Medicare rate for CPT 62325 in 2026

Medicare’s national 2026 allowed amount for CPT 62325 is $265.20 in a physician’s office and $100.87 in a facility, from the CMS 2026 October release. The office figure applies when the service is performed in a physician’s office and the facility figure when it is performed in a hospital or other facility. Both figures are the doctor’s fee, and both are national amounts before geographic adjustment. What a specific provider is actually paid depends on the Medicare locality they practice in.

Office (non-facility)$265.20The practice bears the overhead
Hospital (facility)$100.87The doctor’s fee. The hospital is paid separately

The hospital figure is the doctor’s fee, not the hospital’s. It is what Medicare pays the doctor when the service is done inside a hospital. The hospital is paid its own amount. That amount comes from a different Medicare schedule: OPPS for outpatient care, MS-DRG for an inpatient stay. This page does not show it.

Description: CMS’s short descriptor for a CPT code is AMA-licensed text and is not shown here · Status A: Active, payable · Source: CMS 2026 October (RVU26D, non-QP conversion factor), effective 10/2026.

How the $265.20 is built

Work RVU 2.15, practice-expense RVU 5.60 in an office and 0.68 in a facility, malpractice RVU 0.19. Each is multiplied by its geographic index, added together, then multiplied by the 2026 conversion factor of $33.4009. With every index at 1.000 that gives $265.20 in an office and $100.87 in a facility.

This is the allowed amount for one unit, before the 2% sequestration reduction and before any multiple-procedure reduction. It is what Medicare allows, not what a commercial carrier or an auto policy allows, and not what the provider billed. Current Procedural Terminology (CPT) is copyright 2019–2025 American Medical Association (AMA). All Rights Reserved. No fee schedules, basic units, relative values, or related listings are included in CPT. The AMA assumes no liability for the data contained herein. Applicable FARS/DFARS restrictions apply to government use. CPT® is a trademark of the American Medical Association.

What CPT 62325 pays in New Jersey

New Jersey has 2 Medicare localities, so there is no single New Jersey rate. In an office the allowed amount runs from $285.90 to $300.09, a spread of 5.0% across the state.

LocalityOfficeFacilitydoctor’s fee, not the hospital’s
Northern NJ$300.09$109.46
Rest Of New Jersey$285.90$106.45

CPT 62325 by fee-schedule year, 2023 to 2026

A bill is priced under the schedule in force on its date of service, not the one in force when it is reviewed. Note that 2024 has two entries: Congress changed the conversion factor on 9 March 2024, so a January 2024 date of service and a June 2024 date of service price differently.

Fee-schedule yearConversion factorOfficeFacilitydoctor’s fee, not the hospital’s
2026$33.4009$265.20$100.87
2025$32.3465$234.84$105.13
2024 (Mar 9 to Dec 31)$33.2875$249.66$109.18
2024 (Jan 1 to Mar 8)$32.7442$245.58$107.40
2023$33.8872$257.54$111.15

National amounts, every geographic index at 1.000, so the year-to-year movement here is the fee schedule changing and not a change of location.

CPT 62325 in every state

The office allowed amount in each state, highest locality to lowest. Where a state shows one figure it has a single Medicare locality.

StateHighestLowestLocalities
California$352.83$281.4429
New York$310.59$253.975
Alaska$310.42-1
Washington$310.09$274.532
Massachusetts$303.74$274.982
District of Columbia$303.09-1
New Jersey$300.09$285.902
Hawaii / Guam$288.16-1
Oregon$285.49$262.572
Florida$282.58$260.173
Connecticut$282.37-1
Maryland$281.51$267.652
Colorado$276.65-1
Illinois$275.66$252.504
Texas$275.47$247.928
Pennsylvania$275.39$249.522
New Hampshire$272.08-1
Rhode Island$272.05-1
Georgia$269.69$246.222
Puerto Rico$267.17-1
Virgin Islands$267.17-1
Minnesota$266.16-1
Montana$265.19-1
Nevada$264.33-1
Wyoming$263.55-1
Michigan$263.01$249.752
Delaware$262.68-1
North Dakota$261.43-1
Maine$261.18$247.842
South Dakota$260.99-1
Vermont$260.20-1
Virginia$260.16-1
Arizona$258.49-1
Missouri$256.24$239.233
Louisiana$255.03$243.432
Utah$253.33-1
Wisconsin$252.96-1
New Mexico$250.95-1
North Carolina$250.38-1
South Carolina$250.04-1
Ohio$248.98-1
Indiana$248.29-1
Idaho$246.90-1
Nebraska$246.85-1
Iowa$245.48-1
Tennessee$245.24-1
Kansas$244.10-1
Kentucky$243.90-1
Oklahoma$243.77-1
West Virginia$243.44-1
Alabama$239.07-1
Mississippi$237.55-1
Arkansas$235.75-1

Checking a different code, state or year

The Medicare rate lookup prices all 17,000-plus codes in the Physician Fee Schedule for any state and any fee-schedule year from 2023 to 2026. Ambulance codes are priced separately on the ambulance fee schedule, because Medicare does not pay for ambulance transport under this schedule at all.

More in Injections and nerve blocks

A single figure means the office and facility amounts are the same, or CMS prices the code in one setting only; the code’s own page says which. All 105 codes in this family, with their national amounts, are on the Injections and nerve blocks page. See also the full list of code families and the CMS release catalog, which names the archived CMS files behind every figure.

Medicare rates are a benchmark, not an allowance. What a no-fault, workers’ compensation or commercial carrier owes for CPT 62325 is set by the fee schedule or policy that governs the claim, which is frequently a multiple of the figure above.

One code is one line of a bill.

Desk prices a whole case against the schedule that actually governs the claim, with every line cited to the document it came from. Fair Measure Billing Experts prepares and signs the report when you need someone else to write it.