CPT code 62304: Myelography injection, lumbar region2026 Medicare rate & RVUs in Arkansas

Reports lumbar intrathecal contrast injection for myelographic imaging or CT when the examination requires evaluation of the lumbar spinal canal.

CMS RVU26DEffective Oct 1, 2026One payment locality6K Medicare services in 2024

In Arkansas, Medicare pays $216.09 for 62304 in the office and $94.43 when it’s performed in a hospital or facility.

$216.09Office (non-facility)
$94.43Hospital or facility
−10.9%vs the national office rate ($242.49)

Check a contract rate as a % of Medicare · 62304 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 62304 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Arkansas
  2. What 62304 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 62304 covers

A clinician places a needle into the lumbar subarachnoid space and injects contrast for myelographic imaging or CT of the spinal canal. Radiologists commonly perform the procedure in a hospital or outpatient imaging department when evaluation of lumbar narrowing, nerve-root compression, or postoperative anatomy calls for myelography. The code is specific to injection at the lumbar region; the extent of the imaging examination does not change the injection site selection.

Report 62304 when the documented procedure injects contrast at the lumbar level for myelography or CT, rather than a diagnostic spinal puncture without myelographic contrast. Documentation should identify the lumbar puncture, contrast injection, and imaging purpose. It has a 0-day global period, so same-day preoperative and postoperative care is included. When multiple procedures are performed in the same session, the highest-valued procedure is paid in full and others are subject to the standard 50% reduction. Modifier 50 is inappropriate; assistant-at-surgery payment is statutorily restricted, and 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 Arkansas compares for 62304

Across 109 of 109 payment localities, the office rate for 62304 runs from $216.09 in Arkansas to $318.73 in San Benito County, CA. Arkansas pays $216.09. The RVUs are the same everywhere; the geographic indexes change the dollars.

62304 in Arkansas vs other payment areas
  1. Arkansas · this page$216.09
  2. Los Angeles, CA · California$272.67+$56.58
  3. Washington, DC area · District of Columbia$276.11+$60.02
  4. Miami, FL · Florida$260.37+$44.28
  5. Chicago, IL · Illinois$253.33+$37.24
  6. Manhattan, NY · New York$277.72+$61.63
  7. Alaska · Alaska$286.29+$70.20

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

Every other payment area

62304 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$219.05$95.13
ArizonaArizona$236.41$99.18
Bakersfield, CACalifornia$256.56$101.34
Chico, CACalifornia$255.88$100.66
El Centro, CACalifornia$255.91$100.70
Fresno, CACalifornia$255.88$100.66
Hanford, CACalifornia$255.88$100.66
Madera, CACalifornia$255.88$100.66

62304 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.

$216.09

$287.31

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

View every state and territory as a table
62304 office rate range by state
State / territoryOffice rate rangeLocalities
AK$286.291
AL$219.051
AR$216.091
AZ$236.411
CA$255.88–$318.7329
CO$252.131
CT$257.971
DC$276.111
DE$240.171
FL$239.06–$260.373
GA$226.41–$246.782
GU$261.591
HI$261.591
IA$224.291
ID$225.661
IL$232.53–$253.334
IN$226.891
KS$223.291
KY$223.881
LA$223.55–$233.932
MA$250.75–$276.112
MD$244.56–$276.113
ME$226.75–$238.322
MI$229.34–$241.862
MN$242.021
MO$219.94–$234.733
MS$218.061
MT$242.481
NC$228.981
ND$238.131
NE$225.451
NH$248.211
NJ$261.03–$273.522
NM$230.521
NV$241.431
NY$232.21–$284.095
OH$228.461
OK$223.521
OR$239.66–$259.762
PA$228.80–$251.872
PR$244.161
RI$248.431
SC$229.081
SD$237.611
TN$224.351
TX$227.39–$251.198
UT$232.021
VA$237.58–$276.112
VI$244.161
VT$237.241
WA$250.27–$281.582
WI$230.601
WV$224.441
WY$240.581

See 62304 in every payment locality

How the 62304 rate is calculated

Each of 62304’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 · 62304

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.19

2.19 RVUs× 1.000 GPCI

Practice expense4.85

4.85 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

7.2600

Conversion factor

$33.4009

Medicare rate

$242.49

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

The exact Arkansas inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,962

Code
62304
Physician work
2.19
Practice expense
4.85
Malpractice
0.22

GPCI2026.csv

7

Locality
Arkansas
Physician work
1.000
Practice expense
0.859
Malpractice
0.515
Office calculation for 62304 in Arkansas
ComponentRVULocality factorAdjusted
Physician work2.19× 1.0002.1900
Practice expense4.85× 0.8594.1662
Malpractice0.22× 0.5150.1133
Total RVUs6.4694
Conversion factor× 33.4009

Office rate, Arkansas$216.09

Office: (2.19 × 1 + 4.85 × 0.859 + 0.22 × 0.515) × $33.4009 = $216.09

Facility: (2.19 × 1 + 0.61 × 0.859 + 0.22 × 0.515) × $33.4009 = $94.43

Open 62304 in the RVU calculator

Payment rules and modifiers for 62304

The CMS indicators that decide how 62304 is paid alongside other services.

CMS payment indicators · 62304

Myelography injection, lumbar region

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

62304 without 51 · national office

$242.49

Myelography injection, lumbar region

62304-51 · Second procedure: 50%

$121.25

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 62304 has changed in Arkansas

62304 · Office / nonfacility

$216.09

Effective 2026-10-01

The base rate is $1.81 higher than on 2025-10-01, moving from $214.28 to $216.09 (0.8%).

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

    $214.28changed to$216.09

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.25 changed to 2.19
    • Practice expense RVU 4.96 changed to 4.85
    • Malpractice RVU 0.21 changed to 0.22
    • Practice expense GPCI 0.860 changed to 0.859
    • Malpractice GPCI 0.518 changed to 0.515

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $224.12changed to$214.28

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.08 changed to 4.96
    • Malpractice RVU 0.22 changed to 0.21

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $220.46changed to$224.12

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $230.80changed to$220.46

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.22 changed to 5.08
    • Practice expense GPCI 0.853 changed to 0.860
    • Malpractice GPCI 0.492 changed to 0.518
  5. January 1, 2023

    RVU23A

    $236.43changed to$230.80

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.30 changed to 5.22
    • Malpractice RVU 0.20 changed to 0.22
    • Practice expense GPCI 0.847 changed to 0.853
    • Malpractice GPCI 0.465 changed to 0.492

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $236.92changed to$236.43

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.25 changed to 5.30

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $234.51changed to$236.92

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 4.83 changed to 5.25
    • Malpractice RVU 0.19 changed to 0.20
    • Practice expense GPCI 0.859 changed to 0.847
    • Malpractice GPCI 0.521 changed to 0.465

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $229.49changed to$234.51

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 4.59 changed to 4.83
    • Malpractice RVU 0.20 changed to 0.19
    • Practice expense GPCI 0.872 changed to 0.859
    • Malpractice GPCI 0.576 changed to 0.521

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $222.33changed to$229.49

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.37 changed to 4.59

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $220.87changed to$222.33

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.36 changed to 4.37
    • Practice expense GPCI 0.870 changed to 0.872
    • Malpractice GPCI 0.555 changed to 0.576

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $219.61changed to$220.87

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.35 changed to 4.36
    • Malpractice RVU 0.21 changed to 0.20
    • Practice expense GPCI 0.867 changed to 0.870
    • Malpractice GPCI 0.534 changed to 0.555

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $221.24changed to$219.61

    • Conversion factor 35.9335 changed to 35.8043
    • Practice expense RVU 4.34 changed to 4.35
    • Malpractice RVU 0.27 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $220.14changed to$221.24

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$220.14

    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$216.09$94.43RVU26D
2026-07-01$216.09$94.43RVU26C
2026-04-01$216.09$94.43RVU26B
2026-01-01$216.09$94.43RVU26A
2025-10-01$214.28$104.67RVU25D
2025-07-01$214.28$104.67RVU25C
2025-04-01$214.28$104.67RVU25B
2025-01-01$214.28$104.67RVU25A
2024-10-01$224.12$107.32RVU24D
2024-07-01$224.12$107.32RVU24C
2024-04-01$224.12$107.32RVU24B
2024-03-09$224.12$107.32RVU24AR
2024-01-01$220.46$105.57RVU24A
2023-10-01$230.80$108.82RVU23D
2023-07-01$230.80$108.82RVU23C
2023-04-01$230.80$108.82RVU23B
2023-01-01$230.80$108.82RVU23A
2022-10-01$236.43$110.10RVU22D
2022-07-01$236.43$110.10RVU22C
2022-04-01$236.43$110.10RVU22B
2022-01-01$236.43$110.10RVU22A
2021-10-01$236.92$111.01RVU21D
2021-07-01$236.92$111.01RVU21C
2021-04-01$236.92$111.01RVU21B
2021-01-01$236.92$111.01RVU21A
2020-10-01$234.51$116.09RVU20D
2020-07-01$234.51$116.09RVU20C
2020-04-01$234.51$116.09RVU20B
2020-01-01$234.51$116.09RVU20A
2019-10-01$229.49$116.67RVU19D
2019-07-01$229.49$116.67RVU19C
2019-04-01$229.49$116.67RVU19B
2019-01-01$229.49$116.67RVU19A
2018-10-01$222.33$116.85RVU18D
2018-07-01$222.33$116.85RVU18C
2018-04-01$222.33$116.85RVU18B
2018-01-01$222.33$116.85RVU18AR1
2017-10-01$220.87$116.89RVU17D
2017-07-01$220.87$116.89RVU17C
2017-04-01$220.87$116.89RVU17B
2017-01-01$220.87$116.89RVU17A
2016-10-01$219.61$116.55RVU16D
2016-07-01$219.61$116.55RVU16C
2016-04-01$219.61$116.55RVU16B
2016-01-01$219.61$116.55RVU16A
2015-10-01$221.24$118.12RVU15D
2015-07-01$221.24$118.12RVU15C
2015-04-01$220.14$117.53RVU15B
2015-01-01$220.14$117.53RVU15A
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 62304 for an earlier date of service

Where the Arkansas rate applies

Arkansas is a Medicare payment area, not a city. Our Census mapping connects it to 626 cities and communities in Arkansas. Some span more than one payment area; confirm with the service ZIP.

  • Acorn
  • Adona
  • Alexander
  • Alicia
  • Alix
  • Alleene
  • Allport
  • Alma

Browse all communities in Arkansas

62304 billing questions

How is 62304 distinguished from the other myelography injection codes?

Select 62304 for injection at the lumbar region. The cervical, thoracic, and combined-region codes reflect different injection sites or extent.

Is 62304 the same as a diagnostic lumbar puncture?

No. 62304 is for lumbar contrast injection for myelography or CT; 62328 describes a diagnostic lumbar spinal puncture with imaging guidance.

What documentation supports 62304?

Document the lumbar puncture site, intrathecal contrast administration, and the myelographic or CT examination being performed.

Should modifier 50 be appended for bilateral lumbar findings?

No. The CMS bilateral adjustment does not apply to 62304, and modifier 50 is inappropriate for this descriptor.

How does the multiple-procedure reduction affect 62304?

For procedures performed in the same session, CMS pays the highest-valued procedure in full and reduces the others to 50%.

Can an assistant or co-surgeon be reported for this procedure?

Assistant-at-surgery payment is statutorily restricted. 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 62304PPRRVU2026_Oct_nonQPP.csv, line 6,962 (RVU26D)
Geographic factors for ArkansasGPCI2026.csv, line 7 (RVU26D)

Open CMS sourceHow we calculate rates

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