CPT code 62305: Myelography, two or more spinal regions2026 Medicare rate & RVUs in Delaware

Reports lumbar intrathecal contrast administration with radiologic imaging of at least two spinal regions during a myelographic examination.

CMS RVU26DEffective Oct 1, 2026One payment locality3.4K Medicare services in 2024

In Delaware, Medicare pays $262.01 for 62305 in the office and $104.27 when it’s performed in a hospital or facility.

$262.01Office (non-facility)
$104.27Hospital or facility
−1.0%vs the national office rate ($264.54)

Check a contract rate as a % of Medicare · 62305 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 62305 for the payment locality that covers the ZIP.

On this page 11 sections
  1. Rate in Delaware
  2. What 62305 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 62305 covers

This service covers introducing contrast into the spinal fluid through a lumbar puncture and imaging two or more spinal regions to assess the spinal canal and nerve-root sleeves. A radiologist or other qualified physician typically performs and interprets the study in a hospital or imaging center. The service includes radiological supervision and interpretation of the myelogram; it is not an epidural steroid injection or a CT scan alone.

Select this code when the myelographic examination covers at least two spinal regions; use the corresponding single-region code when only one region is examined. Document the lumbar route, regions imaged, and interpretation. The 0-day global period includes same-day preoperative and postoperative care. In a same-session multiple-procedure claim, the highest-valued procedure is paid in full and other procedures are subject to the standard reduction. Modifier 50 is inappropriate. Medicare does not pay an assistant at surgery, 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.

How Delaware compares for 62305

Across 109 of 109 payment localities, the office rate for 62305 runs from $235.49 in Arkansas to $349.41 in San Benito County, CA. Delaware pays $262.01. The RVUs are the same everywhere; the geographic indexes change the dollars.

62305 in Delaware vs other payment areas
  1. Delaware · this page$262.01
  2. Los Angeles, CA · California$298.27+$36.26
  3. Washington, DC area · District of Columbia$301.66+$39.65
  4. Miami, FL · Florida$283.18+$21.17
  5. Chicago, IL · Illinois$275.49+$13.48
  6. Manhattan, NY · New York$303.01+$41.00
  7. Alaska · Alaska$311.23+$49.22

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

Every other payment area

62305 in every other Medicare payment locality
Payment localityOfficeFacility
AlabamaAlabama$238.76$99.06
ArkansasArkansas$235.49$98.35
ArizonaArizona$257.88$103.17
Bakersfield, CACalifornia$280.46$105.48
Chico, CACalifornia$279.77$104.79
El Centro, CACalifornia$279.81$104.83
Fresno, CACalifornia$279.77$104.79
Hanford, CACalifornia$279.77$104.79

62305 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.

$235.49

$314.59

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

View every state and territory as a table
62305 office rate range by state
State / territoryOffice rate rangeLocalities
AK$311.231
AL$238.761
AR$235.491
AZ$257.881
CA$279.77–$349.4129
CO$275.411
CT$281.521
DC$301.661
DE$262.011
FL$260.28–$283.183
GA$246.43–$269.132
GU$286.201
HI$286.201
IA$244.741
ID$246.211
IL$252.95–$275.624
IN$247.571
KS$243.541
KY$243.851
LA$243.45–$254.872
MA$273.84–$301.922
MD$266.87–$301.663
ME$247.30–$260.202
MI$249.76–$263.252
MN$264.601
MO$239.41–$255.883
MS$237.501
MT$264.521
NC$249.781
ND$260.171
NE$246.051
NH$271.031
NJ$284.93–$298.772
NM$251.011
NV$263.491
NY$253.32–$309.885
OH$248.871
OK$243.561
OR$261.63–$283.942
PA$249.31–$274.742
PR$266.411
RI$271.161
SC$249.701
SD$259.661
TN$244.691
TX$247.75–$274.338
UT$252.941
VA$259.30–$301.662
VI$266.411
VT$259.101
WA$273.35–$308.032
WI$251.861
WV$244.031
WY$262.621

See 62305 in every payment locality

How the 62305 rate is calculated

Each of 62305’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 · 62305

RVUs × geographic indexes × conversion factor

Office or facility?

Work2.29

2.29 RVUs× 1.000 GPCI

Practice expense5.41

5.41 RVUs× 1.000 GPCI

Malpractice0.22

0.22 RVUs× 1.000 GPCI

Adjusted RVUs

7.9200

Conversion factor

$33.4009

Medicare rate

$264.54

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

The exact Delaware inputs and CMS source lines

PPRRVU2026_Oct_nonQPP.csv

6,963

Code
62305
Physician work
2.29
Practice expense
5.41
Malpractice
0.22

GPCI2026.csv

40

Locality
Delaware
Physician work
1.005
Practice expense
0.988
Malpractice
0.899
Office calculation for 62305 in Delaware
ComponentRVULocality factorAdjusted
Physician work2.29× 1.0052.3014
Practice expense5.41× 0.9885.3451
Malpractice0.22× 0.8990.1978
Total RVUs7.8443
Conversion factor× 33.4009

Office rate, Delaware$262.01

Office: (2.29 × 1.005 + 5.41 × 0.988 + 0.22 × 0.899) × $33.4009 = $262.01

Facility: (2.29 × 1.005 + 0.63 × 0.988 + 0.22 × 0.899) × $33.4009 = $104.27

Open 62305 in the RVU calculator

Payment rules and modifiers for 62305

The CMS indicators that decide how 62305 is paid alongside other services.

CMS payment indicators · 62305

Myelography, two or more spinal regions

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

62305 without 51 · national office

$264.54

Myelography, two or more spinal regions

62305-51 · Second procedure: 50%

$132.27

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 62305 has changed in Delaware

62305 · Office / nonfacility

$262.01

Effective 2026-10-01

The base rate is $1.11 higher than on 2025-10-01, moving from $260.90 to $262.01 (0.4%).

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

    $260.90changed to$262.01

    • Conversion factor 32.3465 changed to 33.4009
    • Work RVU 2.35 changed to 2.29
    • Practice expense RVU 5.53 changed to 5.41
    • Work GPCI 1.009 changed to 1.005
    • Practice expense GPCI 0.992 changed to 0.988
    • Malpractice GPCI 0.949 changed to 0.899

    Held through RVU26B, RVU26C, RVU26D.

  2. January 1, 2025

    RVU25A

    $272.45changed to$260.90

    • Conversion factor 33.2875 changed to 32.3465
    • Practice expense RVU 5.65 changed to 5.53

    Held through RVU25B, RVU25C, RVU25D.

  3. March 9, 2024

    RVU24AR

    $268.00changed to$272.45

    • Conversion factor 32.7442 changed to 33.2875

    Held through RVU24B, RVU24C, RVU24D.

  4. January 1, 2024

    RVU24A

    $284.77changed to$268.00

    • Conversion factor 33.8872 changed to 32.7442
    • Practice expense RVU 5.79 changed to 5.65
    • Work GPCI 1.007 changed to 1.009
    • Practice expense GPCI 1.007 changed to 0.992
    • Malpractice GPCI 0.938 changed to 0.949
  5. January 1, 2023

    RVU23A

    $296.78changed to$284.77

    • Conversion factor 34.6062 changed to 33.8872
    • Practice expense RVU 5.89 changed to 5.79
    • Malpractice RVU 0.21 changed to 0.22
    • Work GPCI 1.005 changed to 1.007
    • Practice expense GPCI 1.022 changed to 1.007
    • Malpractice GPCI 0.927 changed to 0.938

    Held through RVU23B, RVU23C, RVU23D.

  6. January 1, 2022

    RVU22A

    $296.42changed to$296.78

    • Conversion factor 34.8931 changed to 34.6062
    • Practice expense RVU 5.82 changed to 5.89
    • Malpractice RVU 0.20 changed to 0.21

    Held through RVU22B, RVU22C, RVU22D.

  7. January 1, 2021

    RVU21A

    $290.21changed to$296.42

    • Conversion factor 36.0896 changed to 34.8931
    • Practice expense RVU 5.37 changed to 5.82
    • Malpractice RVU 0.19 changed to 0.20
    • Work GPCI 1.006 changed to 1.005
    • Practice expense GPCI 1.021 changed to 1.022
    • Malpractice GPCI 1.023 changed to 0.927

    Held through RVU21B, RVU21C, RVU21D.

  8. January 1, 2020

    RVU20A

    $280.68changed to$290.21

    • Conversion factor 36.0391 changed to 36.0896
    • Practice expense RVU 5.09 changed to 5.37
    • Malpractice RVU 0.21 changed to 0.19
    • Work GPCI 1.007 changed to 1.006
    • Practice expense GPCI 1.019 changed to 1.021
    • Malpractice GPCI 1.119 changed to 1.023

    Held through RVU20B, RVU20C, RVU20D.

  9. January 1, 2019

    RVU19A

    $271.93changed to$280.68

    • Conversion factor 35.9996 changed to 36.0391
    • Practice expense RVU 4.86 changed to 5.09

    Held through RVU19B, RVU19C, RVU19D.

  10. January 1, 2018

    RVU18AR1

    $271.89changed to$271.93

    • Conversion factor 35.8887 changed to 35.9996
    • Practice expense RVU 4.85 changed to 4.86
    • Work GPCI 1.010 changed to 1.007
    • Practice expense GPCI 1.025 changed to 1.019
    • Malpractice GPCI 1.101 changed to 1.119

    Held through RVU18B, RVU18C, RVU18D.

  11. January 1, 2017

    RVU17A

    $272.70changed to$271.89

    • Conversion factor 35.8043 changed to 35.8887
    • Practice expense RVU 4.86 changed to 4.85
    • Work GPCI 1.012 changed to 1.010
    • Practice expense GPCI 1.031 changed to 1.025
    • Malpractice GPCI 1.083 changed to 1.101

    Held through RVU17B, RVU17C, RVU17D.

  12. January 1, 2016

    RVU16A

    $276.40changed to$272.70

    • Conversion factor 35.9335 changed to 35.8043
    • Malpractice RVU 0.28 changed to 0.21

    Held through RVU16B, RVU16C, RVU16D.

  13. July 1, 2015

    RVU15C

    $275.03changed to$276.40

    • Conversion factor 35.7547 changed to 35.9335

    Held through RVU15D.

  14. January 1, 2015

    RVU15A

    No ratechanged to$275.03

    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$262.01$104.27RVU26D
2026-07-01$262.01$104.27RVU26C
2026-04-01$262.01$104.27RVU26B
2026-01-01$262.01$104.27RVU26A
2025-10-01$260.90$117.46RVU25D
2025-07-01$260.90$117.46RVU25C
2025-04-01$260.90$117.46RVU25B
2025-01-01$260.90$117.46RVU25A
2024-10-01$272.45$119.89RVU24D
2024-07-01$272.45$119.89RVU24C
2024-04-01$272.45$119.89RVU24B
2024-03-09$272.45$119.89RVU24AR
2024-01-01$268.00$117.93RVU24A
2023-10-01$284.77$122.67RVU23D
2023-07-01$284.77$122.67RVU23C
2023-04-01$284.77$122.67RVU23B
2023-01-01$284.77$122.67RVU23A
2022-10-01$296.78$124.90RVU22D
2022-07-01$296.78$124.90RVU22C
2022-04-01$296.78$124.90RVU22B
2022-01-01$296.78$124.90RVU22A
2021-10-01$296.42$125.61RVU21D
2021-07-01$296.42$125.61RVU21C
2021-04-01$296.42$125.61RVU21B
2021-01-01$296.42$125.61RVU21A
2020-10-01$290.21$131.02RVU20D
2020-07-01$290.21$131.02RVU20C
2020-04-01$290.21$131.02RVU20B
2020-01-01$290.21$131.02RVU20A
2019-10-01$280.68$131.95RVU19D
2019-07-01$280.68$131.95RVU19C
2019-04-01$280.68$131.95RVU19B
2019-01-01$280.68$131.95RVU19A
2018-10-01$271.93$132.17RVU18D
2018-07-01$271.93$132.17RVU18C
2018-04-01$271.93$132.17RVU18B
2018-01-01$271.93$132.17RVU18AR1
2017-10-01$271.89$133.21RVU17D
2017-07-01$271.89$133.21RVU17C
2017-04-01$271.89$133.21RVU17B
2017-01-01$271.89$133.21RVU17A
2016-10-01$272.70$133.16RVU16D
2016-07-01$272.70$133.16RVU16C
2016-04-01$272.70$133.16RVU16B
2016-01-01$272.70$133.16RVU16A
2015-10-01$276.40$136.74RVU15D
2015-07-01$276.40$136.74RVU15C
2015-04-01$275.03$136.05RVU15B
2015-01-01$275.03$136.05RVU15A
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 62305 for an earlier date of service

Where the Delaware rate applies

Delaware is a Medicare payment area, not a city. Our Census mapping connects it to 79 cities and communities in Delaware. Some span more than one payment area; confirm with the service ZIP.

  • Arden
  • Ardencroft
  • Ardentown
  • Bear
  • Bellefonte
  • Bethany Beach
  • Bethel
  • Blades

Browse all communities in Delaware

62305 billing questions

When should 62305 be chosen over 62304?

Use 62305 when the myelographic examination covers two or more spinal regions. Use 62304 when it covers the lumbar region alone.

Is the CT scan after myelography included?

The code includes radiological supervision and interpretation of the myelogram, not a separately performed CT examination. Report the appropriate CT spine code when CT imaging is performed and separately supported.

Should modifier 50 be reported for both sides?

No. The service describes a multi-region examination, not a bilateral procedure, so modifier 50 is inappropriate.

How many units should be reported for multiple regions?

Report one unit for the examination covering two or more spinal regions; do not report a separate unit for each region.

What documentation supports this code?

Record the lumbar contrast-administration route, the spinal regions examined, and the radiologist's interpretation. The record should show that the examination covered at least two regions.

Can an assistant or co-surgeon 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
RVUs for 62305PPRRVU2026_Oct_nonQPP.csv, line 6,963 (RVU26D)
Geographic factors for DelawareGPCI2026.csv, line 40 (RVU26D)

Open CMS sourceHow we calculate rates

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