related preoperative and postoperative work performed on the same day
MUE Limit (Medically Unlikely Edits)
Submitting more than 1 units of 62320 for the same patient on the same date triggers automatic line denial unless an appropriate modifier and supporting documentation justify the higher quantity.
RVU Breakdown, CPT 62320
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 2.93 | 0.66 |
| Malpractice RVU | 0.21 | 0.21 |
| Total RVU | 4.9 | 2.63 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 62320
State-level averages across all MAC localities. Non-facility rates typically apply to office-based services; facility rates apply to hospital outpatient / inpatient.
| State | Non-Facility | Facility | Range (Non-Fac) | Localities |
|---|---|---|---|---|
| California | $180.5 | $90.78 | $170.8 - $210.13 | 29 |
| Florida | $170.63 | $94.56 | $162.89 - $178.4 | 3 |
| Georgia | $160.63 | $88.3 | $154.44 - $166.82 | 2 |
| Illinois | $166.96 | $93.7 | $159.1 - $173.65 | 4 |
| Michigan | $160.56 | $89.35 | $156.06 - $165.05 | 2 |
| North Carolina | $154.58 | $83.84 | $154.58 - $154.58 | 1 |
| New York | $180.29 | $95.7 | $156.69 - $191.93 | 5 |
| Ohio | $155.21 | $85.98 | $155.21 - $155.21 | 1 |
| Pennsylvania | $162.67 | $88.41 | $155.25 - $170.09 | 2 |
| Texas | $161.97 | $87.33 | $154.36 - $168.66 | 8 |
Source: CMS PFSRVU 2026 · Updated 2026-04-01. Full locality-level detail available for all 53 states, contact us for custom reports.
NCCI Bundling Edits, CPT 62320
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 62320 on the same date of service, review the modifier indicator and payer policy before submission.
| Partner Code | Relationship | Modifier Allowed | Rationale |
|---|---|---|---|
| 0178T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0179T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 0180T | Column 1 (primary), can be billed with modifier | Yes | Misuse of Column Two code with Column One code |
| 01991 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 01992 | Column 1 (primary), can be billed with modifier | No | Anesthesia service included in surgical procedure |
| 0228T | Column 1 (primary), can be billed with modifier | Yes | Mutually exclusive procedures |
| 0333T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0464T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0543T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
| 0544T | Column 1 (primary), can be billed with modifier | No | Misuse of Column Two code with Column One code |
Frequently Asked Questions, CPT 62320
What does CPT code 62320 mean? +
CPT code 62320 represents: Njx interlaminar crv/thrc. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 62320? +
The 2026 Medicare national average non-facility payment for CPT 62320 is $168.13. Rates range from $146.46 to $210.13 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 62320? +
Surgery codes commonly use modifier 22 (increased procedural services), 50 (bilateral), 51 (multiple procedures), 52 (reduced services), 58/78/79 (staged, unplanned return, unrelated within global), 62 (co-surgeons), 80/82 (assistant surgeon), and 59 or the X{EPSU} subset for distinct procedural service.
What bundling edits apply to CPT 62320? +
This code has 10 NCCI PTP bundling relationships. See the NCCI Bundling section below for full list.
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Reviewed by the PayerReady Medical Coding Team
Verified against the CMS 2026 code set on June 1, 2026.
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