CPT code 62284: Myelogram injection, spinal, excluding C1-C22026 Medicare rate & RVUs in Texas
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.
Medicare pays $168.44–$186.75 for 62284 in the office in Texas, from Beaumont, TX to Austin, TX. Which amount applies depends on the service address.
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 9 sections
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.
Where 62284 pays more and less in Texas
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
8 payment localities
$168.44 to $186.75
8 of 8 payment localities
| Payment locality | Office | Facility |
|---|---|---|
| Austin, TX | $186.75 | $72.25 |
| Beaumont, TX | $168.44 | $69.96 |
| Brazoria, TX | $178.13 | $70.89 |
| Dallas, TX | $179.22 | $71.44 |
| Fort Worth, TX | $178.05 | $71.34 |
| Galveston, TX | $178.64 | $71.18 |
| Houston, TX | $181.57 | $74.11 |
| Rest of Texas | $173.16 | $70.46 |
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
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.
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
| 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
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%).
62284 compared with similar codes
Compare codes · National
4 codes, side by side
How to choose
- 62270Lumbar punctureDiagnostic, no imaging guidance
- Use 62270 for a diagnostic lumbar puncture to obtain cerebrospinal fluid. Use 62284 when spinal access is performed to inject contrast for myelography or CT myelography.
- 72265MyelographyLumbar or lumbosacral region
- 72265 reports lumbosacral myelographic imaging and its interpretation. 62284 reports the spinal access and contrast injection that supports the examination.
- 62290DiscographyLumbar level injection
- 62290 is an injection into an intervertebral disc for discography. 62284 injects contrast into the spinal canal for myelographic imaging.
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
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