CPT 62322
Global 000 ActiveNjx interlaminar lmbr/sac
CPT 62322 Billing & Documentation Guide
CPT code 62322 (Njx interlaminar lmbr/sac) 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 1.51, a non-facility practice expense RVU of 2.7, and a malpractice RVU of 0.15, a total non-facility RVU of 4.36 and facility RVU of 2.22. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $149.87, though rates vary from $130.48 to $188.71 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 62322, 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 62322 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 62322 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 62322
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.51 | 1.51 |
| Practice Expense RVU | 2.7 | 0.56 |
| Malpractice RVU | 0.15 | 0.15 |
| Total RVU | 4.36 | 2.22 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 62322
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 | $161.67 | $77.09 | $152.82 - $188.71 | 29 |
| Florida | $150.67 | $78.96 | $144.18 - $156.99 | 3 |
| Georgia | $142.54 | $74.35 | $136.85 - $148.23 | 2 |
| Illinois | $147.32 | $78.26 | $140.6 - $152.92 | 4 |
| Michigan | $142.17 | $75.05 | $138.43 - $145.91 | 2 |
| North Carolina | $137.78 | $71.09 | $137.78 - $137.78 | 1 |
| New York | $160.24 | $80.51 | $139.63 - $170.19 | 5 |
| Ohio | $137.82 | $72.56 | $137.82 - $137.82 | 1 |
| Pennsylvania | $144.58 | $74.57 | $137.96 - $151.2 | 2 |
| Texas | $144.15 | $73.78 | $137.16 - $150.39 | 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 62322
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 62322 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 |
| 0230T | 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 62322
What does CPT code 62322 mean? +
CPT code 62322 represents: Njx interlaminar lmbr/sac. It's in the Surgery (Endocrine/Nervous/Eye/Ear) category with a global period of 000.
What is the Medicare reimbursement for CPT 62322? +
The 2026 Medicare national average non-facility payment for CPT 62322 is $149.87. Rates range from $130.48 to $188.71 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 62322? +
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 62322? +
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 May 31, 2026.
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