CPT code 62273: Epidural blood patch, blood or clot patch2026 Medicare rate & RVUs
An epidural blood patch places blood or clot in the epidural space to seal a cerebrospinal fluid leak, commonly after a dural puncture.
Medicare pays $172.01 for 62273 nationally in the office and $102.21 in a hospital or facility. Local office rates run $155.24–$218.40.
Medicare rate · 62273
Epidural blood patch, blood or clot patch
- Work RVUs
- 2.1
- Total RVUs
- 5.15
- Global days
- 000
National rate · 2026
$172.01
Office setting, before claim adjustments.
See every locality for 62273 →Billed by an NP, PA or therapist? →
Medicare allowed amount for participating (non-QP) physicians, before deductible, coinsurance and claim adjustments. Not a patient’s bill or a hospital charge.
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On this page 10 sections
What 62273 covers
An epidural blood patch uses blood, typically the patient’s own, placed into the epidural space to seal a cerebrospinal fluid leak. Anesthesiologists and pain physicians commonly perform it for a post-dural puncture headache after spinal anesthesia, an epidural procedure, or lumbar puncture. The procedure may take place in a hospital, ambulatory facility, or office equipped for neuraxial procedures.
Report 62273 for the patch procedure, rather than for a diagnostic spinal puncture or an epidural injection intended to treat spinal pain. Documentation should identify the leak-related indication, the epidural approach, and the patch performed. CMS assigns a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures occur in the same session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% multiple-procedure reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment is restricted, 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.
Where 62273 pays more and less
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
109 payment localities
$155.24 to $218.40
109 of 109 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Alabama | $157.11 | $96.03 |
| Alaska | $210.10 | $135.76 |
| Arizona | $168.06 | $100.42 |
| Arkansas | $155.24 | $95.27 |
| Atlanta, GA | $175.15 | $104.23 |
| Austin, TX | $176.86 | $103.00 |
| Bakersfield, CA | $179.71 | $103.20 |
| Baltimore area, MD | $181.72 | $106.82 |
| Beaumont, TX | $162.98 | $99.45 |
| Brazoria, TX | $170.18 | $101.00 |
| Chicago, IL | $182.06 | $111.91 |
| Chico, CA | $179.06 | $102.55 |
| Colorado | $177.39 | $103.12 |
| Connecticut | $182.19 | $107.01 |
| Dallas, TX | $171.27 | $101.74 |
| Delaware | $170.52 | $101.55 |
| Detroit, MI | $173.51 | $106.14 |
| East St. Louis, IL | $171.54 | $107.32 |
| El Centro, CA | $179.09 | $102.58 |
| Fort Lauderdale, FL | $178.92 | $108.20 |
| Fort Worth, TX | $170.41 | $101.58 |
| Fresno, CA | $179.06 | $102.55 |
| Galveston, TX | $170.71 | $101.39 |
| Hanford, CA | $179.06 | $102.55 |
| Hawaii, Guam, HI | $182.06 | $102.69 |
| Houston, TX | $174.55 | $105.23 |
| Idaho | $160.73 | $96.51 |
| Indiana | $161.48 | $96.77 |
| Iowa | $159.72 | $95.85 |
| Kansas | $159.43 | $96.32 |
| Kentucky | $160.89 | $98.83 |
| King County, WA | $195.77 | $110.12 |
| Los Angeles, CA | $189.89 | $107.31 |
| Madera, CA | $179.06 | $102.55 |
| Manhattan, NY | $195.98 | $114.86 |
| Marin County, CA | $213.78 | $115.35 |
| Merced, CA | $179.06 | $102.55 |
| Metropolitan Boston, MA | $192.52 | $109.17 |
| Metropolitan Kansas City, MO | $166.07 | $100.52 |
| Metropolitan Philadelphia, PA | $178.52 | $105.85 |
| Metropolitan St. Louis, MO | $167.48 | $101.02 |
| Miami, FL | $186.63 | $113.96 |
| Minnesota | $169.83 | $98.00 |
| Mississippi | $157.00 | $96.89 |
| Modesto, CA | $179.06 | $102.55 |
| Montana | $172.00 | $102.19 |
| Napa, CA | $203.15 | $111.14 |
| Nebraska | $160.35 | $95.92 |
| Nevada | $170.94 | $101.06 |
| New Hampshire | $175.03 | $102.36 |
| New Mexico | $165.55 | $101.54 |
| New Orleans, LA | $167.37 | $101.68 |
| North Carolina | $163.13 | $98.00 |
| North Dakota | $167.85 | $98.04 |
| Northern New Jersey | $192.09 | $111.11 |
| NYC suburbs and Long Island, NY | $200.44 | $117.44 |
| Ohio | $163.82 | $100.08 |
| Oklahoma | $160.30 | $97.96 |
| Oxnard, CA | $188.60 | $106.09 |
| Portland, OR | $181.87 | $104.31 |
| Poughkeepsie and northern NYC suburbs, NY | $185.66 | $109.22 |
| Puerto Rico | $172.95 | $102.38 |
| Queens, NY | $196.87 | $114.36 |
| Redding, CA | $179.06 | $102.55 |
| Rest of California | $179.06 | $102.55 |
| Rest of Florida | $171.37 | $104.63 |
| Rest of Georgia | $163.12 | $100.85 |
| Rest of Illinois | $167.71 | $103.98 |
| Rest of Louisiana | $160.81 | $99.03 |
| Rest of Maine | $161.77 | $97.55 |
| Rest of Maryland | $173.28 | $102.63 |
| Rest of Massachusetts | $176.74 | $103.23 |
| Rest of Michigan | $164.67 | $100.93 |
| Rest of Missouri | $158.74 | $98.57 |
| Rest of New Jersey | $184.23 | $108.00 |
| Rest of New York | $165.19 | $98.87 |
| Rest of Oregon | $169.55 | $100.02 |
| Rest of Pennsylvania | $163.85 | $99.77 |
| Rest of Texas | $166.50 | $100.25 |
| Rest of Washington | $176.28 | $102.77 |
| Rhode Island | $175.72 | $103.61 |
| Riverside, CA | $181.35 | $104.84 |
| Sacramento, CA | $186.75 | $105.56 |
| Salinas, CA | $186.02 | $105.11 |
| San Benito County, CA | $218.40 | $117.74 |
| San Diego, CA | $189.50 | $106.01 |
| San Francisco, CA | $213.54 | $115.11 |
| San Luis Obispo, CA | $183.14 | $103.63 |
| Santa Clara County, CA | $217.43 | $116.77 |
| Santa Cruz, CA | $190.63 | $105.81 |
| Santa Maria, CA | $186.47 | $105.07 |
| Santa Rosa, CA | $192.49 | $106.77 |
| South Carolina | $163.75 | $99.25 |
| South Dakota | $167.36 | $97.55 |
| Southern Maine, ME | $168.57 | $99.39 |
| Stockton, CA | $179.06 | $102.55 |
| Suburban Chicago, IL | $180.48 | $108.79 |
| Tennessee | $160.13 | $96.68 |
| Utah | $165.61 | $99.99 |
| Vallejo, CA | $202.80 | $110.80 |
| Vermont | $167.60 | $98.49 |
| Virgin Islands, VI | $172.95 | $102.38 |
| Virginia | $168.34 | $99.72 |
| Visalia, CA | $179.06 | $102.55 |
| Washington, DC area | $193.48 | $111.25 |
| West Virginia | $162.61 | $101.95 |
| Wisconsin | $163.18 | $96.30 |
| Wyoming | $170.19 | $100.38 |
| Yuba City, CA | $179.06 | $102.55 |
62273 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.
$155.24
$210.10
Color shows the midpoint of each state’s locality range.
View every state and territory as a table
| State / territory | Office rate range | Localities |
|---|---|---|
| AK | $210.10 | 1 |
| AL | $157.11 | 1 |
| AR | $155.24 | 1 |
| AZ | $168.06 | 1 |
| CA | $179.06–$218.40 | 29 |
| CO | $177.39 | 1 |
| CT | $182.19 | 1 |
| DC | $193.48 | 1 |
| DE | $170.52 | 1 |
| FL | $171.37–$186.63 | 3 |
| GA | $163.12–$175.15 | 2 |
| GU | $182.06 | 1 |
| HI | $182.06 | 1 |
| IA | $159.72 | 1 |
| ID | $160.73 | 1 |
| IL | $167.71–$182.06 | 4 |
| IN | $161.48 | 1 |
| KS | $159.43 | 1 |
| KY | $160.89 | 1 |
| LA | $160.81–$167.37 | 2 |
| MA | $176.74–$192.52 | 2 |
| MD | $173.28–$193.48 | 3 |
| ME | $161.77–$168.57 | 2 |
| MI | $164.67–$173.51 | 2 |
| MN | $169.83 | 1 |
| MO | $158.74–$167.48 | 3 |
| MS | $157.00 | 1 |
| MT | $172.00 | 1 |
| NC | $163.13 | 1 |
| ND | $167.85 | 1 |
| NE | $160.35 | 1 |
| NH | $175.03 | 1 |
| NJ | $184.23–$192.09 | 2 |
| NM | $165.55 | 1 |
| NV | $170.94 | 1 |
| NY | $165.19–$200.44 | 5 |
| OH | $163.82 | 1 |
| OK | $160.30 | 1 |
| OR | $169.55–$181.87 | 2 |
| PA | $163.85–$178.52 | 2 |
| PR | $172.95 | 1 |
| RI | $175.72 | 1 |
| SC | $163.75 | 1 |
| SD | $167.36 | 1 |
| TN | $160.13 | 1 |
| TX | $162.98–$176.86 | 8 |
| UT | $165.61 | 1 |
| VA | $168.34–$193.48 | 2 |
| VI | $172.95 | 1 |
| VT | $167.60 | 1 |
| WA | $176.28–$195.77 | 2 |
| WI | $163.18 | 1 |
| WV | $162.61 | 1 |
| WY | $170.19 | 1 |
How the 62273 rate is calculated
Each of 62273’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 · 62273
RVUs × geographic indexes × conversion factor
Work2.10
2.10 RVUs× 1.000 GPCI
Practice expense2.84
2.84 RVUs× 1.000 GPCI
Malpractice0.21
0.21 RVUs× 1.000 GPCI
Adjusted RVUs
5.1500
Conversion factor
$33.4009
Medicare rate
$172.01
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62273
The CMS indicators that decide how 62273 is paid alongside other services.
CMS payment indicators · 62273
Epidural blood patch, blood or clot patch
| Rule | CMS value | What it means |
|---|---|---|
| Global period | 000 | Same-day global: pre- and post-op care on the day of the procedure is included. |
| Multiple procedures | 2 | Standard reduction: highest-valued procedure at 100%, others at 50%. |
| Bilateral (modifier 50) | 0 | The 150% bilateral adjustment doesn’t apply. |
| Assistant at surgery (80/81/82/AS) | 1 | Not paid (statutory restriction). |
| Co-surgeons (62) | 0 | Not permitted. |
| Team surgery (66) | 0 | Not permitted. |
| Professional/technical | 0 | Physician service: no professional/technical split. |
What modifiers do to the payment
Modifier 51 · payment effect
With and without the modifier
62273 without 51 · national office
$172.01
Epidural blood patch, blood or clot patch
62273-51 · Second procedure: 50%
$86.01
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%).
62273 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62270Lumbar punctureDiagnostic, no imaging guidance
- 62270 is a diagnostic lumbar puncture to obtain cerebrospinal fluid. Choose 62273 when blood or clot is placed in the epidural space to seal a leak.
- 62272Therapeutic lumbar punctureCSF drainage
- 62272 describes therapeutic spinal puncture for cerebrospinal fluid drainage. It does not describe an epidural blood patch.
- 62323Lumbar epidural injectionInterlaminar or caudal, with imaging guidance
- 62323 is an epidural injection for medication treatment of spinal pain, not a blood or clot patch for a cerebrospinal fluid leak.
62273 billing questions
When should 62273 be chosen over a diagnostic lumbar puncture?
Use 62273 for an epidural blood or clot patch intended to seal a cerebrospinal fluid leak. A diagnostic lumbar puncture obtains cerebrospinal fluid for evaluation; it is not the patch treatment.
Is the blood draw separately reported as part of the patch?
The patch service is the epidural placement of blood or clot. Documentation should support the patch performed; do not report the blood volume as additional units of 62273.
Can modifier 50 be used for a bilateral blood patch?
No. CMS identifies bilateral adjustment as inappropriate for this code, so modifier 50 should not be used.
How does the 0-day global period affect same-day care?
Same-day preoperative and postoperative care is included in the procedure’s 0-day global period.
What happens when another procedure is performed in the same session?
Under the standard multiple-procedure reduction, the highest-valued procedure is paid in full and other procedures are paid at 50% when performed in the same session.
Can an assistant or surgical team be reported for 62273?
Assistant-at-surgery payment is restricted. CMS also does not permit co-surgeons or team surgery for this code.
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
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