CPT code 62302: Myelography, cervical region2026 Medicare rate & RVUs in Missouri
Reports cervical myelography performed by injecting contrast through a lumbar puncture, with radiological supervision and interpretation included.
Medicare pays $222.14–$237.02 for 62302 in the office in Missouri, from Rest of Missouri to Metropolitan St. Louis, MO. 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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What 62302 covers
A physician or other qualified practitioner accesses the thecal sac through a lumbar puncture and injects contrast for imaging of the cervical spinal canal. The contrast is followed as it moves toward the neck, where imaging can help evaluate conditions such as cervical stenosis, nerve-root compression, or anatomy obscured by prior spinal hardware. The code covers the myelographic procedure and its radiological supervision and interpretation; it is not a therapeutic cervical epidural injection.
Select this code when the myelogram evaluates the cervical region, even though the needle entry is lumbar. The report should identify the lumbar access and contrast injection, the cervical region examined, and the imaging and interpretation performed. This code has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in one session, the highest-valued procedure is paid in full and other procedures are subject to the standard multiple procedure reduction. Modifier 50 is inappropriate for this regional service. Medicare does not pay an assistant at surgery for it, and co-surgeon and team-surgery billing 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.
Where 62302 pays more and less in Missouri
The same RVUs, adjusted for each area’s costs. Open a locality for its calculation, history and nearby areas.
3 payment localities
$222.14 to $237.02
| Payment locality | Office | Facility |
|---|---|---|
| Metropolitan Kansas City, MO | $234.72 | $100.79 |
| Metropolitan St. Louis, MO | $237.02 | $101.24 |
| Rest of Missouri | $222.14 | $99.20 |
How the 62302 rate is calculated
Each of 62302’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 · 62302
RVUs × geographic indexes × conversion factor
Work2.23
2.23 RVUs× 1.000 GPCI
Practice expense4.88
4.88 RVUs× 1.000 GPCI
Malpractice0.22
0.22 RVUs× 1.000 GPCI
Adjusted RVUs
7.3300
Conversion factor
$33.4009
Medicare rate
$244.83
Every GPCI starts at 1.000, the national rate. Enter a ZIP or drag a slider.
Payment rules and modifiers for 62302
The CMS indicators that decide how 62302 is paid alongside other services.
CMS payment indicators · 62302
Myelography, cervical region
| 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
62302 without 51 · national office
$244.83
Myelography, cervical region
62302-51 · Second procedure: 50%
$122.42
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%).
62302 compared with similar codes
Compare codes · National
5 codes, side by side
How to choose
- 62303MyelographyThoracic spine
- Use 62303 when the myelogram evaluates the thoracic region; 62302 is for cervical-region imaging.
- 62304Myelography injectionLumbar region
- Use 62304 for lumbosacral-region myelography. The lumbar access route alone does not make 62304 appropriate when the cervical region is examined.
- 62305MyelographyTwo or more spinal regions
- Use 62305 when the myelogram covers two or more spinal regions rather than only the cervical region.
- 62320Epidural injectionCervical or thoracic, no imaging
- Code 62320 describes an interlaminar cervical or thoracic injection service, not diagnostic contrast injection for cervical myelography.
62302 billing questions
Why is a lumbar puncture used for a cervical myelogram?
The lumbar puncture provides access to the spinal fluid for contrast injection. Code 62302 is selected because the cervical region is examined, not because the needle enters at the neck.
How do I distinguish 62302 from 62303 or 62304?
Choose by the region evaluated: 62302 is cervical, 62303 thoracic, and 62304 lumbosacral. Code 62305 is for examination of two or more regions.
Is the radiological interpretation included?
Yes. The code includes radiological supervision and interpretation for the myelographic examination.
Can modifier 50 be reported?
No. The service concerns a spinal region rather than a paired anatomic structure, so modifier 50 is inappropriate.
How does Medicare handle other procedures performed in the same session?
The highest-valued procedure is paid in full; other procedures in that session are subject to the standard multiple procedure reduction. Same-day preoperative and postoperative care is included in this code's 0-day global period.
Can an assistant, co-surgeon, or surgical team be billed?
Medicare does not pay an assistant at surgery for this service. Co-surgeon and team-surgery billing 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
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