CPT code 62284: Myelogram injection, spinal, excluding C1-C22026 Medicare rate & RVUs in Washington, DC area

Reports spinal access and contrast injection for myelography or CT myelography when the examination involves a spinal site other than C1-C2 or the posterior fossa.

CMS RVU26DEffective Oct 1, 2026One payment locality11.9K Medicare services in 2024

In Washington, DC area, Medicare pays $205.52 for 62284 in the office and $78.03 when it’s performed in a hospital or facility.

$205.52Office (non-facility)
$78.03Hospital or facility
+14.2%vs the national office rate ($180.03)

Check a contract rate as a % of Medicare · 62284 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 62284 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 62284 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 62284 covers

This service covers placing a spinal needle and injecting contrast into the spinal canal for a myelographic examination or CT performed after intrathecal contrast. A radiologist, neuroradiologist, or other qualified physician typically performs it in a hospital or imaging center. The injection supports evaluation of the spinal canal, nerve roots, or related structures when myelography is requested.

Report 62284 for the contrast injection procedure, with documentation identifying the indication, spinal access, contrast administration, and related imaging examination. Report the applicable myelographic imaging service separately when 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% reduction. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery and does not permit co-surgeons or team surgery for this service.

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 Washington, DC area compares for 62284

Across 109 of 109 payment localities, the office rate for 62284 runs from $159.87 in Arkansas to $238.13 in San Benito County, CA. Washington, DC area pays $205.52. The RVUs are the same everywhere; the geographic indexes change the dollars.

62284 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$205.52
  2. Los Angeles, CA · California$203.09−$2.43
  3. Miami, FL · Florida$193.31−$12.21
  4. Chicago, IL · Illinois$187.93−$17.59
  5. Manhattan, NY · New York$206.55+$1.03
  6. Alaska · Alaska$210.78+$5.26
  7. Alabama · Alabama$162.14−$43.38

Other areas in District of Columbia first, then benchmark localities. Bars start at $0.

Every other payment area

62284 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$159.87$66.91
ArizonaArizona$175.40$70.54
Bakersfield, CACalifornia$190.85$72.25
Chico, CACalifornia$190.36$71.76
El Centro, CACalifornia$190.39$71.78
Fresno, CACalifornia$190.36$71.76
Hanford, CACalifornia$190.36$71.76
Madera, CACalifornia$190.36$71.76

62284 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.

$159.87

$214.25

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

View every state and territory as a table
62284 office rate range by state
State / territoryOffice rate rangeLocalities
AK$210.781
AL$162.141
AR$159.871
AZ$175.401
CA$190.36–$238.1329
CO$187.441
CT$191.751
DC$205.521
DE$178.251
FL$177.24–$193.313
GA$167.60–$183.252
GU$194.851
HI$194.851
IA$166.221
ID$167.251
IL$172.20–$187.934
IN$168.191
KS$165.421
KY$165.751
LA$165.48–$173.412
MA$186.35–$205.672
MD$181.59–$205.523
ME$168.04–$176.942
MI$169.88–$179.342
MN$179.881
MO$162.70–$174.063
MS$161.321
MT$180.021
NC$169.751
ND$176.861
NE$167.111
NH$184.471
NJ$194.02–$203.482
NM$170.761
NV$179.261
NY$172.21–$211.365
OH$169.231
OK$165.511
OR$177.95–$193.292
PA$169.52–$187.072
PR$181.321
RI$184.521
SC$169.761
SD$176.481
TN$166.221
TX$168.44–$186.758
UT$172.011
VA$176.34–$205.522
VI$181.321
VT$176.141
WA$186.01–$209.842
WI$171.101
WV$166.011
WY$178.641

See 62284 in every payment locality

How the 62284 rate is calculated

Each of 62284’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 · 62284

RVUs × geographic indexes × conversion factor

Office or facility?

Work1.50

1.50 RVUs× 1.000 GPCI

Practice expense3.73

3.73 RVUs× 1.000 GPCI

Malpractice0.16

0.16 RVUs× 1.000 GPCI

Adjusted RVUs

5.3900

Conversion factor

$33.4009

Medicare rate

$180.03

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

The exact Washington, DC area inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,954

Code
62284
Physician work
1.50
Practice expense
3.73
Malpractice
0.16

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 62284 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0541.5810
Practice expense3.73× 1.1784.3939
Malpractice0.16× 1.1130.1781
Total RVUs6.1530
Conversion factor× 33.4009

Office rate, Washington, DC area$205.52

Office: (1.5 × 1.054 + 3.73 × 1.178 + 0.16 × 1.113) × $33.4009 = $205.52

Facility: (1.5 × 1.054 + 0.49 × 1.178 + 0.16 × 1.113) × $33.4009 = $78.03

Open 62284 in the RVU calculator

Payment rules and modifiers for 62284

The CMS indicators that decide how 62284 is paid alongside other services.

CMS payment indicators · 62284

Myelogram injection, spinal, excluding C1-C2

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

62284 without 51 · national office

$180.03

Myelogram injection, spinal, excluding C1-C2

62284-51 · Second procedure: 50%

$90.02

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 62284 has changed in Washington, DC area

62284 · Office / nonfacility

$205.52

Effective 2026-10-01

The base rate is $0.31 higher than on 2025-10-01, moving from $205.21 to $205.52 (0.2%).

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

    $205.21changed to$205.52

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 1.54 changed to 1.50
    • Practice expense RVU 3.80 changed to 3.73
    • Work GPCI 1.057 changed to 1.054
    • Practice expense GPCI 1.192 changed to 1.178
    • Malpractice GPCI 1.168 changed to 1.113

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $215.14changed to$205.21

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 3.89 changed to 3.80
    • Malpractice RVU 0.17 changed to 0.16

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $211.63changed to$215.14

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $227.59changed to$211.63

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 4.01 changed to 3.89
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.056 changed to 1.057
    • Practice expense GPCI 1.214 changed to 1.192
    • Malpractice GPCI 1.231 changed to 1.168
  5. January 1, 2023

    RVU23A

    $240.03changed to$227.59

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.11 changed to 4.01
    • Work GPCI 1.054 changed to 1.056
    • Practice expense GPCI 1.236 changed to 1.214
    • Malpractice GPCI 1.294 changed to 1.231

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $244.59changed to$240.03

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 4.18 changed to 4.11
    • Malpractice RVU 0.17 changed to 0.18

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $240.21changed to$244.59

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 3.94 changed to 4.18
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.049 changed to 1.054
    • Practice expense GPCI 1.221 changed to 1.236
    • Malpractice GPCI 1.277 changed to 1.294

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $235.17changed to$240.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 3.86 changed to 3.94
    • Malpractice RVU 0.21 changed to 0.18
    • Work GPCI 1.045 changed to 1.049
    • Practice expense GPCI 1.205 changed to 1.221
    • Malpractice GPCI 1.261 changed to 1.277

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $226.22changed to$235.17

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 3.67 changed to 3.86
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $221.84changed to$226.22

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 3.59 changed to 3.67
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.048 changed to 1.045
    • Malpractice GPCI 1.271 changed to 1.261

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $216.29changed to$221.84

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 3.50 changed to 3.59
    • Malpractice RVU 0.16 changed to 0.19
    • Work GPCI 1.051 changed to 1.048
    • Malpractice GPCI 1.280 changed to 1.271

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $217.56changed to$216.29

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 3.49 changed to 3.50
    • Malpractice RVU 0.18 changed to 0.16

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $216.47changed to$217.56

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $227.60changed to$216.47

    • Conversion factor 35.8228 changed to 35.7547
    • Practice expense RVU 3.77 changed to 3.49
    • Malpractice RVU 0.17 changed to 0.18
    • Work GPCI 1.050 changed to 1.051
    • Practice expense GPCI 1.202 changed to 1.205
    • Malpractice GPCI 1.205 changed to 1.280

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $226.55changed to$227.60

    • Conversion factor 34.0230 changed to 35.8228
    • Practice expense RVU 4.04 changed to 3.77
    • Malpractice RVU 0.18 changed to 0.17
    • Work GPCI 1.049 changed to 1.050
    • Practice expense GPCI 1.198 changed to 1.202
    • Malpractice GPCI 1.130 changed to 1.205

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $226.55

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$205.52$78.03RVU26D
2026-07-01$205.52$78.03RVU26C
2026-04-01$205.52$78.03RVU26B
2026-01-01$205.52$78.03RVU26A
2025-10-01$205.21$88.39RVU25D
2025-07-01$205.21$88.39RVU25C
2025-04-01$205.21$88.39RVU25B
2025-01-01$205.21$88.39RVU25A
2024-10-01$215.14$90.55RVU24D
2024-07-01$215.14$90.55RVU24C
2024-04-01$215.14$90.55RVU24B
2024-03-09$215.14$90.55RVU24AR
2024-01-01$211.63$89.08RVU24A
2023-10-01$227.59$94.29RVU23D
2023-07-01$227.59$94.29RVU23C
2023-04-01$227.59$94.29RVU23B
2023-01-01$227.59$94.29RVU23A
2022-10-01$240.03$96.74RVU22D
2022-07-01$240.03$96.74RVU22C
2022-04-01$240.03$96.74RVU22B
2022-01-01$240.03$96.74RVU22A
2021-10-01$244.59$97.52RVU21D
2021-07-01$244.59$97.52RVU21C
2021-04-01$244.59$97.52RVU21B
2021-01-01$244.59$97.52RVU21A
2020-10-01$240.21$100.97RVU20D
2020-07-01$240.21$100.97RVU20C
2020-04-01$240.21$100.97RVU20B
2020-01-01$240.21$100.97RVU20A
2019-10-01$235.17$101.85RVU19D
2019-07-01$235.17$101.85RVU19C
2019-04-01$235.17$101.85RVU19B
2019-01-01$235.17$101.85RVU19A
2018-10-01$226.22$101.28RVU18D
2018-07-01$226.22$101.28RVU18C
2018-04-01$226.22$101.28RVU18B
2018-01-01$226.22$101.28RVU18AR1
2017-10-01$221.84$101.18RVU17D
2017-07-01$221.84$101.18RVU17C
2017-04-01$221.84$101.18RVU17B
2017-01-01$221.84$101.18RVU17A
2016-10-01$216.29$98.94RVU16D
2016-07-01$216.29$98.94RVU16C
2016-04-01$216.29$98.94RVU16B
2016-01-01$216.29$98.94RVU16A
2015-10-01$217.56$100.21RVU15D
2015-07-01$217.56$100.21RVU15C
2015-04-01$216.47$99.71RVU15B
2015-01-01$216.47$99.71RVU15A
2014-10-01$227.60$98.85RVU14D
2014-07-01$227.60$98.85RVU14C
2014-04-01$227.60$98.85RVU14B
2014-01-01$227.60$98.85RVU14A
2013-10-01$226.55$94.08RVU13D
2013-07-01$226.55$94.08RVU13C
2013-04-01$226.55$94.08RVU13B
2013-01-01$226.55$94.08RVU13AR

Price 62284 for an earlier date of service

Where the Washington, DC area rate applies

Washington, DC area is a Medicare payment area, not a city. Our Census mapping connects it to 1 cities and communities in District of Columbia. Some span more than one payment area; confirm with the service ZIP.

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62284 billing questions

How is 62284 different from a diagnostic lumbar puncture?

62284 reports spinal access with contrast injection for myelography or CT myelography. A diagnostic lumbar puncture such as 62270 is for obtaining cerebrospinal fluid, rather than injecting contrast for imaging.

Can the myelographic imaging be reported separately?

Yes. Report the applicable imaging service, such as cervical or lumbosacral myelography, separately when performed; 62284 describes the injection procedure.

Should modifier 50 be appended for injections on both sides?

No. CMS identifies bilateral adjustment as inappropriate for this code.

How does the multiple-procedure reduction affect 62284?

When multiple procedures are performed in the same session, CMS pays the highest-valued procedure in full and reduces the other procedures to 50%.

Are assistant or co-surgeon claims payable?

CMS does not pay an assistant at surgery for 62284 and does not permit co-surgeons or team surgery.

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 62284PPRRVU2026_Oct_nonQPP.csv, line 6,954 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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