CPT code 62270: Lumbar puncture, diagnostic, no imaging guidance2026 Medicare rate & RVUs in San Benito County, CA

Reports a diagnostic lumbar puncture to collect cerebrospinal fluid or measure pressure during evaluation of neurologic or infectious conditions.

CMS RVU26DEffective Oct 1, 2026One payment locality21.9K Medicare services in 2024

In San Benito County, CA, Medicare pays $215.96 for 62270 in the office and $62.80 when it’s performed in a hospital or facility.

$215.96Office (non-facility)
$62.80Hospital or facility
+30.9%vs the national office rate ($165.00)

Check a contract rate as a % of Medicare · 62270 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 62270 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in San Benito County, CA
  2. What 62270 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 62270 covers

A clinician places a needle into the lumbar subarachnoid space to obtain cerebrospinal fluid for testing or to measure cerebrospinal fluid pressure. Neurologists, emergency physicians, hospitalists, and other qualified practitioners commonly perform the procedure in an office, emergency department, or hospital. Typical indications include evaluation for meningitis, subarachnoid hemorrhage, inflammatory disease, or disorders involving raised intracranial pressure.

Choose this code for a diagnostic lumbar puncture without fluoroscopic or CT guidance. Use the documented reason for the procedure, lumbar access, and diagnostic purpose to support the claim; fluid tubes or laboratory tests do not represent additional punctures. The 0-day global period includes same-day preoperative and postoperative care. When multiple procedures occur in one session, Medicare pays the highest-valued procedure in full and applies its standard reduction to the others. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, and 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 San Benito County, CA compares for 62270

Across 109 of 109 payment localities, the office rate for 62270 runs from $144.01 in Arkansas to $215.96 in San Benito County, CA. San Benito County, CA pays $215.96. The RVUs are the same everywhere; the geographic indexes change the dollars.

62270 in San Benito County, CA vs other payment areas
  1. San Benito County, CA · this page$215.96
  2. Bakersfield, CA · California$173.06−$42.90
  3. Chico, CA · California$172.28−$43.68
  4. El Centro, CA · California$172.32−$43.64
  5. Fresno, CA · California$172.28−$43.68
  6. Hanford, CA · California$172.28−$43.68
  7. Los Angeles, CA · California$184.52−$31.44

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

Every other payment area

62270 in every other Medicare payment locality
Payment localityOfficeFacility
Madera, CACalifornia$172.28$55.86
Merced, CACalifornia$172.28$55.86
Modesto, CACalifornia$172.28$55.86
Napa, CACalifornia$199.49$59.50
Oxnard, CACalifornia$183.49$57.95
Redding, CACalifornia$172.28$55.86
Rest of CaliforniaCalifornia$172.28$55.86
Riverside, CACalifornia$175.39$58.97

62270 rates by state

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

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.

$144.01

$194.12

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

View every state and territory as a table
62270 office rate range by state
State / territoryOffice rate rangeLocalities
AK$188.041
AL$146.351
AR$144.011
AZ$160.021
CA$172.28–$215.9629
CO$170.751
CT$176.731
DC$188.811
DE$162.831
FL$164.79–$184.553
GA$154.38–$168.922
GU$176.761
HI$176.761
IA$149.341
ID$150.651
IL$160.40–$178.404
IN$151.591
KS$149.101
KY$151.351
LA$151.30–$159.502
MA$169.80–$187.982
MD$165.99–$188.813
ME$152.09–$160.392
MI$156.20–$167.602
MN$161.531
MO$148.80–$159.473
MS$146.411
MT$164.981
NC$153.761
ND$159.251
NE$150.081
NH$168.531
NJ$178.16–$186.652
NM$157.361
NV$163.501
NY$156.35–$197.695
OH$155.021
OK$150.471
OR$161.66–$175.982
PA$154.99–$172.322
PR$166.131
RI$168.521
SC$154.761
SD$158.571
TN$150.001
TX$153.91–$170.688
UT$157.081
VA$160.19–$188.812
VI$166.131
VT$159.061
WA$169.33–$191.452
WI$153.441
WV$154.041
WY$162.481

See 62270 in every payment locality

How the 62270 rate is calculated

Each of 62270’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 · 62270

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.19

1.19 RVUs× 1.000 GPCI

Practice expense3.46

3.46 RVUs× 1.000 GPCI

Malpractice0.29

0.29 RVUs× 1.000 GPCI

Adjusted RVUs

4.9400

Conversion factor

$33.4009

Medicare rate

$165.00

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

The exact San Benito County, CA inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,948

Code
62270
Physician work
1.19
Practice expense
3.46
Malpractice
0.29

GPCI2026.csv

26

Locality
San Benito County, CA
Physician work
1.110
Practice expense
1.442
Malpractice
0.536
Office calculation for 62270 in San Benito County, CA
ComponentRVULocality factorAdjusted
Physician work1.19× 1.1101.3209
Practice expense3.46× 1.4424.9893
Malpractice0.29× 0.5360.1554
Total RVUs6.4657
Conversion factor× 33.4009

Office rate, San Benito County, CA$215.96

Office: (1.19 × 1.11 + 3.46 × 1.442 + 0.29 × 0.536) × $33.4009 = $215.96

Facility: (1.19 × 1.11 + 0.28 × 1.442 + 0.29 × 0.536) × $33.4009 = $62.80

Open 62270 in the RVU calculator

Payment rules and modifiers for 62270

The CMS indicators that decide how 62270 is paid alongside other services.

CMS payment indicators · 62270

Lumbar puncture, diagnostic, no imaging guidance

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)1Not paid (statutory restriction).
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

62270 without 51 · national office

$165.00

Lumbar puncture, diagnostic, no imaging guidance

62270-51 · Second procedure: 50%

$82.50

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

How 62270 has changed in San Benito County, CA

62270 · Office / nonfacility

$215.96

Effective 2026-10-01

The base rate is $33.80 higher than on 2025-10-01, moving from $182.16 to $215.96 (18.6%).

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

    $182.16changed to$215.96

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.22 changed to 1.19
    • Practice expense RVU 2.88 changed to 3.46
    • Malpractice RVU 0.28 changed to 0.29
    • Work GPCI 1.100 changed to 1.110
    • Practice expense GPCI 1.435 changed to 1.442
    • Malpractice GPCI 0.560 changed to 0.536

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $188.23changed to$182.16

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.90 changed to 2.88
    • Malpractice RVU 0.27 changed to 0.28

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $185.16changed to$188.23

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $170.71changed to$185.16

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 2.53 changed to 2.90
    • Malpractice RVU 0.23 changed to 0.27
    • Work GPCI 1.098 changed to 1.100
    • Practice expense GPCI 1.409 changed to 1.435
    • Malpractice GPCI 0.579 changed to 0.560
  5. January 1, 2023

    RVU23A

    $162.88changed to$170.71

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.35 changed to 2.53
    • Malpractice RVU 0.20 changed to 0.23
    • Work GPCI 1.096 changed to 1.098
    • Practice expense GPCI 1.383 changed to 1.409
    • Malpractice GPCI 0.597 changed to 0.579

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $165.50changed to$162.88

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.50 changed to 2.35
    • Malpractice RVU 0.16 changed to 0.20
    • Work GPCI 1.084 changed to 1.096
    • Practice expense GPCI 1.330 changed to 1.383

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $170.10changed to$165.50

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.59 changed to 2.50
    • Work GPCI 1.072 changed to 1.084
    • Practice expense GPCI 1.279 changed to 1.330
    • Malpractice GPCI 0.580 changed to 0.597

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $172.40changed to$170.10

    • Conversion factor 36.0391 changed to 36.0896
    • Work RVU 1.37 changed to 1.22
    • Practice expense RVU 2.67 changed to 2.59
    • Malpractice RVU 0.18 changed to 0.16
    • Work GPCI 1.052 changed to 1.072
    • Practice expense GPCI 1.214 changed to 1.279
    • Malpractice GPCI 0.562 changed to 0.580

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $179.12changed to$172.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.95 changed to 2.67
    • Malpractice RVU 0.19 changed to 0.18
    • Work GPCI 1.041 changed to 1.052
    • Practice expense GPCI 1.167 changed to 1.214

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $173.53changed to$179.12

    • Conversion factor 35.8887 changed to 35.9996
    • Work GPCI 1.031 changed to 1.041
    • Practice expense GPCI 1.121 changed to 1.167
    • Malpractice GPCI 0.610 changed to 0.562

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    No ratechanged to$173.53

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D, RVU15A, RVU15B, RVU15C, RVU15D, RVU16A, RVU16B, RVU16C, RVU16D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$215.96$62.80RVU26D
2026-07-01$215.96$62.80RVU26C
2026-04-01$215.96$62.80RVU26B
2026-01-01$215.96$62.80RVU26A
2025-10-01$182.16$68.44RVU25D
2025-07-01$182.16$68.44RVU25C
2025-04-01$182.16$68.44RVU25B
2025-01-01$182.16$68.44RVU25A
2024-10-01$188.23$69.29RVU24D
2024-07-01$188.23$69.29RVU24C
2024-04-01$188.23$69.29RVU24B
2024-03-09$188.23$69.29RVU24AR
2024-01-01$185.16$68.16RVU24A
2023-10-01$170.71$69.48RVU23D
2023-07-01$170.71$69.48RVU23C
2023-04-01$170.71$69.48RVU23B
2023-01-01$170.71$69.48RVU23A
2022-10-01$162.88$69.55RVU22D
2022-07-01$162.88$69.55RVU22C
2022-04-01$162.88$69.55RVU22B
2022-01-01$162.88$69.55RVU22A
2021-10-01$165.50$68.51RVU21D
2021-07-01$165.50$68.51RVU21C
2021-04-01$165.50$68.51RVU21B
2021-01-01$165.50$68.51RVU21A
2020-10-01$170.10$69.47RVU20D
2020-07-01$170.10$69.47RVU20C
2020-04-01$170.10$69.47RVU20B
2020-01-01$170.10$69.47RVU20A
2019-10-01$172.40$85.34RVU19D
2019-07-01$172.40$85.34RVU19C
2019-04-01$172.40$85.34RVU19B
2019-01-01$172.40$85.34RVU19A
2018-10-01$179.12$84.17RVU18D
2018-07-01$179.12$84.17RVU18C
2018-04-01$179.12$84.17RVU18B
2018-01-01$179.12$84.17RVU18AR1
2017-10-01$173.53$82.61RVU17D
2017-07-01$173.53$82.61RVU17C
2017-04-01$173.53$82.61RVU17B
2017-01-01$173.53$82.61RVU17A
2016-10-01Rate data unavailableRate data unavailableRVU16D
2016-07-01Rate data unavailableRate data unavailableRVU16C
2016-04-01Rate data unavailableRate data unavailableRVU16B
2016-01-01Rate data unavailableRate data unavailableRVU16A
2015-10-01Rate data unavailableRate data unavailableRVU15D
2015-07-01Rate data unavailableRate data unavailableRVU15C
2015-04-01Rate data unavailableRate data unavailableRVU15B
2015-01-01Rate data unavailableRate data unavailableRVU15A
2014-10-01Rate data unavailableRate data unavailableRVU14D
2014-07-01Rate data unavailableRate data unavailableRVU14C
2014-04-01Rate data unavailableRate data unavailableRVU14B
2014-01-01Rate data unavailableRate data unavailableRVU14A
2013-10-01Rate data unavailableRate data unavailableRVU13D
2013-07-01Rate data unavailableRate data unavailableRVU13C
2013-04-01Rate data unavailableRate data unavailableRVU13B
2013-01-01Rate data unavailableRate data unavailableRVU13AR

Price 62270 for an earlier date of service

Where the San Benito County, CA rate applies

San Benito County, CA is a Medicare payment area, not a city. Our Census mapping connects it to 5 cities and communities in California. Some span more than one payment area; confirm with the service ZIP.

  • 62270 in Aromas · multiple payment areas
  • Hollister
  • Ridgemark
  • San Juan Bautista
  • Tres Pinos

Browse all communities in California

62270 billing questions

How does this differ from code 62328?

Use 62270 for a diagnostic lumbar puncture without fluoroscopic or CT guidance. Code 62328 is for a diagnostic lumbar puncture performed with fluoroscopic or CT guidance.

When should 62272 be reported instead?

Use 62272 when the purpose is therapeutic drainage of cerebrospinal fluid. Code 62270 represents a diagnostic puncture, such as obtaining fluid for evaluation or measuring pressure.

Can each cerebrospinal fluid tube be billed as a separate unit?

No. Multiple collection tubes from one lumbar puncture do not represent multiple punctures. Report laboratory testing separately when those tests are performed.

Should modifier 50 be used for bilateral lumbar punctures?

No. Medicare's bilateral adjustment does not apply to this code, and modifier 50 is inappropriate.

How does Medicare handle this with another procedure in the same session?

Under the standard multiple procedure reduction, Medicare pays the highest-valued procedure in full and reduces payment for the other procedures. Same-day preoperative and postoperative care is included in this code's 0-day global period.

What documentation supports reporting 62270?

Document the diagnostic indication, lumbar access, and the procedure performed, including fluid collection or pressure measurement when applicable. The record should distinguish diagnostic evaluation from therapeutic drainage.

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 62270PPRRVU2026_Oct_nonQPP.csv, line 6,948 (RVU26D)
Geographic factors for San Benito County, CAGPCI2026.csv, line 26 (RVU26D)

Open CMS sourceHow we calculate rates

Did this answer your question about what 62270 pays in San Benito County, CA?

Tell us what you were actually trying to work out. We’ll answer you directly, or build the page that does.

Fee sheets · Coming soon

Put 62270 and the rest of your codes on one sheet

Your codes at your locality, with payer contracts beside Medicare.

Join the waitlist