CPT 62323
Global 000 ActiveNjx interlaminar lmbr/sac
CPT 62323 Billing & Documentation Guide
CPT code 62323 (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 1.76, a non-facility practice expense RVU of 6.25, and a malpractice RVU of 0.17, a total non-facility RVU of 8.18 and facility RVU of 2.67. With the current conversion factor of $33.4009, the national average non-facility reimbursement is approximately $282.71, though rates vary from $241.03 to $369.32 based on MAC locality and Geographic Practice Cost Indices (GPCIs).
When billing 62323, 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 62323 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 62323 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 62323
| Component | Non-Facility | Facility |
|---|---|---|
| Work RVU | 1.76 | 1.76 |
| Practice Expense RVU | 6.25 | 0.74 |
| Malpractice RVU | 0.17 | 0.17 |
| Total RVU | 8.18 | 2.67 |
| Conversion Factor | $33.4009 | |
2026 Medicare Reimbursement by State, CPT 62323
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 | $310.98 | $93.22 | $291.62 - $369.32 | 29 |
| Florida | $279.29 | $94.64 | $266.89 - $290.46 | 3 |
| Georgia | $264.82 | $89.25 | $251.76 - $277.88 | 2 |
| Illinois | $271.55 | $93.73 | $258.25 - $283.65 | 4 |
| Michigan | $262.8 | $89.99 | $255.79 - $269.81 | 2 |
| North Carolina | $257.18 | $85.47 | $257.18 - $257.18 | 1 |
| New York | $302.18 | $96.87 | $261.1 - $321.3 | 5 |
| Ohio | $255.1 | $87.08 | $255.1 - $255.1 | 1 |
| Pennsylvania | $269.86 | $89.6 | $255.79 - $283.93 | 2 |
| Texas | $269.9 | $88.72 | $254.03 - $284.8 | 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 62323
Procedure-to-procedure (PTP) edits. If you bill any of these codes with 62323 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 62323
What does CPT code 62323 mean? +
CPT code 62323 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 62323? +
The 2026 Medicare national average non-facility payment for CPT 62323 is $282.71. Rates range from $241.03 to $369.32 across 53 states depending on MAC locality and GPCIs.
What modifiers can I use with CPT 62323? +
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 62323? +
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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