CPT code 62303: Myelography, thoracic spine2026 Medicare rate & RVUs in Washington, DC area

Thoracic myelography is reported when intrathecal contrast is introduced through a lumbar puncture and radiographic evaluation assesses the thoracic spinal canal.

CMS RVU26DEffective Oct 1, 2026One payment locality227 Medicare services in 2024

In Washington, DC area, Medicare pays $283.44 for 62303 in the office and $110.31 when it’s performed in a hospital or facility.

$283.44Office (non-facility)
$110.31Hospital or facility
+13.9%vs the national office rate ($248.84)

Check a contract rate as a % of Medicare · 62303 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 62303 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Washington, DC area
  2. What 62303 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 62303 covers

This service covers a myelographic study of the thoracic spine after contrast is placed into the cerebrospinal-fluid space through a lumbar puncture. A radiologist or other qualified physician commonly performs it in a hospital or imaging department when the spinal canal, thecal sac, or nerve-root contours need evaluation, such as when assessing suspected thoracic stenosis or a structural lesion. The examination targets the thoracic region even though access is lumbar.

Report 62303 when the documented target of the myelographic examination is thoracic; select among myelography family codes by the imaged spinal region, not the puncture level. The service includes contrast injection and radiological supervision and interpretation, so those elements are not separately reported as stand-alone parts of this code. Document the indication, contrast administration, thoracic images, and interpretation. CMS assigns a 0-day global period, including same-day preoperative and postoperative care. When other procedures are performed in the same session, the highest-valued procedure is paid in full and the others at 50%. Modifier 50 is inappropriate. CMS does not pay an assistant at surgery; 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 Washington, DC area compares for 62303

Across 109 of 109 payment localities, the office rate for 62303 runs from $221.84 in Arkansas to $327.74 in San Benito County, CA. Washington, DC area pays $283.44. The RVUs are the same everywhere; the geographic indexes change the dollars.

62303 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$283.44
  2. Los Angeles, CA · California$280.16−$3.28
  3. Miami, FL · Florida$266.42−$17.02
  4. Chicago, IL · Illinois$259.28−$24.16
  5. Manhattan, NY · New York$284.82+$1.38
  6. Alaska · Alaska$293.81+$10.37
  7. Alabama · Alabama$224.88−$58.56

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

Every other payment area

62303 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$221.84$95.60
ArizonaArizona$242.64$100.23
Bakersfield, CACalifornia$263.57$102.50
Chico, CACalifornia$262.91$101.84
El Centro, CACalifornia$262.95$101.88
Fresno, CACalifornia$262.91$101.84
Hanford, CACalifornia$262.91$101.84
Madera, CACalifornia$262.91$101.84

62303 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.

$221.84

$295.33

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

View every state and territory as a table
62303 office rate range by state
State / territoryOffice rate rangeLocalities
AK$293.811
AL$224.881
AR$221.841
AZ$242.641
CA$262.91–$327.7429
CO$258.901
CT$264.681
DC$283.441
DE$246.491
FL$245.00–$266.423
GA$232.11–$253.152
GU$268.811
HI$268.811
IA$230.381
ID$231.751
IL$238.23–$259.294
IN$233.021
KS$229.291
KY$229.671
LA$229.30–$239.922
MA$257.47–$283.582
MD$251.01–$283.443
ME$232.80–$244.742
MI$235.18–$247.792
MN$248.751
MO$225.56–$240.823
MS$223.751
MT$248.821
NC$235.091
ND$244.671
NE$231.591
NH$254.821
NJ$267.89–$280.782
NM$236.361
NV$247.831
NY$238.39–$291.245
OH$234.331
OK$229.371
OR$246.08–$266.812
PA$234.73–$258.392
PR$250.571
RI$255.021
SC$235.071
SD$244.181
TN$230.361
TX$233.28–$257.898
UT$238.081
VA$243.93–$283.442
VI$250.571
VT$243.701
WA$257.00–$289.262
WI$236.951
WV$229.941
WY$247.011

See 62303 in every payment locality

How the 62303 rate is calculated

Each of 62303’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 · 62303

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.23

2.23 RVUs× 1.000 GPCI

Practice expense5.01

5.01 RVUs× 1.000 GPCI

Malpractice0.21

0.21 RVUs× 1.000 GPCI

Adjusted RVUs

7.4500

Conversion factor

$33.4009

Medicare rate

$248.84

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

6,961

Code
62303
Physician work
2.23
Practice expense
5.01
Malpractice
0.21

GPCI2026.csv

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 62303 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.23× 1.0542.3504
Practice expense5.01× 1.1785.9018
Malpractice0.21× 1.1130.2337
Total RVUs8.4859
Conversion factor× 33.4009

Office rate, Washington, DC area$283.44

Office: (2.23 × 1.054 + 5.01 × 1.178 + 0.21 × 1.113) × $33.4009 = $283.44

Facility: (2.23 × 1.054 + 0.61 × 1.178 + 0.21 × 1.113) × $33.4009 = $110.31

Open 62303 in the RVU calculator

Payment rules and modifiers for 62303

The CMS indicators that decide how 62303 is paid alongside other services.

CMS payment indicators · 62303

Myelography, thoracic spine

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

62303 without 51 · national office

$248.84

Myelography, thoracic spine

62303-51 · Second procedure: 50%

$124.42

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%).

When to use modifier 51

How 62303 has changed in Washington, DC area

62303 · Office / nonfacility

$283.44

Effective 2026-10-01

The base rate is $0.57 higher than on 2025-10-01, moving from $282.87 to $283.44 (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

    $282.87changed to$283.44

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.29 changed to 2.23
    • Practice expense RVU 5.10 changed to 5.01
    • 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

    $295.86changed to$282.87

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.22 changed to 5.10

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $291.03changed to$295.86

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $312.04changed to$291.03

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.37 changed to 5.22
    • Malpractice RVU 0.22 changed to 0.21
    • 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

    $327.31changed to$312.04

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.49 changed to 5.37
    • Malpractice RVU 0.20 changed to 0.22
    • 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

    $327.43changed to$327.31

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.43 changed to 5.49

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $317.10changed to$327.43

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.03 changed to 5.43
    • Malpractice RVU 0.19 changed to 0.20
    • 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

    $303.78changed to$317.10

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.80 changed to 5.03
    • Malpractice RVU 0.20 changed to 0.19
    • 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

    $293.91changed to$303.78

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.58 changed to 4.80

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $295.07changed to$293.91

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.61 changed to 4.58
    • Malpractice RVU 0.21 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

    $296.42changed to$295.07

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.65 changed to 4.61
    • 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

    $300.68changed to$296.42

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.66 changed to 4.65
    • Malpractice RVU 0.27 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $299.18changed to$300.68

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$299.18

    Held through RVU15B.

  15. January 1, 2013

    RVU13AR

    Earliest loaded release: No rate

    Held through RVU13B, RVU13C, RVU13D, RVU14A, RVU14B, RVU14C, RVU14D.

Rates in every CMS release
Effective fromOfficeFacilityCMS release
2026-10-01$283.44$110.31RVU26D
2026-07-01$283.44$110.31RVU26C
2026-04-01$283.44$110.31RVU26B
2026-01-01$283.44$110.31RVU26A
2025-10-01$282.87$125.94RVU25D
2025-07-01$282.87$125.94RVU25C
2025-04-01$282.87$125.94RVU25B
2025-01-01$282.87$125.94RVU25A
2024-10-01$295.86$128.81RVU24D
2024-07-01$295.86$128.81RVU24C
2024-04-01$295.86$128.81RVU24B
2024-03-09$295.86$128.81RVU24AR
2024-01-01$291.03$126.71RVU24A
2023-10-01$312.04$132.68RVU23D
2023-07-01$312.04$132.68RVU23C
2023-04-01$312.04$132.68RVU23B
2023-01-01$312.04$132.68RVU23A
2022-10-01$327.31$135.68RVU22D
2022-07-01$327.31$135.68RVU22C
2022-04-01$327.31$135.68RVU22B
2022-01-01$327.31$135.68RVU22A
2021-10-01$327.43$136.38RVU21D
2021-07-01$327.43$136.38RVU21C
2021-04-01$327.43$136.38RVU21B
2021-01-01$327.43$136.38RVU21A
2020-10-01$317.10$140.40RVU20D
2020-07-01$317.10$140.40RVU20C
2020-04-01$317.10$140.40RVU20B
2020-01-01$317.10$140.40RVU20A
2019-10-01$303.78$139.63RVU19D
2019-07-01$303.78$139.63RVU19C
2019-04-01$303.78$139.63RVU19B
2019-01-01$303.78$139.63RVU19A
2018-10-01$293.91$140.34RVU18D
2018-07-01$293.91$140.34RVU18C
2018-04-01$293.91$140.34RVU18B
2018-01-01$293.91$140.34RVU18AR1
2017-10-01$295.07$142.41RVU17D
2017-07-01$295.07$142.41RVU17C
2017-04-01$295.07$142.41RVU17B
2017-01-01$295.07$142.41RVU17A
2016-10-01$296.42$143.26RVU16D
2016-07-01$296.42$143.26RVU16C
2016-04-01$296.42$143.26RVU16B
2016-01-01$296.42$143.26RVU16A
2015-10-01$300.68$146.53RVU15D
2015-07-01$300.68$146.53RVU15C
2015-04-01$299.18$145.80RVU15B
2015-01-01$299.18$145.80RVU15A
2014-10-01Not in this releaseNot in this releaseRVU14D
2014-07-01Not in this releaseNot in this releaseRVU14C
2014-04-01Not in this releaseNot in this releaseRVU14B
2014-01-01Not in this releaseNot in this releaseRVU14A
2013-10-01Not in this releaseNot in this releaseRVU13D
2013-07-01Not in this releaseNot in this releaseRVU13C
2013-04-01Not in this releaseNot in this releaseRVU13B
2013-01-01Not in this releaseNot in this releaseRVU13AR

Price 62303 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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62303 billing questions

How do I distinguish 62303 from the other myelography codes?

Choose 62303 for a thoracic myelographic examination. The neighboring codes identify cervical, lumbar, or lumbosacral imaging regions.

Is the contrast injection included?

Yes. The code includes the injection used to introduce contrast for the myelographic examination; do not report that access solely for contrast administration as a separate service.

Is radiological supervision and interpretation included?

Yes. The code includes radiological supervision and interpretation of the myelographic study.

What documentation supports reporting 62303?

Document the clinical indication, intrathecal contrast administration, thoracic region examined, images obtained, and the physician’s interpretation.

Can modifier 50 be used?

No. The bilateral adjustment is inappropriate for this descriptor and anatomy.

How does payment change when another procedure is performed in the same session?

The highest-valued procedure is paid in full, and the other procedures are paid at 50%. The 0-day global period includes same-day preoperative and postoperative care.

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 62303PPRRVU2026_Oct_nonQPP.csv, line 6,961 (RVU26D)
Geographic factors for Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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