CPT code 62303: Myelography, thoracic spine2026 Medicare rate & RVUs in New Hampshire

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 New Hampshire, Medicare pays $254.82 for 62303 in the office and $101.83 when it’s performed in a hospital or facility.

$254.82Office (non-facility)
$101.83Hospital or facility
+2.4%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 New Hampshire
  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 New Hampshire 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. New Hampshire pays $254.82. The RVUs are the same everywhere; the geographic indexes change the dollars.

62303 in New Hampshire vs other payment areas
  1. New Hampshire · this page$254.82
  2. Los Angeles, CA · California$280.16+$25.34
  3. Washington, DC area · District of Columbia$283.44+$28.62
  4. Miami, FL · Florida$266.42+$11.60
  5. Chicago, IL · Illinois$259.28+$4.46
  6. Manhattan, NY · New York$284.82+$30.00
  7. Alaska · Alaska$293.81+$38.99

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

Every other payment area

62303 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$224.88$96.28
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

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 New Hampshire 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

74

Locality
New Hampshire
Physician work
1.000
Practice expense
1.041
Malpractice
0.875
Office calculation for 62303 in New Hampshire
ComponentRVULocality factorAdjusted
Physician work2.23× 1.0002.2300
Practice expense5.01× 1.0415.2154
Malpractice0.21× 0.8750.1837
Total RVUs7.6292
Conversion factor× 33.4009

Office rate, New Hampshire$254.82

Office: (2.23 × 1 + 5.01 × 1.041 + 0.21 × 0.875) × $33.4009 = $254.82

Facility: (2.23 × 1 + 0.61 × 1.041 + 0.21 × 0.875) × $33.4009 = $101.83

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 New Hampshire

62303 · Office / nonfacility

$254.82

Effective 2026-10-01

The base rate is $4.07 higher than on 2025-10-01, moving from $250.75 to $254.82 (1.6%).

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

    $250.75changed to$254.82

    • 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
    • Practice expense GPCI 1.034 changed to 1.041
    • Malpractice GPCI 0.898 changed to 0.875

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $262.17changed to$250.75

    • 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

    $257.90changed to$262.17

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $272.89changed to$257.90

    • 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
    • Practice expense GPCI 1.036 changed to 1.034
    • Malpractice GPCI 0.907 changed to 0.898
  5. January 1, 2023

    RVU23A

    $282.80changed to$272.89

    • 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
    • Practice expense GPCI 1.038 changed to 1.036
    • Malpractice GPCI 0.917 changed to 0.907

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $282.97changed to$282.80

    • 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

    $278.55changed to$282.97

    • 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
    • Practice expense GPCI 1.042 changed to 1.038
    • Malpractice GPCI 0.984 changed to 0.917

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $270.87changed to$278.55

    • 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
    • Practice expense GPCI 1.045 changed to 1.042
    • Malpractice GPCI 1.050 changed to 0.984

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $262.30changed to$270.87

    • 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

    $263.49changed to$262.30

    • 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
    • Practice expense GPCI 1.052 changed to 1.045
    • Malpractice GPCI 0.962 changed to 1.050

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $264.70changed to$263.49

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.65 changed to 4.61
    • Practice expense GPCI 1.058 changed to 1.052
    • Malpractice GPCI 0.873 changed to 0.962

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $267.92changed to$264.70

    • 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

    $266.59changed to$267.92

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$266.59

    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$254.82$101.83RVU26D
2026-07-01$254.82$101.83RVU26C
2026-04-01$254.82$101.83RVU26B
2026-01-01$254.82$101.83RVU26A
2025-10-01$250.75$114.62RVU25D
2025-07-01$250.75$114.62RVU25C
2025-04-01$250.75$114.62RVU25B
2025-01-01$250.75$114.62RVU25A
2024-10-01$262.17$117.27RVU24D
2024-07-01$262.17$117.27RVU24C
2024-04-01$262.17$117.27RVU24B
2024-03-09$262.17$117.27RVU24AR
2024-01-01$257.90$115.36RVU24A
2023-10-01$272.89$119.82RVU23D
2023-07-01$272.89$119.82RVU23C
2023-04-01$272.89$119.82RVU23B
2023-01-01$272.89$119.82RVU23A
2022-10-01$282.80$121.88RVU22D
2022-07-01$282.80$121.88RVU22C
2022-04-01$282.80$121.88RVU22B
2022-01-01$282.80$121.88RVU22A
2021-10-01$282.97$122.52RVU21D
2021-07-01$282.97$122.52RVU21C
2021-04-01$282.97$122.52RVU21B
2021-01-01$282.97$122.52RVU21A
2020-10-01$278.55$127.75RVU20D
2020-07-01$278.55$127.75RVU20C
2020-04-01$278.55$127.75RVU20B
2020-01-01$278.55$127.75RVU20A
2019-10-01$270.87$128.51RVU19D
2019-07-01$270.87$128.51RVU19C
2019-04-01$270.87$128.51RVU19B
2019-01-01$270.87$128.51RVU19A
2018-10-01$262.30$129.12RVU18D
2018-07-01$262.30$129.12RVU18C
2018-04-01$262.30$129.12RVU18B
2018-01-01$262.30$129.12RVU18AR1
2017-10-01$263.49$130.21RVU17D
2017-07-01$263.49$130.21RVU17C
2017-04-01$263.49$130.21RVU17B
2017-01-01$263.49$130.21RVU17A
2016-10-01$264.70$130.22RVU16D
2016-07-01$264.70$130.22RVU16C
2016-04-01$264.70$130.22RVU16B
2016-01-01$264.70$130.22RVU16A
2015-10-01$267.92$132.58RVU15D
2015-07-01$267.92$132.58RVU15C
2015-04-01$266.59$131.92RVU15B
2015-01-01$266.59$131.92RVU15A
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 New Hampshire rate applies

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

  • Alton
  • Amherst
  • Antrim
  • Ashland
  • Bartlett
  • Belmont
  • Bennington
  • Berlin

Browse all communities in New Hampshire

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 New HampshireGPCI2026.csv, line 74 (RVU26D)

Open CMS sourceHow we calculate rates

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