CPT code 62304: Myelography injection, lumbar region2026 Medicare rate & RVUs in Washington, DC area

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 Washington, DC area, Medicare pays $276.11 for 62304 in the office and $109.28 when it’s performed in a hospital or facility.

$276.11Office (non-facility)
$109.28Hospital or facility
+13.9%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 Washington, DC area
  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 Washington, DC area 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. Washington, DC area pays $276.11. The RVUs are the same everywhere; the geographic indexes change the dollars.

62304 in Washington, DC area vs other payment areas
  1. Washington, DC area · this page$276.11
  2. Los Angeles, CA · California$272.67−$3.44
  3. Miami, FL · Florida$260.37−$15.74
  4. Chicago, IL · Illinois$253.33−$22.78
  5. Manhattan, NY · New York$277.72+$1.61
  6. Alaska · Alaska$286.29+$10.18
  7. Alabama · Alabama$219.05−$57.06

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

Every other payment area

62304 in every other Medicare payment locality
Payment localityOfficeFacility
ArkansasArkansas$216.09$94.43
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 Washington, DC area 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

39

Locality
Washington, DC area
Physician work
1.054
Practice expense
1.178
Malpractice
1.113
Office calculation for 62304 in Washington, DC area
ComponentRVULocality factorAdjusted
Physician work2.19× 1.0542.3083
Practice expense4.85× 1.1785.7133
Malpractice0.22× 1.1130.2449
Total RVUs8.2664
Conversion factor× 33.4009

Office rate, Washington, DC area$276.11

Office: (2.19 × 1.054 + 4.85 × 1.178 + 0.22 × 1.113) × $33.4009 = $276.11

Facility: (2.19 × 1.054 + 0.61 × 1.178 + 0.22 × 1.113) × $33.4009 = $109.28

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 Washington, DC area

62304 · Office / nonfacility

$276.11

Effective 2026-10-01

The base rate is $0.01 higher than on 2025-10-01, moving from $276.10 to $276.11 (0.0%).

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

    $276.10changed to$276.11

    • 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
    • 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

    $289.29changed to$276.10

    • 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

    $284.57changed to$289.29

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $304.44changed to$284.57

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.22 changed to 5.08
    • 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

    $317.72changed to$304.44

    • 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
    • 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

    $318.20changed to$317.72

    • 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

    $306.77changed to$318.20

    • 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
    • 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

    $293.16changed to$306.77

    • 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
    • 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

    $283.29changed to$293.16

    • 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

    $282.30changed to$283.29

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.36 changed to 4.37
    • 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

    $281.97changed to$282.30

    • 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
    • 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

    $285.31changed to$281.97

    • 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

    $283.89changed to$285.31

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$283.89

    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$276.11$109.28RVU26D
2026-07-01$276.11$109.28RVU26C
2026-04-01$276.11$109.28RVU26B
2026-01-01$276.11$109.28RVU26A
2025-10-01$276.10$124.19RVU25D
2025-07-01$276.10$124.19RVU25C
2025-04-01$276.10$124.19RVU25B
2025-01-01$276.10$124.19RVU25A
2024-10-01$289.29$127.40RVU24D
2024-07-01$289.29$127.40RVU24C
2024-04-01$289.29$127.40RVU24B
2024-03-09$289.29$127.40RVU24AR
2024-01-01$284.57$125.32RVU24A
2023-10-01$304.44$130.83RVU23D
2023-07-01$304.44$130.83RVU23C
2023-04-01$304.44$130.83RVU23B
2023-01-01$304.44$130.83RVU23A
2022-10-01$317.72$133.37RVU22D
2022-07-01$317.72$133.37RVU22C
2022-04-01$317.72$133.37RVU22B
2022-01-01$317.72$133.37RVU22A
2021-10-01$318.20$134.48RVU21D
2021-07-01$318.20$134.48RVU21C
2021-04-01$318.20$134.48RVU21B
2021-01-01$318.20$134.48RVU21A
2020-10-01$306.77$138.44RVU20D
2020-07-01$306.77$138.44RVU20C
2020-04-01$306.77$138.44RVU20B
2020-01-01$306.77$138.44RVU20A
2019-10-01$293.16$137.25RVU19D
2019-07-01$293.16$137.25RVU19C
2019-04-01$293.16$137.25RVU19B
2019-01-01$293.16$137.25RVU19A
2018-10-01$283.29$137.54RVU18D
2018-07-01$283.29$137.54RVU18C
2018-04-01$283.29$137.54RVU18B
2018-01-01$283.29$137.54RVU18AR1
2017-10-01$282.30$138.29RVU17D
2017-07-01$282.30$138.29RVU17C
2017-04-01$282.30$138.29RVU17B
2017-01-01$282.30$138.29RVU17A
2016-10-01$281.97$138.73RVU16D
2016-07-01$281.97$138.73RVU16C
2016-04-01$281.97$138.73RVU16B
2016-01-01$281.97$138.73RVU16A
2015-10-01$285.31$141.99RVU15D
2015-07-01$285.31$141.99RVU15C
2015-04-01$283.89$141.28RVU15B
2015-01-01$283.89$141.28RVU15A
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 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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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 Washington, DC areaGPCI2026.csv, line 39 (RVU26D)

Open CMS sourceHow we calculate rates

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