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CPT code 62267: Disc aspiration, diagnostic lumbar sampling2026 Medicare rate & RVUs in Detroit, MI

Reports percutaneous sampling of lumbar intervertebral disc material for diagnostic evaluation, such as investigating suspected disc infection.

CMS RVU26DEffective Oct 1, 2026One payment locality2.9K Medicare services in 2024

In Detroit, MI, Medicare pays $261.17 for 62267 in the office and $141.59 when it’s performed in a hospital or facility.

$261.17Office (non-facility)
$141.59Hospital or facility
+0.9%vs the national office rate ($258.86)

Check a contract rate as a % of Medicare · 62267 nationwide

Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.

We’ll open 62267 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Detroit, MI
  2. What 62267 covers
  3. Compared with other areas
  4. Rate map
  5. How it’s calculated
  6. Payment rules
  7. Related codes
  8. Rate history
  9. Where it applies
  10. Billing questions
  11. Sources

What 62267 covers

A physician obtains material from a lumbar intervertebral disc by percutaneous needle access for diagnostic testing. Interventional radiologists, neuroradiologists, and spine specialists may perform the procedure, commonly when imaging and clinical findings raise concern for disc-space infection and a specimen is needed for laboratory analysis. The aspirate may be submitted for culture and other indicated testing. This is sampling of the disc itself, not a lumbar puncture to collect cerebrospinal fluid or a procedure to decompress a herniated disc.

Report the service when the documented procedure is diagnostic aspiration of lumbar disc material. The record should identify the indication, level or levels treated, needle approach, and specimen obtained. The code covers single or multiple lumbar levels; document the levels rather than reporting a separate unit for each level. It has a 0-day global period, so same-day preoperative and postoperative care is included. When other procedures are performed in the same session, the highest-valued procedure is paid in full and additional procedures are subject to the standard multiple-procedure reduction. Assistant-at-surgery payment requires documented medical necessity; co-surgeons and team surgery are not permitted.

This summary was written with AI assistance from CMS physician fee schedule data and checked against the CMS billing rules shown here. Rates on this page come directly from CMS files.

How Detroit, MI compares for 62267

Across 109 of 109 payment localities, the office rate for 62267 runs from $232.37 in Arkansas to $330.79 in San Benito County, CA. Detroit, MI pays $261.17. The RVUs are the same everywhere; the geographic indexes change the dollars.

62267 in Detroit, MI vs other payment areas
  1. Detroit, MI · this page$261.17
  2. Rest of Michigan · Michigan$247.23−$13.94
  3. Los Angeles, CA · California$286.61+$25.44
  4. Washington, DC area · District of Columbia$292.08+$30.91
  5. Miami, FL · Florida$281.86+$20.69
  6. Chicago, IL · Illinois$274.57+$13.40
  7. Manhattan, NY · New York$295.87+$34.70

Other areas in Michigan first, then benchmark localities. Bars start at $0.

Every other payment area

62267 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$312.59$180.62
AlabamaAlabama$235.33$126.90
ArkansasArkansas$232.37$125.92
ArizonaArizona$252.62$132.54
Bakersfield, CACalifornia$270.80$134.99
Chico, CACalifornia$269.80$133.99
El Centro, CACalifornia$269.86$134.05
Fresno, CACalifornia$269.80$133.99

62267 rates by state

Office rate range in each state. Select a state to see its payment localities.

MEWIVTNHMTNDMNMINYMARIWAIDWYSDIAILINOHPANJCTORNVUTCONEMOKYWVVAMDDECAAZNMKSOKARTNNCSCDCTXLAMSALGAFLAKHI

Explore a state

Local rates. Clear comparisons.

Hover or focus a tile to see its rate range. Select it to open the state’s fee schedule.

$232.37

$312.59

Color shows the midpoint of each state’s locality range.

View every state and territory as a table
62267 office rate range by state
State / territoryOffice rate rangeLocalities
AK$312.591
AL$235.331
AR$232.371
AZ$252.621
CA$269.80–$330.7929
CO$267.221
CT$274.681
DC$292.081
DE$256.431
FL$257.80–$281.863
GA$244.78–$263.772
GU$274.761
HI$274.761
IA$239.461
ID$241.051
IL$252.02–$274.574
IN$242.241
KS$238.991
KY$241.271
LA$241.15–$251.512
MA$266.13–$290.752
MD$260.73–$292.083
ME$242.69–$253.442
MI$247.23–$261.172
MN$255.451
MO$237.87–$251.683
MS$235.131
MT$258.831
NC$244.831
ND$252.311
NE$240.451
NH$263.631
NJ$277.64–$289.772
NM$248.621
NV$257.171
NY$248.08–$302.915
OH$245.901
OK$240.351
OR$254.98–$274.252
PA$245.95–$268.892
PR$260.341
RI$264.481
SC$245.811
SD$251.541
TN$240.111
TX$244.58–$266.498
UT$248.731
VA$253.07–$292.082
VI$260.341
VT$251.911
WA$265.44–$295.782
WI$244.931
WV$243.961
WY$255.991

See 62267 in every payment locality

How the 62267 rate is calculated

Each of 62267’s three RVUs is multiplied by a geographic index (GPCI) for the payment locality, added up, and multiplied by the conversion factor. Drag the indexes or enter a ZIP to see what moves the rate.

How the rate is built · 62267

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.93

2.93 RVUs× 1.000 GPCI

Practice expense4.49

4.49 RVUs× 1.000 GPCI

Malpractice0.33

0.33 RVUs× 1.000 GPCI

Adjusted RVUs

7.7500

Conversion factor

$33.4009

Medicare rate

$258.86

Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.

The exact Detroit, MI inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,945

Code
62267
Physician work
2.93
Practice expense
4.49
Malpractice
0.33

GPCI2026.csv

64

Locality
Detroit, MI
Physician work
1.000
Practice expense
0.965
Malpractice
1.686
Office calculation for 62267 in Detroit, MI
ComponentRVULocality factorAdjusted
Physician work2.93× 1.0002.9300
Practice expense4.49× 0.9654.3328
Malpractice0.33× 1.6860.5564
Total RVUs7.8192
Conversion factor× 33.4009

Office rate, Detroit, MI$261.17

Office: (2.93 × 1 + 4.49 × 0.965 + 0.33 × 1.686) × $33.4009 = $261.17

Facility: (2.93 × 1 + 0.78 × 0.965 + 0.33 × 1.686) × $33.4009 = $141.59

Open 62267 in the RVU calculator

Payment rules and modifiers for 62267

The CMS indicators that decide how 62267 is paid alongside other services.

CMS payment indicators · 62267

Disc aspiration, diagnostic lumbar sampling

RuleCMS valueWhat it means
Global period000Same-day global: pre- and post-op care on the day of the procedure is included.
Multiple procedures2Standard reduction: highest-valued procedure at 100%, others at 50%.
Bilateral (modifier 50)0The 150% bilateral adjustment doesn’t apply.
Assistant at surgery (80/81/82/AS)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62267 without 51 · national office

$258.86

Disc aspiration, diagnostic lumbar sampling

62267-51 · Second procedure: 50%

$129.43

When this isn’t the highest-valued procedure in the session, Medicare pays 50% of its fee schedule amount (the highest is paid at 100%).

When to use modifier 51

Codes related to 62267

Related codes aren’t interchangeable: bill the code that matches the service performed.

Codes related to 62267
CodeHow it relatesOffice range, Detroit, MI
Used instead
62287Disc decompression, lumbar, needle-basedPercutaneous lumbar disc decompression treats disc pathology rather than obtaining diagnostic material.No office rate
62290Discography, lumbar level injectionLumbar discography evaluates a disc through contrast injection rather than aspiration.$366.82
62291Discography, cervical or thoracicCervical or thoracic discography is the contrast-injection counterpart for those spinal regions.$334.64

How 62267 has changed in Detroit, MI

62267 · Office / nonfacility

$261.17

Effective 2026-10-01

The base rate is $3.56 higher than on 2025-10-01, moving from $257.61 to $261.17 (1.4%).

It is unchanged from the immediately preceding available release, effective 2026-07-01.

Base rate by release · bars start at $0 · select a bar to compare

One bar per available release, ordered by effective date. Missing rates remain gaps. These comparisons hold the code, setting and locality identifiers constant; they do not isolate which policy or input caused a change.

What changed, release by release

  1. January 1, 2026

    RVU26A

    $257.61changed to$261.17

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 3.00 changed to 2.93
    • Practice expense RVU 4.52 changed to 4.49
    • Malpractice RVU 0.29 changed to 0.33
    • Work GPCI 1.003 changed to 1.000
    • Practice expense GPCI 0.986 changed to 0.965
    • Malpractice GPCI 1.718 changed to 1.686

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $267.97changed to$257.61

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 4.59 changed to 4.52
    • Malpractice RVU 0.30 changed to 0.29

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $263.60changed to$267.97

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $276.74changed to$263.60

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.72 changed to 4.59
    • Malpractice RVU 0.29 changed to 0.30
    • Work GPCI 1.000 changed to 1.003
    • Practice expense GPCI 0.992 changed to 0.986
    • Malpractice GPCI 1.670 changed to 1.718

  5. January 1, 2023

    RVU23A

    $283.46changed to$276.74

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.80 changed to 4.72
    • Malpractice RVU 0.25 changed to 0.29
    • Practice expense GPCI 0.997 changed to 0.992
    • Malpractice GPCI 1.622 changed to 1.670

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $283.60changed to$283.46

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.72 changed to 4.80
    • Malpractice RVU 0.26 changed to 0.25

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $279.59changed to$283.60

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.33 changed to 4.72
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.993 changed to 0.997
    • Malpractice GPCI 1.657 changed to 1.622

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $269.64changed to$279.59

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.07 changed to 4.33
    • Practice expense GPCI 0.989 changed to 0.993
    • Malpractice GPCI 1.691 changed to 1.657

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $259.48changed to$269.64

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.81 changed to 4.07
    • Malpractice RVU 0.26 changed to 0.27

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $258.30changed to$259.48

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.82 changed to 3.81
    • Malpractice RVU 0.27 changed to 0.26
    • Practice expense GPCI 0.992 changed to 0.989
    • Malpractice GPCI 1.510 changed to 1.691

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $256.91changed to$258.30

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.84 changed to 3.82
    • Practice expense GPCI 0.994 changed to 0.992
    • Malpractice GPCI 1.328 changed to 1.510

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $259.39changed to$256.91

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.83 changed to 3.84
    • Malpractice RVU 0.31 changed to 0.27

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $258.10changed to$259.39

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $261.49changed to$258.10

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.78 changed to 3.83
    • Malpractice RVU 0.29 changed to 0.31
    • Work GPCI 1.010 changed to 1.000
    • Practice expense GPCI 1.009 changed to 0.994
    • Malpractice GPCI 1.571 changed to 1.328

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $262.75changed to$261.49

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.02 changed to 3.78
    • Malpractice RVU 0.30 changed to 0.29
    • Work GPCI 1.022 changed to 1.010
    • Practice expense GPCI 1.023 changed to 1.009
    • Malpractice GPCI 1.814 changed to 1.571

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $262.75

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$261.17$141.59RVU26D
2026-07-01$261.17$141.59RVU26C
2026-04-01$261.17$141.59RVU26B
2026-01-01$261.17$141.59RVU26A
2025-10-01$257.61$154.59RVU25D
2025-07-01$257.61$154.59RVU25C
2025-04-01$257.61$154.59RVU25B
2025-01-01$257.61$154.59RVU25A
2024-10-01$267.97$158.35RVU24D
2024-07-01$267.97$158.35RVU24C
2024-04-01$267.97$158.35RVU24B
2024-03-09$267.97$158.35RVU24AR
2024-01-01$263.60$155.76RVU24A
2023-10-01$276.74$160.43RVU23D
2023-07-01$276.74$160.43RVU23C
2023-04-01$276.74$160.43RVU23B
2023-01-01$276.74$160.43RVU23A
2022-10-01$283.46$160.98RVU22D
2022-07-01$283.46$160.98RVU22C
2022-04-01$283.46$160.98RVU22B
2022-01-01$283.46$160.98RVU22A
2021-10-01$283.60$162.88RVU21D
2021-07-01$283.60$162.88RVU21C
2021-04-01$283.60$162.88RVU21B
2021-01-01$283.60$162.88RVU21A
2020-10-01$279.59$169.93RVU20D
2020-07-01$279.59$169.93RVU20C
2020-04-01$279.59$169.93RVU20B
2020-01-01$279.59$169.93RVU20A
2019-10-01$269.64$170.19RVU19D
2019-07-01$269.64$170.19RVU19C
2019-04-01$269.64$170.19RVU19B
2019-01-01$269.64$170.19RVU19A
2018-10-01$259.48$169.76RVU18D
2018-07-01$259.48$169.76RVU18C
2018-04-01$259.48$169.76RVU18B
2018-01-01$259.48$169.76RVU18AR1
2017-10-01$258.30$169.65RVU17D
2017-07-01$258.30$169.65RVU17C
2017-04-01$258.30$169.65RVU17B
2017-01-01$258.30$169.65RVU17A
2016-10-01$256.91$167.94RVU16D
2016-07-01$256.91$167.94RVU16C
2016-04-01$256.91$167.94RVU16B
2016-01-01$256.91$167.94RVU16A
2015-10-01$259.39$170.46RVU15D
2015-07-01$259.39$170.46RVU15C
2015-04-01$258.10$169.61RVU15B
2015-01-01$258.10$169.61RVU15A
2014-10-01$261.49$173.30RVU14D
2014-07-01$261.49$173.30RVU14C
2014-04-01$261.49$173.30RVU14B
2014-01-01$261.49$173.30RVU14A
2013-10-01$262.75$170.17RVU13D
2013-07-01$262.75$170.17RVU13C
2013-04-01$262.75$170.17RVU13B
2013-01-01$262.75$170.17RVU13AR

Price 62267 for an earlier date of service

Where the Detroit, MI rate applies

Detroit, MI is a Medicare payment area, not a city. Our Census mapping connects it to 98 cities and communities in Michigan. Some span more than one payment area; confirm with the service ZIP.

  • Detroit
  • Allen Park
  • Ann Arbor
  • Armada
  • Auburn Hills
  • Barton Hills
  • Belleville
  • Berkley

Browse all communities in Michigan

62267 billing questions

How is this different from lumbar discography?

This code is for obtaining disc material by aspiration for diagnostic testing. Lumbar discography injects contrast into a disc as part of a diagnostic imaging evaluation.

How is this different from percutaneous disc decompression?

Aspiration is reported for diagnostic sampling. Use the decompression code when the procedure reduces disc material to treat a symptomatic lumbar disc condition.

Can multiple lumbar levels be reported as separate units?

The code covers one or multiple lumbar levels. Document each level treated; do not bill a separate unit for each level.

What documentation supports reporting the service?

Document the diagnostic reason for sampling, the lumbar level or levels accessed, the percutaneous aspiration performed, and the specimen obtained for testing.

Is same-day postoperative care separately included?

No. The code has a 0-day global period, and same-day preoperative and postoperative care is included.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only when medical necessity is documented. Co-surgeon and team-surgery billing are not permitted.

Where these rates come from

FeeBase calculates base physician payments from CMS work, practice-expense and malpractice RVUs, adjusted by each locality’s geographic indexes and the conversion factor. Services without a published rate are labeled, never given a made-up amount. Amounts are Medicare allowed amounts before claim adjustments: not a patient’s bill or a commercial rate.

CMS RVU26D · effective Oct 1, 2026 through the day before Jan 1, 2027

Show the CMS file lines behind this rate
RVUs for 62267PPRRVU2026_Oct_nonQPP.csv, line 6,945 (RVU26D)
Geographic factors for Detroit, MIGPCI2026.csv, line 64 (RVU26D)

Open CMS sourceHow we calculate rates

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