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CPT code 62273: Epidural blood patch, blood or clot patch2026 Medicare rate & RVUs in South Carolina

An epidural blood patch places blood or clot in the epidural space to seal a cerebrospinal fluid leak, commonly after a dural puncture.

CMS RVU26DEffective Oct 1, 2026One payment locality2K Medicare services in 2024

In South Carolina, Medicare pays $163.75 for 62273 in the office and $99.25 when it’s performed in a hospital or facility.

$163.75Office (non-facility)
$99.25Hospital or facility
−4.8%vs the national office rate ($172.01)

Check a contract rate as a % of Medicare · 62273 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 62273 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in South Carolina
  2. What 62273 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 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.

How South Carolina compares for 62273

Across 109 of 109 payment localities, the office rate for 62273 runs from $155.24 in Arkansas to $218.40 in San Benito County, CA. South Carolina pays $163.75. The RVUs are the same everywhere; the geographic indexes change the dollars.

62273 in South Carolina vs other payment areas
  1. South Carolina · this page$163.75
  2. Los Angeles, CA · California$189.89+$26.14
  3. Washington, DC area · District of Columbia$193.48+$29.73
  4. Miami, FL · Florida$186.63+$22.88
  5. Chicago, IL · Illinois$182.06+$18.31
  6. Manhattan, NY · New York$195.98+$32.23
  7. Alaska · Alaska$210.10+$46.35

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

Every other payment area

62273 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$157.11$96.03
ArkansasArkansas$155.24$95.27
ArizonaArizona$168.06$100.42
Bakersfield, CACalifornia$179.71$103.20
Chico, CACalifornia$179.06$102.55
El Centro, CACalifornia$179.09$102.58
Fresno, CACalifornia$179.06$102.55
Hanford, CACalifornia$179.06$102.55

62273 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.

$155.24

$210.10

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

View every state and territory as a table
62273 office rate range by state
State / territoryOffice rate rangeLocalities
AK$210.101
AL$157.111
AR$155.241
AZ$168.061
CA$179.06–$218.4029
CO$177.391
CT$182.191
DC$193.481
DE$170.521
FL$171.37–$186.633
GA$163.12–$175.152
GU$182.061
HI$182.061
IA$159.721
ID$160.731
IL$167.71–$182.064
IN$161.481
KS$159.431
KY$160.891
LA$160.81–$167.372
MA$176.74–$192.522
MD$173.28–$193.483
ME$161.77–$168.572
MI$164.67–$173.512
MN$169.831
MO$158.74–$167.483
MS$157.001
MT$172.001
NC$163.131
ND$167.851
NE$160.351
NH$175.031
NJ$184.23–$192.092
NM$165.551
NV$170.941
NY$165.19–$200.445
OH$163.821
OK$160.301
OR$169.55–$181.872
PA$163.85–$178.522
PR$172.951
RI$175.721
SC$163.751
SD$167.361
TN$160.131
TX$162.98–$176.868
UT$165.611
VA$168.34–$193.482
VI$172.951
VT$167.601
WA$176.28–$195.772
WI$163.181
WV$162.611
WY$170.191

See 62273 in every payment locality

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

Office or facility?

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.

The exact South Carolina inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,950

Code
62273
Physician work
2.10
Practice expense
2.84
Malpractice
0.21

GPCI2026.csv

93

Locality
South Carolina
Physician work
1.000
Practice expense
0.924
Malpractice
0.850
Office calculation for 62273 in South Carolina
ComponentRVULocality factorAdjusted
Physician work2.10× 1.0002.1000
Practice expense2.84× 0.9242.6242
Malpractice0.21× 0.8500.1785
Total RVUs4.9027
Conversion factor× 33.4009

Office rate, South Carolina$163.75

Office: (2.1 × 1 + 2.84 × 0.924 + 0.21 × 0.85) × $33.4009 = $163.75

Facility: (2.1 × 1 + 0.75 × 0.924 + 0.21 × 0.85) × $33.4009 = $99.25

Open 62273 in the RVU calculator

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

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

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%).

When to use modifier 51

Codes related to 62273

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

Codes related to 62273
CodeHow it relatesOffice range, South Carolina
Same family
62270Lumbar puncture, diagnostic, no imaging guidanceDiagnostic lumbar puncture; distinguish cerebrospinal fluid collection from therapeutic epidural patch placement.$154.76
62272Therapeutic lumbar puncture, CSF drainageTherapeutic spinal puncture for cerebrospinal fluid drainage, rather than sealing a leak with a patch.$203.04
Used instead
62323Lumbar epidural injection, interlaminar or caudal, with imaging guidanceEpidural injection for a different indication, such as medication treatment of lumbar or sacral spinal pain.$256.50

How 62273 has changed in South Carolina

62273 · Office / nonfacility

$163.75

Effective 2026-10-01

The base rate is $10.10 higher than on 2025-10-01, moving from $153.65 to $163.75 (6.6%).

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

    $153.65changed to$163.75

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.15 changed to 2.10
    • Practice expense RVU 2.66 changed to 2.84
    • Practice expense GPCI 0.913 changed to 0.924
    • Malpractice GPCI 0.817 changed to 0.850

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $158.70changed to$153.65

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 2.67 changed to 2.66
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $156.11changed to$158.70

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $160.65changed to$156.11

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense GPCI 0.908 changed to 0.913
    • Malpractice GPCI 0.756 changed to 0.817

  5. January 1, 2023

    RVU23A

    $162.27changed to$160.65

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 2.65 changed to 2.67
    • Malpractice RVU 0.21 changed to 0.22
    • Practice expense GPCI 0.903 changed to 0.908
    • Malpractice GPCI 0.695 changed to 0.756

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $164.31changed to$162.27

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 2.68 changed to 2.65
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $165.67changed to$164.31

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 2.56 changed to 2.68
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.907 changed to 0.903
    • Malpractice GPCI 0.624 changed to 0.695

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $166.40changed to$165.67

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 2.59 changed to 2.56
    • Practice expense GPCI 0.912 changed to 0.907
    • Malpractice GPCI 0.553 changed to 0.624

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $166.87changed to$166.40

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 2.61 changed to 2.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $165.27changed to$166.87

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 2.56 changed to 2.61
    • Malpractice GPCI 0.634 changed to 0.553

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $167.07changed to$165.27

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 2.61 changed to 2.56
    • Malpractice GPCI 0.715 changed to 0.634

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $167.34changed to$167.07

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 2.60 changed to 2.61

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $166.51changed to$167.34

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $165.75changed to$166.51

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 2.59 changed to 2.60
    • Practice expense GPCI 0.911 changed to 0.912
    • Malpractice GPCI 0.618 changed to 0.715

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $166.38changed to$165.75

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 2.90 changed to 2.59
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.909 changed to 0.911
    • Malpractice GPCI 0.520 changed to 0.618

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $166.38

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$163.75$99.25RVU26D
2026-07-01$163.75$99.25RVU26C
2026-04-01$163.75$99.25RVU26B
2026-01-01$163.75$99.25RVU26A
2025-10-01$153.65$105.51RVU25D
2025-07-01$153.65$105.51RVU25C
2025-04-01$153.65$105.51RVU25B
2025-01-01$153.65$105.51RVU25A
2024-10-01$158.70$107.94RVU24D
2024-07-01$158.70$107.94RVU24C
2024-04-01$158.70$107.94RVU24B
2024-03-09$158.70$107.94RVU24AR
2024-01-01$156.11$106.18RVU24A
2023-10-01$160.65$108.34RVU23D
2023-07-01$160.65$108.34RVU23C
2023-04-01$160.65$108.34RVU23B
2023-01-01$160.65$108.34RVU23A
2022-10-01$162.27$109.14RVU22D
2022-07-01$162.27$109.14RVU22C
2022-04-01$162.27$109.14RVU22B
2022-01-01$162.27$109.14RVU22A
2021-10-01$164.31$109.49RVU21D
2021-07-01$164.31$109.49RVU21C
2021-04-01$164.31$109.49RVU21B
2021-01-01$164.31$109.49RVU21A
2020-10-01$165.67$111.99RVU20D
2020-07-01$165.67$111.99RVU20C
2020-04-01$165.67$111.99RVU20B
2020-01-01$165.67$111.99RVU20A
2019-10-01$166.40$111.51RVU19D
2019-07-01$166.40$111.51RVU19C
2019-04-01$166.40$111.51RVU19B
2019-01-01$166.40$111.51RVU19A
2018-10-01$166.87$111.39RVU18D
2018-07-01$166.87$111.39RVU18C
2018-04-01$166.87$111.39RVU18B
2018-01-01$166.87$111.39RVU18AR1
2017-10-01$165.27$111.60RVU17D
2017-07-01$165.27$111.60RVU17C
2017-04-01$165.27$111.60RVU17B
2017-01-01$165.27$111.60RVU17A
2016-10-01$167.07$112.54RVU16D
2016-07-01$167.07$112.54RVU16C
2016-04-01$167.07$112.54RVU16B
2016-01-01$167.07$112.54RVU16A
2015-10-01$167.34$112.94RVU15D
2015-07-01$167.34$112.94RVU15C
2015-04-01$166.51$112.38RVU15B
2015-01-01$166.51$112.38RVU15A
2014-10-01$165.75$111.58RVU14D
2014-07-01$165.75$111.58RVU14C
2014-04-01$165.75$111.58RVU14B
2014-01-01$165.75$111.58RVU14A
2013-10-01$166.38$108.54RVU13D
2013-07-01$166.38$108.54RVU13C
2013-04-01$166.38$108.54RVU13B
2013-01-01$166.38$108.54RVU13AR

Price 62273 for an earlier date of service

Where the South Carolina rate applies

South Carolina is a Medicare payment area, not a city. Our Census mapping connects it to 475 cities and communities in South Carolina. Some span more than one payment area; confirm with the service ZIP.

  • Abbeville
  • Abney Crossroads
  • Adams Run
  • Aiken
  • Alcolu
  • Allendale
  • Anderson
  • Andrews

Browse all communities in South Carolina

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

Show the CMS file lines behind this rate
RVUs for 62273PPRRVU2026_Oct_nonQPP.csv, line 6,950 (RVU26D)
Geographic factors for South CarolinaGPCI2026.csv, line 93 (RVU26D)

Open CMS sourceHow we calculate rates

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