CPT code 62292: Chemonucleolysis, lumbar intervertebral disc2026 Medicare rate & RVUs in Montana

Reports injection of an enzymatic agent into a lumbar intervertebral disc to treat herniated disc material, including discography performed as part of the procedure.

CMS RVU26DEffective Oct 1, 2026One payment locality65 Medicare services in 2024

In Montana, Medicare pays $509.97 for 62292 in a facility. There’s no office rate.

Not available in this settingOffice (non-facility)
$509.97Hospital or facility

Check a contract rate as a % of Medicare · 62292 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 62292 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Montana
  2. What 62292 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 62292 covers

This procedure delivers an enzymatic agent into a lumbar intervertebral disc to break down disc material, typically for treatment of a herniated lumbar disc. A physician performs it in a procedural or surgical setting. Discography associated with the chemonucleolysis is included in the service; this is not a code for diagnostic discography alone.

Choose the code when the documented treatment is lumbar intradiscal chemonucleolysis, rather than diagnostic discography or a mechanical percutaneous decompression technique. The record should identify the lumbar disc treated and support the therapeutic injection. CMS assigns a 90-day global period, including the day-before preoperative visit and related postoperative care during that period. For multiple procedures in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard 50% reduction. Modifier 50 is inappropriate. Assistant-at-surgery payment requires documented medical necessity; 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 Montana compares for 62292

Across 109 of 109 payment localities, the facility rate for 62292 runs from $470.60 in Arkansas to $660.95 in Alaska. Montana pays $509.97. The RVUs are the same everywhere; the geographic indexes change the dollars.

62292 in Montana vs other payment areas
  1. Montana · this page$509.97
  2. Los Angeles, CA · California$542.90+$32.93
  3. Washington, DC area · District of Columbia$560.46+$50.49
  4. Miami, FL · Florida$566.00+$56.03
  5. Chicago, IL · Illinois$554.56+$44.59
  6. Manhattan, NY · New York$576.01+$66.04
  7. Alaska · Alaska$660.95+$150.98

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

Every other payment area

62292 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama—$474.95
ArkansasArkansas—$470.60
ArizonaArizona—$500.16
Bakersfield, CACalifornia—$519.62
Chico, CACalifornia—$516.66
El Centro, CACalifornia—$516.82
Fresno, CACalifornia—$516.66
Hanford, CACalifornia—$516.66

62292 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.

View every state and territory as a table
62292 office rate range by state
State / territoryOffice rate rangeLocalities
AKNo published base rate1
ALNo published base rate1
ARNo published base rate1
AZNo published base rate1
CANo published base rate29
CONo published base rate1
CTNo published base rate1
DCNo published base rate1
DENo published base rate1
FLNo published base rate3
GANo published base rate2
GUNo published base rate1
HINo published base rate1
IANo published base rate1
IDNo published base rate1
ILNo published base rate4
INNo published base rate1
KSNo published base rate1
KYNo published base rate1
LANo published base rate2
MANo published base rate2
MDNo published base rate3
MENo published base rate2
MINo published base rate2
MNNo published base rate1
MONo published base rate3
MSNo published base rate1
MTNo published base rate1
NCNo published base rate1
NDNo published base rate1
NENo published base rate1
NHNo published base rate1
NJNo published base rate2
NMNo published base rate1
NVNo published base rate1
NYNo published base rate5
OHNo published base rate1
OKNo published base rate1
ORNo published base rate2
PANo published base rate2
PRNo published base rate1
RINo published base rate1
SCNo published base rate1
SDNo published base rate1
TNNo published base rate1
TXNo published base rate8
UTNo published base rate1
VANo published base rate2
VINo published base rate1
VTNo published base rate1
WANo published base rate2
WINo published base rate1
WVNo published base rate1
WYNo published base rate1

See 62292 in every payment locality

How the 62292 rate is calculated

Each of 62292’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 · 62292

RVUs × geographic indexes × conversion factor

Office or facility?

Work9.24

9.24 RVUs× 1.000 GPCI

Practice expense5.07

5.07 RVUs× 1.000 GPCI

Malpractice0.96

0.96 RVUs× 1.000 GPCI

Adjusted RVUs

15.2700

Conversion factor

$33.4009

Medicare rate

$510.03

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

The exact Montana inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,958

Code
62292
Physician work
9.24
Practice expense
5.07
Malpractice
0.96

GPCI2026.csv

71

Locality
Montana
Physician work
1.000
Practice expense
1.000
Malpractice
0.998
Facility calculation for 62292 in Montana
ComponentRVULocality factorAdjusted
Physician work9.24× 1.0009.2400
Practice expense5.07× 1.0005.0700
Malpractice0.96× 0.9980.9581
Total RVUs15.2681
Conversion factor× 33.4009

Facility rate, Montana$509.97

Facility: (9.24 × 1 + 5.07 × 1 + 0.96 × 0.998) × $33.4009 = $509.97

Open 62292 in the RVU calculator

Payment rules and modifiers for 62292

62292 has a 90-day global period: related visits in that window are included in the surgery payment.

CMS payment indicators · 62292

Chemonucleolysis, lumbar intervertebral disc

RuleCMS valueWhat it means
Global period090Major surgery: the day before, the day of, and 90 days after are 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)0Not paid without supporting documentation.
Co-surgeons (62)0Not permitted.
Team surgery (66)0Not permitted.
Professional/technical0Physician service: no professional/technical split.
Split (54/55/56)0.11/0.76/0.13Share of the payment for pre-op, the procedure itself, and post-op care.

Global surgery period · 62292

Chemonucleolysis, lumbar intervertebral disc

90-day global period ends

Dec 30, 2026

Covers Sep 30, 2026 through Dec 30, 2026 (92 days, including the day before surgery).

Visit on Oct 31, 2026

Day 30 of the 90-day post-op period: related follow-up care is included in the surgical payment.

  • 24Unrelated E/M visit by the same physician
  • 79Unrelated procedure (starts its own global period)
  • 58Staged, more extensive, or therapy procedure that was planned
  • 78Unplanned return to the operating room for a related complication
SurgeryVisit
Sep 23, 2026Jan 10, 2027

Pre-op dayGlobal period

What modifiers do to the payment

Modifier 51 · payment effect

With and without the modifier

62292 without 51 · national facility

$510.03

Chemonucleolysis, lumbar intervertebral disc

62292-51 · Second procedure: 50%

$255.02

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 62292 has changed in Montana

62292 · Office / nonfacility

Rate unavailable

Effective 2026-10-01

A rate is unavailable in one of these releases, so a change cannot be calculated.

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
Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01Not available in this setting$509.97RVU26D
2026-07-01Not available in this setting$509.97RVU26C
2026-04-01Not available in this setting$509.97RVU26B
2026-01-01Not available in this setting$509.97RVU26A
2025-10-01Not available in this setting$566.34RVU25D
2025-07-01Not available in this setting$566.34RVU25C
2025-04-01Not available in this setting$566.34RVU25B
2025-01-01Not available in this setting$566.34RVU25A
2024-10-01Not available in this setting$580.48RVU24D
2024-07-01Not available in this setting$580.48RVU24C
2024-04-01Not available in this setting$580.48RVU24B
2024-03-09Not available in this setting$580.48RVU24AR
2024-01-01Not available in this setting$571.01RVU24A
2023-10-01Not available in this setting$579.78RVU23D
2023-07-01Not available in this setting$579.78RVU23C
2023-04-01Not available in this setting$579.78RVU23B
2023-01-01Not available in this setting$579.78RVU23A
2022-10-01Not available in this setting$586.12RVU22D
2022-07-01Not available in this setting$586.12RVU22C
2022-04-01Not available in this setting$586.12RVU22B
2022-01-01Not available in this setting$586.12RVU22A
2021-10-01Not available in this setting$594.48RVU21D
2021-07-01Not available in this setting$594.48RVU21C
2021-04-01Not available in this setting$594.48RVU21B
2021-01-01Not available in this setting$594.48RVU21A
2020-10-01Not available in this setting$612.98RVU20D
2020-07-01Not available in this setting$612.98RVU20C
2020-04-01Not available in this setting$612.98RVU20B
2020-01-01Not available in this setting$612.98RVU20A
2019-10-01Not available in this setting$609.58RVU19D
2019-07-01Not available in this setting$609.58RVU19C
2019-04-01Not available in this setting$609.58RVU19B
2019-01-01Not available in this setting$609.58RVU19A
2018-10-01Not available in this setting$610.71RVU18D
2018-07-01Not available in this setting$610.71RVU18C
2018-04-01Not available in this setting$610.71RVU18B
2018-01-01Not available in this setting$610.71RVU18AR1
2017-10-01Not available in this setting$608.38RVU17D
2017-07-01Not available in this setting$608.38RVU17C
2017-04-01Not available in this setting$608.38RVU17B
2017-01-01Not available in this setting$608.38RVU17A
2016-10-01Not available in this setting$606.43RVU16D
2016-07-01Not available in this setting$606.43RVU16C
2016-04-01Not available in this setting$606.43RVU16B
2016-01-01Not available in this setting$606.43RVU16A
2015-10-01Not available in this setting$609.74RVU15D
2015-07-01Not available in this setting$609.74RVU15C
2015-04-01Not available in this setting$606.71RVU15B
2015-01-01Not available in this setting$606.71RVU15A
2014-10-01Not available in this setting$605.00RVU14D
2014-07-01Not available in this setting$605.00RVU14C
2014-04-01Not available in this setting$605.00RVU14B
2014-01-01Not available in this setting$605.00RVU14A
2013-10-01Not available in this setting$604.84RVU13D
2013-07-01Not available in this setting$604.84RVU13C
2013-04-01Not available in this setting$604.84RVU13B
2013-01-01Not available in this setting$604.84RVU13AR

Price 62292 for an earlier date of service

Where the Montana rate applies

Montana is a Medicare payment area, not a city. Our Census mapping connects it to 497 cities and communities in Montana. Some span more than one payment area; confirm with the service ZIP.

  • Absarokee
  • Acton
  • Alberton
  • Alder
  • Alzada
  • Amsterdam
  • Anaconda-Deer Lodge County
  • Antelope

Browse all communities in Montana

62292 billing questions

When should I report this instead of 62290?

Report 62292 for lumbar chemonucleolysis, including discography performed as part of that treatment. Code 62290 describes diagnostic lumbar discography without chemonucleolysis.

Can I separately report 62290 for discography during this procedure?

Discography associated with the chemonucleolysis is included in 62292. Do not separately report 62290 for that same discography.

How does 62292 differ from 62287?

62292 is for enzymatic treatment of lumbar disc material. Code 62287 describes percutaneous decompression of lumbar nucleus pulposus by a different method.

Does modifier 50 apply when treating a lumbar disc?

No. CMS identifies bilateral adjustment as inapplicable because the service and anatomy do not support modifier 50.

What postoperative care is included?

The 90-day global period includes the day-before preoperative visit and 90 days of related postoperative care.

Can an assistant or co-surgeon be reported?

Assistant-at-surgery payment is allowed only with documentation of medical necessity. Co-surgeons and team surgery are not permitted.

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 62292PPRRVU2026_Oct_nonQPP.csv, line 6,958 (RVU26D)
Geographic factors for MontanaGPCI2026.csv, line 71 (RVU26D)

Open CMS sourceHow we calculate rates

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