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

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 Baltimore area, MD, Medicare pays $191.19 for 62284 in the office and $75.07 when it’s performed in a hospital or facility.

$191.19Office (non-facility)
$75.07Hospital or facility
+6.2%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 Baltimore area, MD
  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 Baltimore area, MD 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. Baltimore area, MD pays $191.19. The RVUs are the same everywhere; the geographic indexes change the dollars.

62284 in Baltimore area, MD vs other payment areas
  1. Baltimore area, MD · this page$191.19
  2. Rest of Maryland · Maryland$181.59−$9.60
  3. Los Angeles, CA · California$203.09+$11.90
  4. Washington, DC area · District of Columbia$205.52+$14.33
  5. Miami, FL · Florida$193.31+$2.12
  6. Chicago, IL · Illinois$187.93−$3.26
  7. Manhattan, NY · New York$206.55+$15.36

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

Every other payment area

62284 in every other Medicare payment locality
Payment localityOfficeFacility
AlaskaAlaska$210.78$95.53
AlabamaAlabama$162.14$67.45
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

62284 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.

$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 Baltimore area, MD 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

60

Locality
Baltimore area, MD
Physician work
1.016
Practice expense
1.073
Malpractice
1.237
Office calculation for 62284 in Baltimore area, MD
ComponentRVULocality factorAdjusted
Physician work1.50× 1.0161.5240
Practice expense3.73× 1.0734.0023
Malpractice0.16× 1.2370.1979
Total RVUs5.7242
Conversion factor× 33.4009

Office rate, Baltimore area, MD$191.19

Office: (1.5 × 1.016 + 3.73 × 1.073 + 0.16 × 1.237) × $33.4009 = $191.19

Facility: (1.5 × 1.016 + 0.49 × 1.073 + 0.16 × 1.237) × $33.4009 = $75.07

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

Codes related to 62284

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

Codes related to 62284
CodeHow it relatesOffice range, Baltimore area, MD
Often billed with
72240Myelography, cervical spineCervical myelographic imaging may be reported with the spinal contrast injection.$118.75
72265Myelography, lumbar or lumbosacral regionLumbosacral myelographic imaging may be reported with the spinal contrast injection.$117.06
72270Myelography, two or more spine regionsComplete myelographic imaging may be reported with the spinal contrast injection.$141.32

How 62284 has changed in Baltimore area, MD

62284 · Office / nonfacility

$191.19

Effective 2026-10-01

The base rate is $1.10 higher than on 2025-10-01, moving from $190.09 to $191.19 (0.6%).

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

    $190.09changed to$191.19

    • 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 1.020 changed to 1.016
    • Practice expense GPCI 1.078 changed to 1.073
    • Malpractice GPCI 1.309 changed to 1.237

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $199.28changed to$190.09

    • 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

    $196.03changed to$199.28

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $209.15changed to$196.03

    • 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 1.024 changed to 1.020
    • Practice expense GPCI 1.087 changed to 1.078
    • Malpractice GPCI 1.311 changed to 1.309

  5. January 1, 2023

    RVU23A

    $218.85changed to$209.15

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 4.11 changed to 4.01
    • Work GPCI 1.028 changed to 1.024
    • Practice expense GPCI 1.096 changed to 1.087
    • Malpractice GPCI 1.313 changed to 1.311

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $222.88changed to$218.85

    • 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

    $221.20changed to$222.88

    • 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 1.026 changed to 1.028
    • Practice expense GPCI 1.095 changed to 1.096
    • Malpractice GPCI 1.304 changed to 1.313

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $218.90changed to$221.20

    • 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 1.023 changed to 1.026
    • Malpractice GPCI 1.295 changed to 1.304

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $210.71changed to$218.90

    • 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

    $206.19changed to$210.71

    • 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
    • Practice expense GPCI 1.096 changed to 1.095
    • Malpractice GPCI 1.238 changed to 1.295

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $200.64changed to$206.19

    • 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
    • Practice expense GPCI 1.097 changed to 1.096
    • Malpractice GPCI 1.181 changed to 1.238

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $201.82changed to$200.64

    • 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

    $200.82changed to$201.82

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    $211.97changed to$200.82

    • 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 1.025 changed to 1.023
    • Malpractice GPCI 1.194 changed to 1.181

    Held through RVU15B.

  15. January 1, 2014

    RVU14A

    $211.98changed to$211.97

    • 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 1.027 changed to 1.025
    • Malpractice GPCI 1.206 changed to 1.194

    Held through RVU14B, RVU14C, RVU14D.

  16. January 1, 2013

    RVU13AR

    Earliest loaded release: $211.98

    Held through RVU13B, RVU13C, RVU13D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$191.19$75.07RVU26D
2026-07-01$191.19$75.07RVU26C
2026-04-01$191.19$75.07RVU26B
2026-01-01$191.19$75.07RVU26A
2025-10-01$190.09$84.43RVU25D
2025-07-01$190.09$84.43RVU25C
2025-04-01$190.09$84.43RVU25B
2025-01-01$190.09$84.43RVU25A
2024-10-01$199.28$86.61RVU24D
2024-07-01$199.28$86.61RVU24C
2024-04-01$199.28$86.61RVU24B
2024-03-09$199.28$86.61RVU24AR
2024-01-01$196.03$85.19RVU24A
2023-10-01$209.15$89.80RVU23D
2023-07-01$209.15$89.80RVU23C
2023-04-01$209.15$89.80RVU23B
2023-01-01$209.15$89.80RVU23A
2022-10-01$218.85$91.79RVU22D
2022-07-01$218.85$91.79RVU22C
2022-04-01$218.85$91.79RVU22B
2022-01-01$218.85$91.79RVU22A
2021-10-01$222.88$92.48RVU21D
2021-07-01$222.88$92.48RVU21C
2021-04-01$222.88$92.48RVU21B
2021-01-01$222.88$92.48RVU21A
2020-10-01$221.20$96.32RVU20D
2020-07-01$221.20$96.32RVU20C
2020-04-01$221.20$96.32RVU20B
2020-01-01$221.20$96.32RVU20A
2019-10-01$218.90$97.75RVU19D
2019-07-01$218.90$97.75RVU19C
2019-04-01$218.90$97.75RVU19B
2019-01-01$218.90$97.75RVU19A
2018-10-01$210.71$97.18RVU18D
2018-07-01$210.71$97.18RVU18C
2018-04-01$210.71$97.18RVU18B
2018-01-01$210.71$97.18RVU18AR1
2017-10-01$206.19$96.45RVU17D
2017-07-01$206.19$96.45RVU17C
2017-04-01$206.19$96.45RVU17B
2017-01-01$206.19$96.45RVU17A
2016-10-01$200.64$93.81RVU16D
2016-07-01$200.64$93.81RVU16C
2016-04-01$200.64$93.81RVU16B
2016-01-01$200.64$93.81RVU16A
2015-10-01$201.82$95.00RVU15D
2015-07-01$201.82$95.00RVU15C
2015-04-01$200.82$94.52RVU15B
2015-01-01$200.82$94.52RVU15A
2014-10-01$211.97$94.47RVU14D
2014-07-01$211.97$94.47RVU14C
2014-04-01$211.97$94.47RVU14B
2014-01-01$211.97$94.47RVU14A
2013-10-01$211.98$90.68RVU13D
2013-07-01$211.98$90.68RVU13C
2013-04-01$211.98$90.68RVU13B
2013-01-01$211.98$90.68RVU13AR

Price 62284 for an earlier date of service

Where the Baltimore area, MD rate applies

Baltimore area, MD is a Medicare payment area, not a city. Our Census mapping connects it to 100 cities and communities in Maryland. Some span more than one payment area; confirm with the service ZIP.

  • Baltimore
  • Aberdeen
  • Aberdeen Proving Ground
  • Abingdon
  • Annapolis
  • Annapolis Neck
  • Arbutus
  • Arden on the Severn

Browse all communities in Maryland

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 Baltimore area, MDGPCI2026.csv, line 60 (RVU26D)

Open CMS sourceHow we calculate rates

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